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
{"title":"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。","authors":"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","doi":"10.1080/00913847.2024.2367401","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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 (<i>n</i> = 41; 83.7%). Most injuries affected the foot (<i>n</i> = 18; 36.7%), ankle (<i>n</i> = 10; 20.4%) and knee (<i>n</i> = 7; 14.3%). Tissue types mainly involved skin (<i>n</i> = 21; 42.8%), ligament (<i>n</i> = 7; 14.3%) and muscle (<i>n</i> = 7; 14.3%). Multiple (<i>n</i> = 45; 54.9%) and gastrointestinal (<i>n</i> = 17; 20.7%) organ systems were mainly involved in illnesses. Only 100 km runners reported dehydration (<i>n</i> = 28; 31.5%), and one in every six of these runners (<i>n</i> = 5; 17.9%) did not finish. Runners reporting fatigue (<i>n</i> = 21; 23.6%) had a high (<i>n</i> = 8; 38.1%) did not finish rate. Two in every five participants (<i>n</i> = 36; 40.4%) with a medical encounter, did not finish. No medical encounter-associated risk factors were identified.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-9"},"PeriodicalIF":1.9000,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Illness is more prevalent than injury in trail runners participating in a mountainous ultra trail race.\",\"authors\":\"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\",\"doi\":\"10.1080/00913847.2024.2367401\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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 (<i>n</i> = 41; 83.7%). Most injuries affected the foot (<i>n</i> = 18; 36.7%), ankle (<i>n</i> = 10; 20.4%) and knee (<i>n</i> = 7; 14.3%). Tissue types mainly involved skin (<i>n</i> = 21; 42.8%), ligament (<i>n</i> = 7; 14.3%) and muscle (<i>n</i> = 7; 14.3%). Multiple (<i>n</i> = 45; 54.9%) and gastrointestinal (<i>n</i> = 17; 20.7%) organ systems were mainly involved in illnesses. Only 100 km runners reported dehydration (<i>n</i> = 28; 31.5%), and one in every six of these runners (<i>n</i> = 5; 17.9%) did not finish. Runners reporting fatigue (<i>n</i> = 21; 23.6%) had a high (<i>n</i> = 8; 38.1%) did not finish rate. Two in every five participants (<i>n</i> = 36; 40.4%) with a medical encounter, did not finish. No medical encounter-associated risk factors were identified.</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":51268,\"journal\":{\"name\":\"Physician and Sportsmedicine\",\"volume\":\" \",\"pages\":\"1-9\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-06-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Physician and Sportsmedicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/00913847.2024.2367401\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physician and Sportsmedicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/00913847.2024.2367401","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Illness is more prevalent than injury in trail runners participating in a mountainous ultra trail race.
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.
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.
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