Sport, Exercise Medicine and Lifestyle Institute (SEMLI) and Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Department of Statistics, Faculty of Natural and Agricultural Sciences, University of Pretoria, Pretoria, South Africa.
Clin J Sport Med. 2019 Jul;29(4):306-311. doi: 10.1097/JSM.0000000000000517.
To describe the incidence and patterns of injury and illness of male and female participants during a 94.7 km distance cycling event.
Descriptive study.
Momentum 94.7 Cycle Challenge 2014.
All 23 055 race starters (males = 17 520, females = 5236, not specified = 299).
The incidence and type of all medical complaints and difference between sexes.
Incidence (per 1000 race starters) of all medical complaints was 38.69 (males = 36.52, females = 38.39), adverse medical events 11.88 (males = 10.73, females = 16.42) and serious adverse events 1.3 (males = 0.86, females = 2.67). The incidence of nontraumatic medical complaints was 32.49 (males = 33.39, females = 31.32) and of traumatic injuries was 3.99 (males = 3.14, females = 7.07). Females compared to males had a higher risk of sustaining traumatic injuries (P < 0.001), central nervous system, (P = 0.0062) and eye complaints (P = 0.0107). Most complaints (80.6%) were reported for the musculoskeletal system. Males 10-15 years (P = 0.0013) and females 23-39 years (P = 0.0336), and older than 50 years (P = 0.0002) had a higher than expected risk for traumatic injuries.
Medical complaints ratio reported was 1:26 (males = 1:28, females = 1:26) in all starters during the cycling event. Cyclists that did not finish the race (adverse events) were 1:84 (males = 1:93, females = 1:61). Serious adverse events that required hospitalization were 1:769 (males = 1:1163, females = 1:374). The majority of admissions were for traumatic injuries, followed by cardiovascular complaints. Results from this study indicated that a wide spectrum of medical complaints can be expected during such an event with a higher risk for females to sustain traumatic injuries and to encounter central nervous system and eye complaints. Information regarding the pattern and type of medical encounters can prove useful during planning and management of similar future events.
描述男性和女性参与者在 94.7 公里自行车比赛中的受伤和疾病发生率及模式。
描述性研究。
2014 年动量 94.7 自行车挑战赛。
所有 23055 名比赛起跑者（男性=17520，女性=5236，未指定=299）。
所有医疗投诉的发生率（每 1000 名起跑者）和性别差异。
所有医疗投诉的发生率（每 1000 名起跑者）为 38.69（男性=36.52，女性=38.39），不良医疗事件发生率为 11.88（男性=10.73，女性=16.42），严重不良事件发生率为 1.3（男性=0.86，女性=2.67）。非创伤性医疗投诉的发生率为 32.49（男性=33.39，女性=31.32），创伤性损伤的发生率为 3.99（男性=3.14，女性=7.07）。与男性相比，女性发生创伤性损伤的风险更高（P<0.001），包括中枢神经系统（P=0.0062）和眼部投诉（P=0.0107）。大多数投诉（80.6%）报告为肌肉骨骼系统。10-15 岁男性（P=0.0013）和 23-39 岁女性（P=0.0336）以及 50 岁以上的人群发生创伤性损伤的风险高于预期。
在自行车比赛期间，所有起跑者的医疗投诉比例为 1:26（男性=1:28，女性=1:26）。未完成比赛的运动员（不良事件）为 1:84（男性=1:93，女性=1:61）。需要住院治疗的严重不良事件为 1:769（男性=1:1163，女性=1:374）。大多数入院是因为创伤性损伤，其次是心血管疾病。本研究结果表明，此类活动中可能会出现广泛的医疗投诉，女性发生创伤性损伤和中枢神经系统及眼部投诉的风险更高。有关医疗接触模式和类型的信息对于未来类似活动的规划和管理可能会有所帮助。
