Evidence map›Paper›PMID 41259422›Full record

ArticleBritish medical bulletin2025

Are hiking recommendations one-size-fits-all? Insights into cardiovascular safety and trail demands.

Marco Vecchiato, Nicola Borasio, Emiliano Scettri, Dario Cangialosi, Stefano Palermi, Sandro Savino, Andrea Ermolao, Daniel Neunhaeuserer

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in British medical bulletin, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Marco VecchiatoSports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128, Padova, Italy.ORCID 0000-0003-2395-4977
Nicola BorasioSports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128, Padova, Italy.ORCID 0009-0003-3160-2418
Emiliano ScettriSports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128, Padova, Italy.ORCID 0009-0004-8191-5487
Dario CangialosiSports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128, Padova, Italy.ORCID 0009-0006-3159-8684
Stefano PalermiDepartment of Medicine and Surgery, UniCamillus-Saint Camillus International University of Health Sciences, Via di Sant'Alessandro 8, 00187, Rome, Italy.ORCID 0000-0003-1558-4857
Sandro SavinoDepartment of Medicine, University of Padova, Via Giustiniani 2, 35128, Padova, Italy.ORCID 0000-0003-0184-7580
Andrea ErmolaoSports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128, Padova, Italy.ORCID 0000-0002-0546-1514
Daniel NeunhaeusererSports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128, Padova, Italy.ORCID 0000-0001-9775-4260

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHiking is an outdoor activity with not only significant health benefits but also associated risks, especially for individuals with cardiovascular conditions. Current trail recommendations lack personalization, potentially increasing the risk of adverse events during hiking. SOURCES OF DATA: Prospective, cross-sectional study combining outpatient cardiopulmonary exercise testing with monitored outdoor hiking. Data were collected via portable gas analysis, heart rate monitors, and an official meteorological station. AREAS OF AGREEMENT: Hiking intensity and cardiorespiratory responses vary widely. Cardiovascular risk and trail slope were found to influence the exertion required to complete the hike. AREAS OF CONTROVERSY: There is no consensus on how to standardize trail recommendations to account for individual variability. GROWING POINTS: Personalized hiking advice integrating individual fitness, cardiovascular risk, and trail features may enhance safety. Wearable technologies enable real-time adjustment of exertion levels. AREAS FOR DEVELOPING RESEARCH: New tools combining personal health data and environmental features to optimize hiking safety and accessibility should be implemented.

Indexed as

Cardiovascular DiseasesWalkingCardiorespiratory FitnessCross-Sectional StudiesExercise TestFemaleHeart RateHumansMalePhysical ExertionProspective Studiescardiopulmonary exercise testingexcursionexercise intensityexercise prescriptionhikingmountain

Identifiers

PMID41259422
PMCPMC12698341

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.