Education program for prevention of outdoor accidents in middle-high aged trekkers: Monitoring of change in blood pressure and heart rate during exercise.
Education program for prevention of outdoor accidents in middle-high aged trekkers: Monitoring of change in blood pressure and heart rate during exercise.
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DOI：
10.1016/j.pmedr.2021.101396
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发表时间：
2021-09
影响因子：
2.8
通讯作者：
Saito S
中科院分区：
文献类型：
--
作者：
Mieda R;Matsui Y;Tobe M;Kanamoto M;Suto T;Saito S
在过去的5年里，高级徒步旅行者的事故显著增加。教育计划对预防运动中的极端血流动力学是有效的。绿色运动教育促进老年人健康生活方式。这是一项观察性研究，旨在评估教育徒步旅行计划期间的心血管参数。近年来，发达国家涉及老年徒步旅行者的高山事故数量一直在增加。许多中老年徒步旅行者有潜在的心血管风险，但他们并不知道。在日本发生的高山事故中，超过77%的登山者年龄在40岁以上。最常见的心血管疾病是在高原徒步旅行时中风或心脏病发作。一家高山俱乐部在一个山坡小镇的背景下，与40岁的参与者进行了为期8个月的教育项目。监测户外运动时的血压和心率，并记录任何其他不良反应。结果，在第一次和最后一次徒步旅行中评估的心血管参数呈现出生理和相似的行为，然而，在最后一次徒步旅行中，路线的最高点记录到了较低的心率值(P<0.05)。这些参数在男性和女性中的趋势相似，并且心血管参数与年龄之间几乎没有相关性。总之，较低的心率值可能表明徒步旅行者在户外自定步速进行体力活动时具有更高的风险意识，这可能表明教育计划在提高此类无人监督活动的安全性方面具有积极作用。
Senior trekkers' accidents has increased markedly over the past 5 years. Educational program is effective to prevent extreme hemodynamics during exercise. Green exercise education promotes a healthy life-style in seniors. This is an observational study to evaluate cardiovascular parameters during an educational trekking program. The number of alpine accidents involving elderly trekkers has been increasing in developed countries in recent years. Many middle-high aged trekkers have potential cardiovascular risks of which they are unaware. More than 77% of trekkers involved in alpine accidents in Japan were aged >40 years. The most common cardiovascular conditions were stroke or heart attack while trekking at altitude. An alpine club conducted an 8-month education program with participants aged >40 years in the setting of a mountain-side town. Blood pressure and heart rate during outdoor exercise were monitored, and any other adverse effects were recorded. As a result, the cardiovascular parameters evaluated during the first and final trek presented a physiological and similar behavior, however, lower heart rate values were registered at the highest point of the route in the final trek (p < 0.05). The trend of these parameters was similar in males and females, and there was little correlation between the cardiovascular parameters and age. In conclusion, the lower heart rate values may indicate the higher risk awareness of trekkers while self-pacing the physical activity outdoors, which may indicate the positive effect of the education program in increasing the safety of such unsupervised activities.
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