The Effect of Path and Beginning Time of Ascending on Incidence of Acute Mountain Sickness around Mount Damavand in Iran (5671 m)

Background. This study was designed to evaluate the incidence of acute mountain sickness (AMS) occurring on different climbing routes on Mount Damavand and the effect of beginning time of ascent in Iranian trekkers. Methods. This study was a descriptive cohort investigation, performed in summer 2007...

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Main Authors: Reza Alizadeh, Vahid Ziaee, Lotf-Ali Frooghifard, Mohammad-Ali Mansournia, Ziba Aghsaeifard
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Neurology Research International
Online Access:http://dx.doi.org/10.1155/2012/428296
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author Reza Alizadeh
Vahid Ziaee
Lotf-Ali Frooghifard
Mohammad-Ali Mansournia
Ziba Aghsaeifard
author_facet Reza Alizadeh
Vahid Ziaee
Lotf-Ali Frooghifard
Mohammad-Ali Mansournia
Ziba Aghsaeifard
author_sort Reza Alizadeh
collection DOAJ
description Background. This study was designed to evaluate the incidence of acute mountain sickness (AMS) occurring on different climbing routes on Mount Damavand and the effect of beginning time of ascent in Iranian trekkers. Methods. This study was a descriptive cohort investigation, performed in summer 2007. All trekkers who ascended Mount Damavand from northern, western, eastern, and southern paths and passed 4200 m altitude were included in the study. Two questionnaires were completed for each trekker (personal information and Lake Louise score questionnaire). Multiple logistic regression analysis was used to explore the independent predicting variables for AMS. Results. Overall incidence rate of AMS was 53.6%. This rate was the highest in south route (61.5%) (P<0.001). There was no difference in the incidence of AMS on other paths. AMS history, AMS history on Damavand, the beginning time of climbing, sleeping at 4200 m altitude, and home altitude had significant effect on AMS incidence, but by multiple logistic regression analysis south route and AMS history on Mount Damavand had positive effect on incidence of AMS (P=0.019 and P<0.001). Conclusion. The path and the beginning time of ascent can affect incidence of AMS. The risk of occurrence of AMS was 1.9 times as large for trekkers who ascended from southern route.
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spelling doaj-art-97b02564542a4d99a0191bb187e66e432025-02-03T06:42:15ZengWileyNeurology Research International2090-18522090-18602012-01-01201210.1155/2012/428296428296The Effect of Path and Beginning Time of Ascending on Incidence of Acute Mountain Sickness around Mount Damavand in Iran (5671 m)Reza Alizadeh0Vahid Ziaee1Lotf-Ali Frooghifard2Mohammad-Ali Mansournia3Ziba Aghsaeifard4Department of Anesthesiology, AJA University of Medical Sciences, Tehran, IranSports Medicine Research Center, Tehran University of Medical Sciences, No. 7 Al-e-Ahamd Highway, P.O. Box 14395-578, Tehran, IranSports Medicine Research Center, Tehran University of Medical Sciences, No. 7 Al-e-Ahamd Highway, P.O. Box 14395-578, Tehran, IranSports Medicine Research Center, Tehran University of Medical Sciences, No. 7 Al-e-Ahamd Highway, P.O. Box 14395-578, Tehran, IranSports Medicine Research Center, Tehran University of Medical Sciences, No. 7 Al-e-Ahamd Highway, P.O. Box 14395-578, Tehran, IranBackground. This study was designed to evaluate the incidence of acute mountain sickness (AMS) occurring on different climbing routes on Mount Damavand and the effect of beginning time of ascent in Iranian trekkers. Methods. This study was a descriptive cohort investigation, performed in summer 2007. All trekkers who ascended Mount Damavand from northern, western, eastern, and southern paths and passed 4200 m altitude were included in the study. Two questionnaires were completed for each trekker (personal information and Lake Louise score questionnaire). Multiple logistic regression analysis was used to explore the independent predicting variables for AMS. Results. Overall incidence rate of AMS was 53.6%. This rate was the highest in south route (61.5%) (P<0.001). There was no difference in the incidence of AMS on other paths. AMS history, AMS history on Damavand, the beginning time of climbing, sleeping at 4200 m altitude, and home altitude had significant effect on AMS incidence, but by multiple logistic regression analysis south route and AMS history on Mount Damavand had positive effect on incidence of AMS (P=0.019 and P<0.001). Conclusion. The path and the beginning time of ascent can affect incidence of AMS. The risk of occurrence of AMS was 1.9 times as large for trekkers who ascended from southern route.http://dx.doi.org/10.1155/2012/428296
spellingShingle Reza Alizadeh
Vahid Ziaee
Lotf-Ali Frooghifard
Mohammad-Ali Mansournia
Ziba Aghsaeifard
The Effect of Path and Beginning Time of Ascending on Incidence of Acute Mountain Sickness around Mount Damavand in Iran (5671 m)
Neurology Research International
title The Effect of Path and Beginning Time of Ascending on Incidence of Acute Mountain Sickness around Mount Damavand in Iran (5671 m)
title_full The Effect of Path and Beginning Time of Ascending on Incidence of Acute Mountain Sickness around Mount Damavand in Iran (5671 m)
title_fullStr The Effect of Path and Beginning Time of Ascending on Incidence of Acute Mountain Sickness around Mount Damavand in Iran (5671 m)
title_full_unstemmed The Effect of Path and Beginning Time of Ascending on Incidence of Acute Mountain Sickness around Mount Damavand in Iran (5671 m)
title_short The Effect of Path and Beginning Time of Ascending on Incidence of Acute Mountain Sickness around Mount Damavand in Iran (5671 m)
title_sort effect of path and beginning time of ascending on incidence of acute mountain sickness around mount damavand in iran 5671 m
url http://dx.doi.org/10.1155/2012/428296
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