Freebie Rhabdomyolysis: A Public Health Concern. Spin Class-Induced Rhabdomyolysis

Brogan, Maureen; Ledesma, Rudrick; Coffino, Alan; Chander, Praveen N.

doi:10.1016/j.amjmed.2016.11.004

Cited by 30 publications

(18 citation statements)

References 16 publications

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“…Cabe resaltar en nuestro estudio el alto porcentaje de trabajadores sin formación oficial, aspecto a considerar si tenemos en cuenta que son instructores que trabajan con personas cuyos objetivos están relacionados en muchos casos con la mejora de la salud. Nos encontramos ante una actividad cuya práctica puede reportar grandes beneficios para la salud (Chavarrias, Carlos-Vivas, Collado-Mateo & Pérez-Gómez, 2019), aunque también puede entrañar ciertos riesgos (Brogan et al, 2017). En ella se hace fundamental una correcta supervisión por parte de profesionales cualificados, por lo que una buena formación de éstos es un aspecto clave.…”

Section: Resultados Y Discusiónunclassified

“…suelen ser de alta intensidad, y diversos estudios han demostrado que se queman cantidades significativas de calorías (Ainsworth, Haskell, Whitt, Irwin, Swartz, Strath, O Brien, Bassett, Schmitz, & Emplaincourt, 2000), que hay grandes pérdidas de líquidos (Hazelhurst & Claassen, 2006), y que las temperaturas corporales sufren grandes aumentos (Ramos-Jiménez, Hernández-Torres, Wall-Medrano, Torres-Durán, Juárez-Oropeza, Viloria & Villalobos-Molina, 2014). Estas condiciones de práctica reúnen factores de riesgo para el desarrollo de diversos problemas de salud o lesiones, como podría ser el caso de la rabdomiolisis (Brogan, Ledesma, Coffino, & Chander, 2017), por citar algún ejemplo. Si además tenemos en cuenta que dentro de los protocolos de seguridad hay muchos centros de Fitness que no exigen a los futuros clientes un reconocimiento médico como requisito de acceso (Estrada-Marcén, , aún resulta de mayor interés conocer el perfil de los instructores que imparten la actividad y de aspectos relacionados con el desarrollo de su labor profesional.…”

Section: Introductionunclassified

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Situación profesional y entorno laboral del instructor de Ciclo Indoor (Professional situation and labor environment of the Indoor Cycling instructor)

Estrada-Marcén

Soler-Gracia

Seral

et al. 2021

Retos

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El Ciclo Indoor (C.I.) es una de las actividades con mayor demanda en la actualidad, y en las últimas décadas se ha implantado en la mayoría de los centros de Fitness y gimnasios de gran parte del mundo. Nuestro objetivo es conocer el perfil profesional del instructor de C.I. en España, así como aspectos relacionados con su metodología de trabajo y sus condiciones laborales. Los 57 participantes que conformaron la muestra y que procedían de diferentes lugares de España, ocupaban el puesto de instructor de C.I. en el momento de la investigación, siendo encuestados a partir de un instrumento diseñado ad hoc. Se ha empleado una metodología cuantitativa de corte descriptivo. Aunque no podemos constatar que sea una muestra representativa, los datos apuntan a que su perfil es el de un varón de aproximadamente 35 años, con más de 5 años de experiencia, que imparte también otras actividades dirigidas, y trabaja por cuenta ajena. Imparte entre 6 y 7 sesiones de C.I. semanales y existe gran disparidad en cuanto a su nivel y tipo de formación. Abstract. Indoor Cycling (I.C.) is one of the activities with the greatest demand nowadays, and in recent decades, it has been implemented in most fitness centers and gyms in a large part of the world. Our objective is to know the I.C. instructor's professional profile in Spain, as well as other aspects related to their work methodology and working conditions. The respondents were 57 instructors from different parts of Spain (the country), all of them occupying the position of I.C. instructors. They were surveyed based on an instrument designed ad hoc. A quantitative cutting methodology has been used. Although it is not a representative sample, the data suggest that its profile is that of a male of approximately 35 years old, with more than 5 years of experience, who also teaches other directed activities, and works for others. He teaches between 6-7 sessions of C.I. weekly. There is great disparity in terms of their level and type of training.

