Pommering Thomas L, Manos Diane C, Singichetti Bhavna, Brown Chelsea R, Yang Jingzhen
College of Medicine, The Ohio State University, Columbus, OH; Division of Sports Medicine, Nationwide Children's Hospital, Columbus, OH.
College of Medicine, The Ohio State University, Columbus, OH.
Wilderness Environ Med. 2017 Dec;28(4):299-306. doi: 10.1016/j.wem.2017.06.002. Epub 2017 Aug 7.
Recreational multiday cycling events have grown popular in the United States; however, little has been published regarding the injuries and illnesses that occur during these events. The objective of this study was to describe injuries and illnesses that occur in the Great Ohio Bicycle Adventure (GOBA) and to examine associated risk factors.
Injury and illness data collected from an on-site medical clinic during the 2013 and 2014 GOBA tours were merged with rider registration data for analysis. Diagnoses were classified as acute injury, overuse injury, or medical illness. The odds ratios of sustaining at least 1 injury/illness, as well as sustaining an acute injury, were assessed adjusting for riders' demographics.
A total of 4005 (2172 in 2013 and 1833 in 2014) cyclists participated in GOBA, with an an age of 50.7±17.6 (2-86) years (mean±SD [range]), of whom 59.8% were male. During the tours, 143 (3.6%) riders reported at least 1 injury/illness, which resulted in 220 clinical diagnoses, including 114 (51.8%) acute injuries, 27 (12.3 %) overuse injuries, and 79 (35.9%) medical illnesses. The lower extremities were the most commonly injured body site (n=71, 50.4%). "Superficial/Abrasions/Contusions" was the most common injury/illness type (n=68, 30.9%). Riders who had no previous tour experience or who were at least 50 years old had a greater risk of injury/illness than their counterparts.
The prevalence of injury and illness is relatively low in multiday recreational cycling events. Our findings provide important data for planning and preparing for medical coverage at mass recreational cycling events.
多日休闲自行车赛事在美国越来越受欢迎；然而，关于这些赛事期间发生的伤病情况，发表的相关内容很少。本研究的目的是描述在俄亥俄州大自行车探险活动（GOBA）中发生的伤病情况，并研究相关风险因素。
将2013年和2014年GOBA活动期间从现场医疗诊所收集的伤病数据与骑手注册数据合并进行分析。诊断分为急性损伤、过度使用损伤或内科疾病。在对骑手的人口统计学特征进行调整后，评估至少发生1次伤病以及发生急性损伤的比值比。
共有4005名（2013年2172名，2014年1833名）自行车骑手参加了GOBA活动，年龄为50.7±17.6（2 - 86）岁（均值±标准差[范围]），其中59.8%为男性。在活动期间，143名（3.6%）骑手报告至少有1次伤病，共产生220例临床诊断，包括114例（51.8%）急性损伤、27例（12.3%）过度使用损伤和79例（35.9%）内科疾病。下肢是最常受伤的身体部位（n = 71，50.4%）。“浅表/擦伤/挫伤”是最常见的伤病类型（n = 68，30.9%）。没有参加过之前活动的骑手或年龄至少50岁的骑手比其他骑手受伤/患病的风险更高。
多日休闲自行车赛事中伤病的发生率相对较低。我们的数据为大型休闲自行车赛事的医疗保障规划和准备提供了重要依据。
