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法国超长距离越野跑中脚部水泡的流行病学、预防方法和危险因素。

Epidemiology, prevention methods, and risk factors of foot blisters in French trail ultramarathons.

机构信息

Sports Medicine, Hôpitaux du Pays du Mont-Blanc, Sallanches, France.

Institute of Training and Research in Mountain Medicine (IFREMMONT), Tour2 PUMORI, Promenade du Fori, Chamonix-Mont-Blanc, France.

出版信息

J Sports Med Phys Fitness. 2023 Aug;63(8):921-926. doi: 10.23736/S0022-4707.23.14937-1. Epub 2023 May 11.

DOI:10.23736/S0022-4707.23.14937-1
PMID:37166255
Abstract

BACKGROUND

Blisters are a common running injury and are known to limit runners' performance. There have been many studies on the subject with contrasting results. It would therefore be useful to describe more clearly blister epidemiology, blister prevention methods, and risk factors of blister development.

METHODS

This study is a retrospective anonymous, post-race survey. Runners were contacted by email after races in France during the summer and autumn of 2021 and asked to fill-in an online survey about their experience with blisters and running experiences.

RESULTS

Five hundred and thirty-three runners participated, of whom were 468 (88%) men and 47 women (12%), mean age 42±9.75. Sixty-one percent (N.=329) of runners applied blister prevention methods before the start of the race and 29% (N.=155) reported blisters at the end of the race. Most commonly used blisters prevention methods were: anti-friction cream 79% (N.=260), "anti-blister socks" 33% (N.=107), paper tape 13% (N.=44), and topical lemon application 11% (N.=36). Having a history of blisters in the past is strongly associated with blisters onset OR=15.950 (9.135-29.640; P<0.0001). Distances ran between 40 to 74 km appeared to be the less likely to cause blisters OR 0.188 (0.045-0.729; P=0.019). None of the studied blister prevention methods seemed to match the protective effect of running shorter distances.

CONCLUSIONS

Having a history of previous blisters is a major risk factor for blister occurrence, while running shorter distances seems protective.

摘要

背景

水泡是一种常见的跑步损伤,已知会限制跑步者的表现。针对这个问题已经有很多研究,但结果却大相径庭。因此,更清楚地描述水泡的流行病学、预防方法和发展风险因素将是有用的。

方法

本研究是一项回顾性匿名、赛后调查。在 2021 年夏季和秋季法国的比赛后,通过电子邮件联系参赛者,并要求他们填写一份关于水泡经历和跑步经历的在线调查。

结果

共有 533 名跑步者参与,其中 468 名(88%)为男性,47 名(12%)为女性,平均年龄为 42±9.75 岁。61%(N.=329)的跑步者在比赛开始前使用了预防水泡的方法,29%(N.=155)的跑步者在比赛结束时报告有水泡。最常用的预防水泡的方法是:防摩擦膏 79%(N.=260)、“防水泡袜子”33%(N.=107)、纸胶带 13%(N.=44)和局部涂柠檬 11%(N.=36)。过去有水泡史与水泡发病显著相关 OR=15.950(9.135-29.640;P<0.0001)。跑程在 40 到 74 公里之间似乎不太可能导致水泡 OR 0.188(0.045-0.729;P=0.019)。研究中没有一种预防水泡的方法似乎能与跑短距离的保护作用相匹配。

结论

既往有水泡史是发生水泡的主要危险因素,而跑短距离似乎具有保护作用。

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