Balfour, Mabel
Ribeiro, Rita https://orcid.org/0000-0002-9976-3731
Auty, Harriet https://orcid.org/0000-0002-6181-3780
Heath, Alicia https://orcid.org/0000-0001-6517-1300
Article History
Received: 10 October 2025
Accepted: 31 December 2025
First Online: 13 January 2026
Declarations
:
: Ethical approval was obtained from Imperial College London’s Research Governance and Integrity Team (Imperial College Research Ethics Committee reference 7030885). The study was conducted in accordance with the recommendations for physicians involved in research on human subjects adopted by the 18th World Medical Assembly, Helsinki 1964 and later revisions. All participants gave informed consent in the digital survey form, and indicated they were aged 18 years or over.
: Not applicable.
: The first author is a hill runner taking part in the sport under study and a member of the Scottish Hill Runners (SHR) organisation, with a personal relationship with members of the committee, who provided support for survey distribution to SHR members and information on the number of individuals participating in SHR-affiliated races. All other authors declare that they have no competing interests.