Injury prevention: individual factors affecting adult recreational snowboarders’ actual and estimated speeds on regular slopes

Speed is a main factor affecting the kinematic of snow-sports accidents and the degree of severity of the resulting injuries. The aim of this study was to measure on-slope actual maximum speeds of snowboarders and to assess their ability to accurately them with regard to individual factors such as gender, skill level, age and risk-taking behaviour and actual maximum speed. The data were obtained from a sample of 312 (67% male, 33% female) adult recreational snowboarders taking lessons in one of the major resorts in the Spanish Pyrenees. The Pearson correlation coefficient was used to investigate the relationship between maximal measured actual speed and estimated speed for all participants. Multiple linear regression analysis was used to estimate the impact of individual factors on both the snowboarders’ actual maximum speed and their error of estimation. The Pearson correlation coefficient between estimated and actual maximum speed was 0.52 (P < 0.001) for all participants. They underestimated their actual maximum speed on average by 10.05 km/h or 28.62%. All assessed factors were shown to significantly affect the snowboarders’ actual maximum speed. However, gender, skill level, age and actual maximum speed were shown to significantly affect the snowboarders’ error of estimation, while risk-taking behavior did not. Gender, skill level, age and risk-taking behaviour are associated with the actual maximum speed at which snowboarders ride, while the same individual factors, except for risk-taking behaviour, and their snowboarding speed seem to affect the ability to estimate actual maximum speeds in adult recreational snowboarders. The ability to estimate actual speed accurately is an important factor to avoid accidents on ski slopes and, therefore, having snowboarders informed about the benefits of speed self-awareness is a key matter for prevention purposes

Managing risk in ski resorts: Environmental factors affecting actual and estimated speed on signposted groomed slopes in a cohort of adult recreational alpine skiers

Background Certain weather conditions are clearly harmful, increasing the risk of injury of winter sports participants substantially. The objective of this study was to investigate actual speeds of skiers on signposted groomed slopes and to measure their skill to accurately estimate them with regard to environmental conditions such as visibility, sky cover, snow quality, wind and temperature. Methods The data were obtained from a sample of 421 adult recreational skiers taking ski courses. The Pearson correlation coefficient was used to explore the relationship between actual and estimated speed for all participants. Multiple linear regression analysis was used to measure the effect of environmental conditions on both the skiers'' actual speeds and their errors of estimation. Values of 0.05 or less were considered to indicate statistical significance. Results The Pearson correlation coefficient between estimated and actual speed was 0.90 (P < 0.001). Skiers underestimated their actual speed on average by 13.06 km/h or 24.1%. Visibility, quality of snow and wind speed were shown to significantly affect both actual maximum speed and estimated speed. Good visibility, grippy snow and calm wind were associated with both the highest actual maximum speed and the lowest ability to estimate it. Conclusion Certain environmental conditions are associated with the actual speed at which skiers travel and with their ability to estimate it. Visibility, quality of snow and wind speed seem to influence both actual speed and the ability to estimate it while sky cover and temperature do not. A reinforced understanding of skiing speed on signposted groomed slopes is useful to gain insight into crashes and the mechanisms of resulting injuries, to evaluate means of protection and to devise successful prevention policies in ski resorts

Snowboarders’ knowledge of the FIS rules for conduct on ski slopes

The objective of the present study is to assess snowboarders’ general perceptions of safety and knowledge of existing rules and both active and passive knowledge of the International Ski Federation (FIS) regulations in order to contribute to defining target groups for specific educational interventions in the field of injury prevention. Data were drawn from random interviews conducted with 918 snowboarders during the 2017–2018 winter season at five ski resorts located in the Spanish Pyrenees. To collect the data, a questionnaire assessing personal characteristics (gender, age, origin, and self-reported skill), general perception of safety, general request for rules, and knowledge of existing rules was used. Pearson’s Chi-squared tests were performed to compare characteristics between groups. The study revealed, for accident prevention purposes, a concerning lack of general knowledge of existing rules. Risk-inducing situations that could result in severe injuries were largely assessed incorrectly. The appropriate intuitive behavior increases with age and experience: youths and beginners are less able to implement the FIS rules than older and more experienced snowboarders. Stakeholders, such as parents, ski resorts, clubs or schools, should direct educational efforts at high-risk groups. Further research is needed to determine the causal relation between snowboard-related injuries and disregard of FIS rules

Injury prevention: Freestylers’ awareness of FIS code of conduct for snow parks

The objectives of the present study were to assess general perceptions of safety in snow parks (SPs), general knowledge of rules existence, and both active and passive awareness of the International Ski Federation (FIS) rules contained in its Code of Conduct for SPs in order to define target groups for injury prevention-specific education interventions. Data were drawn from 436 freestylers randomly interviewed. The study was conducted during the 2018–2019 winter season in the SP of a major winter resort located in the Spanish Pyrenees. A questionnaire assessing personal data (gender, age, gear used, self-reported skill, and frequency of use), general perceptions on safety, general request for rules, and awareness of existing rules in SPs was developed. Chi-square goodness-of-fit tests were used to compare characteristics between groups. It was revealed, for accident prevention purposes, a concerning general lack of knowledge of existing rules in SPs (63% of participants ignored them). Risk-inducing situations that could result in severe injuries, such as familiarity with the right progression in choosing features and/or stunts or with safety equipment, were largely assessed incorrectly (94% and 70% of participants, respectively). Appropriate intuitive behavior increases with experience: youths and beginners are less able to implement FIS rules than more experienced freestylers

Pre- and postbariatric subtypes and their predictive value for health-related outcomes measured three years after surgery

Background: Although bariatric surgery is the most effective treatment for severe obesity, a subgroup of patients shows insufficient postbariatric outcomes. Differences may at least in part result from heterogeneous patient profiles regarding reactive and regulative temperament, emotion dysregulation, and disinhibited eating. This study aims to subtype patients based on these aspects before and two years after bariatric surgery and tests the predictive value of identified subtypes for health-related outcomes three years after surgery