Different Influencing Factors for Risk of Falls Between Men and Women while Descending from Mount Fuji

Different Influencing Factors for Risk of Falls Between Men and Women while Descending from Mount Fuji
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男性和女性富士山下山时跌倒风险的不同影响因素

DOI:
10.1016/j.wem.2023.01.003
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发表时间:
2023
期刊:
Wilderness & Environmental Medicine
影响因子:
--
通讯作者:
Horiuchi Masahiro
Horiuchi Masahiro
中科院分区:
--
文献类型:
--
作者:
Uno Tadashi;Mitsui Satomi;Watanabe Misato;Takiguchi Chieko;Horiuchi Masahiro

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每年大约有25万人登上日本的富士山。然而,很少有研究考察富士山上跌倒的发生率及相关因素。方法我们对1061名登山参与者(男703人,女358人)进行了问卷调查。研究收集了年龄、身高、体重、行李重量、富士山经历、其他山上经历、有无导游、单日登山者或过夜住客、下坡路信息(火山碎石、距离远、跌倒风险)、有无登山杖、鞋子类型、鞋底状况和疲劳感等信息。结果女性跌倒发生率(174/358;49%)高于男性(246/703;35%)。多元Logistic回归预测模型(无跌倒,0;跌倒,1)显示以下因素降低跌倒的风险:男性、年龄较小、有富士山登山经历、有长距离下山路线的信息、穿登山鞋或登山靴而不是其他类型的鞋子(如跑鞋、运动鞋)或破旧的鞋子,以及不感到疲倦。此外,以下因素可能只会降低女性的跌倒风险:在任何其他山上徒步旅行的经历、不是导游的一部分,以及使用登山杆。结论女性在富士山上跌倒的风险高于男性。具体地说,在任何其他山上的经验较少,参加有导游的旅游,以及不使用徒步旅行杆可能与女性跌倒的风险更高有关。这些结果表明,针对男性和女性的不同预防措施是有用的。
IntroductionAnnually, approximately 250,000 people climb Mount Fuji in Japan. Nonetheless, only few studies have examined the prevalence of falls and related factors on Mount Fuji.MethodsWe conducted a questionnaire survey of 1061 participants (703 men and 358 women) who had climbed Mount Fuji. The following information was collected: age, height, body weight, luggage weight, experience on Mount Fuji, experience on other mountains, presence or absence of a tour guide, single-day climber or overnight-stay lodger, information on the downhill trail (volcanic gravel, long distance, and the risk of falls), presence or absence of trekking poles, shoe type, shoe sole condition, and fatigue feeling.ResultsThe fall rate in women (174/358; 49%) was greater than that in men (246/703; 35%). A prediction model using multiple logistic regression (no fall, 0; fall, 1) indicated that the following factors decreased the risk of falls: male sex, younger age, previous experience on Mount Fuji, having information about long-distance downhill trails, wearing hiking shoes or mountaineering boots rather than other types of shoes (eg, running shoes, sneakers) or worn-out shoes, and not feeling fatigued. Additionally, the following factors may decrease the risk of falls in women only: experience hiking on any other mountains, not being part of a guided tour, and using trekking poles.ConclusionsWomen had a higher risk of falls on Mount Fuji than men. Specifically, having less experience on any other mountains, being part of a guided tour, and nonuse of trekking poles may relate to higher risks of falls in women. These results suggest that different precautionary measures for men and women are useful.
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