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

Abstract

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.

La Importancia del Especialista Deportivo para Prevenir la Rabdomiolisis de Esfuerzo en Deportistas de Resistencia

“…La rabdomiólisis (RM) inducida por el ejercicio (RME) es una condición clínica grave que afecta a los deportistas de resistencia (DR) si no se toman las precauciones adecuadas; siendo la RM es un síndrome clínico agudo y potencialmente mortal que refleja la desintegración del músculo estriado con liberación de componentes de células musculares al espacio extracelular que alcanzan la circulación sanguínea y linfática (Masuda et al, 2023). Estas sustancias pueden dañar los riñones y otros órganos si no se tratan adecuadamente, generando complicaciones sistémicas, como insuficiencia renal aguda, trastornos electrolíticos y arritmias cardíacas, poniendo en peligro la vida del atleta.…”

“…Se estima que esta condición afecta aproximadamente a una de cada diez mil personas en los Estados Unidos, se estima que desarrollen lesión renal aguda entre el 10%-40% de esas los DR con RME Asimismo, otros estudios han demostrado que entre el 8% y el 15% de todos los casos de falla renal aguda se asocian con RM. Sin embargo, es importante destacar que estos porcentajes pueden variar en distintos estudios, lo que impide conocer la incidencia global real de esta patología (Masuda et al, 2023).…”