野外與登山醫學-台灣研究-三天行程爬玉山的兒童發生AMS機率高於成人

2026-07-17 13:15

台灣之前的研究. 爬玉山的成人發生AMS的機率 36%

這篇是2016年發表在旅遊醫學期刊的研究, 研究對象是 96 名11-12歲健康兒童, 以三天行程爬玉山. 59% 發生AMS. 近期感冒會增加AMS機率

Incidence and risk factors associated with acutemountain sickness in children trekking on JadeMountain, Taiwan

Abstract
Background:
Acute mountain sickness (AMS) is a pathophysiological symptom complex that occurs in high-altitude areas. The incidence of AMS on Jade Mountain, the highest peak in Taiwan (3952 m), has been reported to be 36%. There is a lack of data in children trekking at altitude in Taiwan. The purpose of this study was to determine the incidence, risk factors and symptoms of AMS in children trekking on Jade Mountain, Taiwan. 

Methods: 

This prospective cohort study included a total of 96 healthy non-acclimatized children aged 11–12 years who trekked from an elevation of 2600–3952 m in 3 days. The Lake Louise AMS score was used to record symptoms associated with AMS. 

Results: 

AMS were reported in 59% of children trekking on Jade Mountain over a 3 day period. AMS incidence increased significantly with increasing altitude. The most common AMS symptom was headache, followed by fatigue or weakness, difficulty sleeping, dizziness or lightheadedness and gastrointestinal symptoms. Children who had experienced upper respiratory infection (URI) within the 7 days before their trek tended to have a greater risk for development of AMS. AMS incidence did not significantly differ according to gender, recent acute gastroenteritis, menstruation and body mass index. 

Conclusions: 

The incidence of AMS in children trekking on Jade Mountain is greater than that observed in adults, and was associated with altitude and recent URI.