An Australian perspective on the relationship between young women, spinning and rhabdomyolysis

Beavis, Eleanor E.; Bongetti, Elisa; Martin, William G.; Darby, Jonathan

doi:10.1111/imj.13352

Cited by 4 publications

(6 citation statements)

References 3 publications

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“…However, elevated CK in isolation has not been found to be a predictive factor for increased mortality or renal replacement therapy 12,13 . Shorter hospital admissions with subsequent outpatient monitoring are advised for SIR patients with a low risk of complications 3 . Nevertheless, it is noteworthy that ER resulting from high‐intensity training is known for favourable outcomes as opposed to other causes of rhabdomyolysis 8 …”

Section: Discussionmentioning

confidence: 99%

“…We propose that high, direct healthcare costs associated with SIR and indirect costs related to loss of productivity secondary to sickness absence following SIR are largely preventable through various interventions, such as public health education and social marketing, health promotion and targeted health policy changes 17 . Developing guidelines for the public including safe ways to start high‐intensity spinning such as a graded exercise programme and raising awareness of SIR (for the prevention and early identification of SIR) and its predisposing factors could be considered beneficial 2,3,18 . Existing public health frameworks could be employed to roll out preventive interventions.…”

Section: Discussionmentioning

confidence: 99%

“…Exertional rhabdomyolysis (ER) is a common medical condition encountered by internal medicine and sports medicine physicians 1 . Spinning or indoor cycling – often practised as a high‐intensity exercise – is a recognised cause of ER 2–6 . Spinning‐induced rhabdomyolysis (SIR) has been well documented in the literature ever since it was first recorded in 2004 4 …”

Section: Characteristic Case 1 Case 2 Casementioning

confidence: 99%

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Avoidable healthcare costs of spinning‐induced rhabdomyolysis: a case series

Saparamadu¹,

Teo

Arsad

2021

Internal Medicine Journal

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Spinning‐induced rhabdomyolysis (SIR) is a well documented cause of exertional rhabdomyolysis. We aim to raise awareness and to call for preventive action towards avoidable healthcare costs associated with SIR. To this end, we describe three cases of SIR, associated healthcare costs and possible preventive strategies. We propose that community‐based preventive measures should be considered in addressing the economic consequences of SIR.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Characteristic Case 1 Case 2 Casementioning

confidence: 99%

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Avoidable healthcare costs of spinning‐induced rhabdomyolysis: a case series

Saparamadu¹,

Teo

Arsad

2021

Internal Medicine Journal

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“…The remaining six articles were from Australia, Argentina, Israel, Singapore, Turkey and the United Kingdom, respectively. 24,25,27,31,34,41 Sixteen studies were case reports 8, 9, 23, 24, 26-31, 33-37, 39 , whilst three studies were case series which included between ve to eleven patients 25,32,41 . The remaining three studies were retrospective case-control studies which compared clinical characteristics and outcomes between patients with SIER and patients with ER from other aetiologies.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The remaining three studies were retrospective case-control studies which compared clinical characteristics and outcomes between patients with SIER and patients with ER from other aetiologies. 7,38,40 All included studies were published between 2003 and 2021, of which 19 studies [7][8][9][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41] were published within the last decade (2011present). A total of 97 patients were diagnosed and treated for SIER across the included studies.…”

Section: Study Characteristicsmentioning

confidence: 99%

Clinical characteristics and outcomes of exertional rhabdomyolysis after indoor spinning: a systematic review

Wam

Paik

Ngoh

et al. 2022

The Physician and Sportsmedicine

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ObjectivesMore patients are being diagnosed with exertional rhabdomyolysis secondary to indoor spinning. We conducted a systematic review to characterize the clinical characteristics of this new clinical entity. MethodsWe conducted a thorough literature search on PubMed, Embase, Web of Science, Scopus and The Cumulative Index to Nursing and Allied Health Literature (CINAHL). Articles published from inception till 23 rd June 2021 were considered for inclusion. A two-stage article selection process was performed.Articles that reported clinical characteristics and outcomes for patients with SIER were included. Quality assessment was performed using the Joanna Briggs Institute checklists. ResultsThere was a total of 22 articles and 97 patients with SIER. Most patients were healthy females who had attended their rst spinning session. The average time to clinical presentation was 3.1 ± 1.5 days. The most common presenting symptoms were myalgia, dark urine and muscle weakness involving the thigh.Seven patients (7.2%) developed acute kidney injury, and two patients (2.1%) required temporary inpatient haemodialysis. Four patients (4.1%) developed thigh compartment syndrome and required fasciotomies. There were no long-term sequelae or mortality observed. The average length of stay was 5.6 ± 2.9 days. ConclusionsHealthcare professionals must have a high index of suspicion of SIER if any patient presents with myalgia, dark urine or weakness after a recent episode of indoor spinning. Fitness centre owners, spinning instructors and participants should also be better educated about the clinical characteristics and manifestations of SIER.

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Clinical characteristics of spinning-induced rhabdomyolysis and other causes of rhabdomyolysis: a comparative study

Shroff

Gunasegaren

Norbu

et al. 2021

Singapore Medical Journal

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Introduction Spinning is an indoor stationary cycling programme that can cause severe rhabdomyolysis. We compared the clinical characteristics of spinning-induced exertional rhabdomyolysis (SER) with other exertional rhabdomyolysis (ER) and non-exertional rhabdomyolysis (NER). Methods This was a retrospective observational study of adult patients presenting with rhabdomyolysis to an emergency department from August 2018 to August 2019. Patients were classified as SER, ER or NER based on chart review. We compared patient demographics, serum creatine kinase (CK), transaminase and creatinine levels, admission rates, duration of hospitalisation and treatment prescribed. Results: 62 patients were analysed. SER patients were predominantly female (77% vs. 24% vs. 26%, p < 0.01), Chinese (100% vs. 47% vs. 79%, p < 0.01) and younger (mean age 27.7 vs. 34.6 vs. 59.4 years, p < 0.01) than those with ER and NER. The SER group had the highest CK level (20,000 vs. 10,465 vs. 6,007 U/L, p < 0.01) but the lowest mean serum creatinine level (53.5 vs. 80.9 vs. 143.5 μmol/L, p < 0.01) compared to the ER and NER groups. Admission rates were the highest in SER patients (100% vs. 57% vs. 90%, p < 0.01). SER mean inpatient length of stay was longer than ER but shorter than NER patients (4.3 vs. 1.9 vs. 6.0 days, p = 0.02). Conclusion: SER is a unique form of rhabdomyolysis. Predominantly seen in young, healthy women, it often presents with extremely high CK levels. However, the prognosis is good and the rate of complication is low with fluid treatment.

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An Australian perspective on the relationship between young women, spinning and rhabdomyolysis

Cited by 4 publications

References 3 publications

Avoidable healthcare costs of spinning‐induced rhabdomyolysis: a case series

Avoidable healthcare costs of spinning‐induced rhabdomyolysis: a case series

Clinical characteristics and outcomes of exertional rhabdomyolysis after indoor spinning: a systematic review

Clinical characteristics of spinning-induced rhabdomyolysis and other causes of rhabdomyolysis: a comparative study

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