[Exercise-induced rhabdomyolysis - a new trend?]

Tidsskr Nor Laegeforen. 2016 Oct 11;136(18):1537-1541. doi: 10.4045/tidsskr.16.0042. eCollection 2016 Oct.
[Article in Norwegian]

Abstract

Background: The purpose of this study was to investigate whether or not there has been an increase in the number of admissions for exercise-induced rhabdomyolysis at Stavanger University Hospital (SUS) in recent years.

Material and method: The study is a retrospective review of patients discharged over the period January 2010 to March 2015 with a diagnosis of exercise-induced rhabdomyolysis and with maximum creatine kinase (CK) levels more than ten times the upper reference limit.

Results: A total of 33 patients, 21 women and 12 men, with a median age of 28 years (18 - 68), were included in the study. Of the 33 patients, three quarters (25) were admitted in 2014 - 15, compared with eight over the period 2010 - 13. One patient developed kidney failure that required dialysis. The treatment depended more on the attending physician and department than on the patient's clinical condition and CK-level, but this did not seem to affect the rate of complications.

Interpretation: The incidence of exercise-induced rhabdomyolysis at SUS increased from autumn 2014, and this coincided with increased media attention and a new exercise trend. We recommend standardising the treatment of exercise-induced rhabdomyolysis, as current treatment recommendations are based on rhabdomyolysis triggered by causes other than exercise.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Creatine Kinase / blood*
  • Exercise / physiology*
  • Female
  • Fluid Therapy
  • Hospitals, University
  • Humans
  • Male
  • Medical Records
  • Middle Aged
  • Norway / epidemiology
  • Patient Admission / statistics & numerical data
  • Physical Exertion
  • Resistance Training / adverse effects*
  • Retrospective Studies
  • Rhabdomyolysis* / blood
  • Rhabdomyolysis* / epidemiology
  • Rhabdomyolysis* / etiology
  • Rhabdomyolysis* / therapy
  • Young Adult

Substances

  • Creatine Kinase