首页|基于体适能的高海拔户外运动风险识别、预警及预防——基于系统综述和四姑娘山徒步登山实证研究

基于体适能的高海拔户外运动风险识别、预警及预防——基于系统综述和四姑娘山徒步登山实证研究

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目的:针对山地户外运动参与者短期急进高海拔地区的特点,探析高海拔环境条件对人体健康和运动能力影响的营养因素和对策。方法:采用多轮及混合方法研究系统综述,结合Haddon矩阵识别高海拔户外运动中与体适能相关的主要医学风险及影响体适能的营养风险,选择从平原急进四姑娘山二峰徒步登山的研究对象,跟踪调查徒步登山期间研究对象的膳食和饮水情况,在不同海拔高度监测研究对象的身体成分、心肺功能、肌肉力量、空腹血糖和体温等体适能指标,探索高海拔户外运动风险预警指标,以及控制运动风险的营养措施。结果:纳入15篇医学风险文献和4篇营养风险文献,高海拔户外运动的医学风险事件主要为高原低氧所致急性高原反应及相关疾病,此外,营养相关问题占较大比重,如因能量摄入不足导致的体重减轻,以及脱水和缺氧条件下乳酸堆积导致的体液酸碱失衡。四姑娘山二峰徒步登山研究对象每日能量和主要营养素及饮水量均摄入不足,与系统评价结果一致;研究对象的体适能指标随海拔高度变化而变化,其中血氧饱和度与体水百分比(P<0。01)、肌肉量(P<0。01)和最大摄氧量(P<0。05)等指标呈正相关。结论:血氧饱和度可作为急进高海拔地区户外运动风险的预测指标。科学的营养支持措施,如能量摄入充足、高碳水化合物膳食、足量饮水并避免脱水,是维持和提升体适能的基础,也是确保山地户外运动安全的关键因素。
Risk Identification,Early Warning and Prevention of High-Altitude Outdoor Sports in Light of Physical Fitness——Based on Systematic Reviews and Empirical Study on Trekking in Mount Siguniang
Objective:For mountain outdoor sports participants short-term emergency into high-altitude areas the characteristics of mountain outdoor sports participants' short-term rush into high-altitude areas,to analyze high altitude environmental conditions on human health and health and exercise capacity nutritional factors and countermeasures. Methods:Multi-cycle and mixed methods systematic reviews were adopted to identify the main medical risks related to physical fitness and nutritional risks affecting physical fitness in high-altitude outdoor sports combined with the Haddon matrix. The subjects who were selected to trek from the plain to the Second Peak of Mount Siguniang were followed up to investigate the diet and drinking water of the sub-jects during the trekking. Physical fitness indicators such as body composition,cardiopulmo-nary function,muscle strength,fasting blood glucose and body temperature of the subjects were monitored at different altitudes,and risk warning indicators of outdoor sports at high altitudes were explored,as well as nutritional measures to control sports risks. Results:Fifteen medical risk literatures and four nutritional risk literatures were included,and the medical risk events of out-door sports at high altitude were mainly acute mountain sickness and related diseases caused by low oxygen at high altitude. In addition,nutrition-related problems accounted for a large propor-tion,such as weight loss due to insufficient energy intake,dehydration and fluid acid-base im-balance caused by lactic acid accumulation under hypoxia conditions. The daily energy,main nutrients and drinking water intake of the trekking subjects in the Second Peak of Mount Siguni-ang were insufficient,which was consistent with the results of systematic evaluation. The physi-cal fitness indicators of the subjects changed with the change of altitudes,and the blood oxygen saturation was positively correlated with the percentage of body water (P<0.01),muscle mass (P<0.01) and maximum oxygen uptake (P<0.05). Conclusions:Blood oxygen saturation can be used as a risk predictor for outdoor sports in acute entry to high altitudes. Scientific nutrition-al support measures,such as adequate energy intake,high-carbohydrate diet,and adequate water intake to avoid dehydration,are the basis for maintaining and improving physical fitness,and are also key factors to ensure the safety of mountain outdoor sports.

high altitudeoutdoor sportsphysical fitnessrisk identificationrisk warning

张珂、马璟茹、姚迎春、吕晓华

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四川大学华西公共卫生学院/四川大学华西第四医院,四川成都610041

四川大学华西医院,四川成都610041

高海拔 户外运动 体适能 风险识别 风险预警

2024

中国体育科技
国家体育总局体育信息研究所

中国体育科技

CSTPCDCSSCICHSSCD北大核心
影响因子:1.31
ISSN:1002-9826
年,卷(期):2024.60(12)