the effect of path and beginning time of ascending on incidence of acute mountain sickness around mount damavand in iran (5671？m)的影响路径和开始时间的提升摄于伊朗德马峰急性高山病的发病率(5671 ).pdfVIP

Hindawi Publishing Corporation Neurology Research International Volume 2012, Article ID 428296, 6 pages doi:10.1155/2012/428296 Clinical Study The Effect of Path and Beginning Time of Ascending on Incidence of Acute Mountain Sickness around Mount Damavand in Iran (5671 m) Reza Alizadeh,1, 2 Vahid Ziaee,2 Lotf-Ali Frooghifard,2 Mohammad-Ali Mansournia,2 and Ziba Aghsaeifard2 1 Department of Anesthesiology, AJA University of Medical Sciences, Tehran, Iran 2 Sports Medicine Research Center, Tehran University of Medical Sciences, No. 7 Al-e-Ahamd Highway, P.O. Box 14395-578, Tehran, Iran Correspondence should be addressed to Vahid Ziaee, ziaee@tums.ac.ir Received 15 November 2011; Revised 12 January 2012; Accepted 12 January 2012 Academic Editor: Jeff Bronstein Copyright © 2012 Reza Alizadeh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 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 r