Document Detail

Prevalence of acute mountain sickness among Finnish trekkers on Mount Kilimanjaro, Tanzania: an observational study.
MedLine Citation:
PMID:  19115914     Owner:  NLM     Status:  MEDLINE    
The aim of this study was to evaluate the prevalence of acute mountain sickness (AMS) among trekkers on Mount Kilimanjaro during the winter season of 2006-2007. A A total of 130 Finnish trekkers at Marungu route were asked to complete daily a Lake Louise self-report and clinical assessment score questionnaire with the help of a trainee Finnish guide during their trek to Kilimanjaro. A Lake Louise questionnaire score>or=3 indicated AMS. Altogether 112 mountaineers or travelers [54 men, 58 women, mean age 51+/-10 (SD) years] were studied. Fifty-nine travelers (53%) reached Gillman's Point or Uhuru Peak. The incidence of AMS among Finnish Kilimanjaro trekkers was 75%. The most common high altitude symptoms were headache, followed by sleeping problems and fatigue or weakness. The incidence of AMS is high among trekkers climbing Mount Kilimanjaro.The main reason for this seems to be rapid ascent. Kilimanjaro treks normally have a fixed timetable, and for commercial reasons there is little opportunity to spend extra days for acclimatization in the camps. Some contributing factors are preventable, so we recommend an educational program for all the trekking agencies that guide on this peak and, in particular, the Tanzania-based guiding agencies, which, typically, are driving these very fast ascent rates.
Heikki Karinen; Juha Peltonen; Heikki Tikkanen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  High altitude medicine & biology     Volume:  9     ISSN:  1527-0297     ISO Abbreviation:  High Alt. Med. Biol.     Publication Date:  2008  
Date Detail:
Created Date:  2008-12-31     Completed Date:  2009-04-23     Revised Date:  2009-09-24    
Medline Journal Info:
Nlm Unique ID:  100901183     Medline TA:  High Alt Med Biol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  301-6     Citation Subset:  IM; S    
Unit for Sports and Exercise Medicine, Institute of Clinical Medicine, University of Helsinski, Finland.
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MeSH Terms
Acute Disease
Altitude Sickness / diagnosis*,  ethnology*
Environmental Exposure / statistics & numerical data*
European Continental Ancestry Group
Fatigue / ethnology
Finland / ethnology
Headache / ethnology
Middle Aged
Mountaineering / statistics & numerical data*
Risk Factors
Severity of Illness Index
Sleep Disorders / ethnology
Tanzania / epidemiology
Travel / statistics & numerical data*
Comment In:
High Alt Med Biol. 2009 Fall;10(3):301-2; author reply 303   [PMID:  19775222 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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