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Section: Resultados Y Discusiónunclassified

Section: Introductionunclassified

Situación profesional y entorno laboral del instructor de Ciclo Indoor (Professional situation and labor environment of the Indoor Cycling instructor)

Estrada-Marcén

Soler-Gracia

Seral

et al. 2021

Retos

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“…Of the total 300 articles, 36 were excluded because they were duplicated (Figure 1). Following the exclusion and inclusion criteria, the other reasons for the exclusion were: written in languages different than Spanish and English (n = 1); clearly not related to the topic (n = 134), such as the studies by Du et al [19], Kwon et al [20], or Velthuis et al [21]; related to cycle performance or to other variables assessed during cycling (n = 48), such as the evaluation of the methods of adjusting saddle height [22], the effects of tramadol on physical performance [23] or heat acclimation [24]; assessing only acute effects (n = 41), such as the studies by Barbado et al [25], Luszczyk et al [26], or Rendos et al [27]; related to pathologies (n = 25), such as rhabdomyolysis [28], open ankle fracture [29], or thigh compartment syndrome [30]; and without numerical data (n = 2), such as Nair et al [31] and Shafer [32]. Finally, 13 articles were included in this systematic review.…”

Section: Resultsmentioning

confidence: 99%

Health Benefits of Indoor Cycling: A Systematic Review

et al. 2019

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Background and Objectives: Indoor cycling is one of the most practiced activities in fitness centers for most people regardless of their physical conditioning level. Several studies have analyzed the effect of indoor cycling on several parameters related to health, such as maximal oxygen consumption, blood pressure, body composition, as well as biochemical markers such as HDL or LDL. However, no study has synthesized all health benefits associated with the indoor cycling practice in the form of a systematic review and established guidelines or recommendations. Therefore, the aim of this manuscript was to conduct a systematic review of published studies about the benefits of indoor cycling training and to establish recommendations for coaches, researchers, and practitioners. Materials and Methods: The PRISMA guidelines were followed to conduct the current systematic review. A systematic search was performed to retrieve relevant published articles until January 2019 using the following keywords: ‘indoor cycling’, ‘indoor bicycle’, and ‘spinning exercise’. Information about participants, intervention, comparisons, outcomes, and study design (PICOS) was extracted. Results: A total of 300 studies were initially identified. After the revision process, 13 of them were included. The total sample size of the studies was 372 (306 women). Results revealed that indoor cycling may improve aerobic capacity, blood pressure, lipid profile, and body composition. These enhancements may be achieved as standalone intervention or combined with other physical exercises or diet. Conclusions: The combination of indoor cycling and diet is recommended to improve the lipid profile, lose weight, and reduce blood pressure. Furthermore, indoor cycling alone may also enhance aerobic capacity. Given the lack of randomized controlled trials, these conclusions should be taken with caution.

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“…While cases of “spin rhabdo” occur overwhelmingly in first time spin class participants with deconditioning, patients often have no other predisposing factors. Rhabdomyolysis may occur after as little as 15 minutes of spinning 9 . Spectrum of illness is variable and ranges from mild to severe with potential for life threatening complications such as AKI and compartment syndrome 1 .…”

Section: Discussionmentioning

confidence: 99%

Case Report: Exertional rhabdomyolysis in a spin class participant with sickle cell trait

Longo

Shaines

2019

F1000Res

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Exertional rhabdomyolysis is more common in sickle trait due to a predisposition to dehydration and inability to concentrate the urine. Spinning, an indoor cycling workout, has been associated with exertional rhabdomyolysis in recent reports. A consequence of rhabdomyolysis is acute kidney injury, which may be expected to be more common in patients with sickle trait. We report a case of spinning induced rhabdomyolysis in a woman with sickle trait that did not result in renal injury. “Spin rhabdo” is thought to be more severe than other causes of exertional rhabdomyolysis and is associated with higher creatine kinase levels than other causes of exertional rhabdomyolysis. Therefore, individuals with known sickle trait should consider visiting their physician prior to participation in spin classes for the first time. We might also consider voluntary screening for sickle trait in at risk populations prior to enrolling in spin classes given that many patients are unaware of their sickle trait status.

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Freebie Rhabdomyolysis: A Public Health Concern. Spin Class-Induced Rhabdomyolysis

Abstract: The high-intensity exercise associated with "spin class" comes with significant risks to newcomers.

Cited by 30 publications

References 16 publications

Situación profesional y entorno laboral del instructor de Ciclo Indoor (Professional situation and labor environment of the Indoor Cycling instructor)

Situación profesional y entorno laboral del instructor de Ciclo Indoor (Professional situation and labor environment of the Indoor Cycling instructor)

Health Benefits of Indoor Cycling: A Systematic Review

Case Report: Exertional rhabdomyolysis in a spin class participant with sickle cell trait

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