Illness is more prevalent than injury in trail runners participating in a mountainous ultra trail race.

IF 1.9 4区医学 Q2 ORTHOPEDICS

Physician and Sportsmedicine Pub Date : 2024-06-24 DOI:10.1080/00913847.2024.2367401

Patience M Matshepo Boshielo, Audrey Jansen van Rensburg, Carel Viljoen, Tanita Botha, Christina E Elizabeth de Villiers, Dimakatso Ramagole, Limbikani Seyani, Dina C Christa Janse van Rensburg

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引用次数: 0

Abstract

Objectives: Trail running is a popular off-road sport involving running in natural environments over various terrains, often in remote locations. This study aims to investigate the epidemiology and risk factors of injuries and illnesses, i.e. medical encounters, on race day among trail runners in a high-altitude ultra trail race.

Methods: This descriptive cross-sectional study on an ultra trail race (38 km, 65 km and 100 km) in South Africa, included participants 18 years or older. Of the 331 race participants, 285(86.1%) consented to participate in the study. Data collection included demographic details, injuries (body region, specific body area, tissue type, pathology) and illnesses (organ system, symptom cluster, etiology). Risk factor analysis includes sex, age, weight, height, race distance, illness and injury history, training and running experience. Frequency (n, %), prevalence (%) and odds ratios (OR; 95%CI) are reported.

Results: Eighty-nine (31.2%) individuals reported 131 medical encounters [49 injuries (37.4%); 82 illnesses (62.6%)]. Injuries were sustained by 14.7% of athletes, and 22.5% reported illnesses. For injuries, the lower limb was mainly involved (n = 41; 83.7%). Most injuries affected the foot (n = 18; 36.7%), ankle (n = 10; 20.4%) and knee (n = 7; 14.3%). Tissue types mainly involved skin (n = 21; 42.8%), ligament (n = 7; 14.3%) and muscle (n = 7; 14.3%). Multiple (n = 45; 54.9%) and gastrointestinal (n = 17; 20.7%) organ systems were mainly involved in illnesses. Only 100 km runners reported dehydration (n = 28; 31.5%), and one in every six of these runners (n = 5; 17.9%) did not finish. Runners reporting fatigue (n = 21; 23.6%) had a high (n = 8; 38.1%) did not finish rate. Two in every five participants (n = 36; 40.4%) with a medical encounter, did not finish. No medical encounter-associated risk factors were identified.

Conclusions: Illnesses were more common than injuries during the mountainous ultra trail race. Sustaining a medical encounter increased the chance of not completing the race. Further research on the epidemiology of race day medical encounters in trail running is required.

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对于参加山地超级越野赛的越野跑运动员来说，疾病比受伤更常见。

目的：越野跑是一项流行的越野运动，涉及在各种地形的自然环境中跑步，通常在偏远地区进行。本研究旨在调查参加高海拔超长距离越野跑比赛的越野跑者在比赛当天受伤和患病（即就医）的流行病学和风险因素：这项描述性横断面研究的对象是南非的一场超长距离越野赛（38 公里、65 公里和 100 公里），包括 18 岁或以上的参赛者。在 331 名参赛者中，有 285 人（86.1%）同意参加这项研究。数据收集包括人口统计学细节、伤害（身体区域、特定身体部位、组织类型、病理）和疾病（器官系统、症状群、病因）。风险因素分析包括性别、年龄、体重、身高、比赛距离、伤病史、训练和跑步经验。报告了频率（n，%）、患病率（%）和几率比（OR；95%CI）：有 89 人（31.2%）报告了 131 次就医经历[49 次受伤（37.4%）；82 次生病（62.6%）]。14.7%的运动员受伤，22.5%的运动员患病。受伤部位主要是下肢（41 人；83.7%）。受伤部位主要是脚（18 人；36.7%）、踝关节（10 人；20.4%）和膝关节（7 人；14.3%）。组织类型主要涉及皮肤（21 人；42.8%）、韧带（7 人；14.3%）和肌肉（7 人；14.3%）。疾病主要涉及多个器官系统（45 人；54.9%）和胃肠道系统（17 人；20.7%）。只有 100 公里跑者报告脱水（28 人；31.5%），其中每六名跑者中就有一人（5 人；17.9%）未能完赛。报告疲劳的选手（人数=21；23.6%）未完成比赛的比例较高（人数=8；38.1%）。每五名参赛者中就有两名（n = 36；40.4%）因就医而未能完赛。没有发现与就医相关的风险因素：结论：在山地超级越野赛中，生病比受伤更常见。结论：在山地超级越野赛中，疾病比受伤更常见，发生医疗事故会增加无法完成比赛的几率。需要进一步研究越野跑比赛日医疗遭遇的流行病学。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physician and Sportsmedicine PRIMARY HEALTH CARE-ORTHOPEDICS

CiteScore

4.90

自引率

4.30%

发文量

审稿时长

>12 weeks

期刊介绍： The Physician and Sportsmedicine is a peer-reviewed, clinically oriented publication for primary care physicians. We examine the latest drug discoveries to advance treatment and recovery, and take into account the medical aspects of exercise therapy for a given condition. We cover the latest primary care-focused treatments serving the needs of our active patient population, and assess the limits these treatments govern in stabilization and recovery. The Physician and Sportsmedicine is a peer-to-peer method of communicating the latest research to aid primary care physicians’ advancement in methods of care and treatment. We routinely cover such topics as: managing chronic disease, surgical techniques in preventing and managing injuries, the latest advancements in treatments for helping patients lose weight, and related exercise and nutrition topics that can impact the patient during recovery and modification.