Rhabdomyolysis following an intensive indoor cycling exercise:
A series of 5 cases

Mong, Rupeng; Thng, Shin Ying; Lee, Shu Woan

doi:10.47102/annals-acadmedsg.2020477

Cited by 3 publications

(5 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While this can provide encouragement to push harder and burn more calories, it can also result in severe muscle injury and the resultant rhabdomyolysis. Similar to previous reports,[ 6 7 8 ] the majority of patients who presented with SER in this current study tend to be younger women attending their first spin class. This does not mean that young women are more predisposed to SER than men or older women, but that spin classes are more in vogue in this population group than other forms of high-intensity exercise.…”

Section: The Issuesupporting

confidence: 90%

“…Cases of SER are being seen more frequently in our hospital emergency departments. [ 1 8 ] Hospitals should have sound admission and treatment protocols for these patients, with the aim of preventing AKI while managing hospital resources and beds. Based on the increasing popularity of spin classes, which seem to attract young women, centres and gyms offering such spin classes should be on the lookout for high-risk first-timers or individuals who rarely exercise.…”

Section: Final Recommendationsmentioning

confidence: 99%

See 1 more Smart Citation

Tackling the rhabdomyolysis outbreak before it spins out of control

Cheah¹,

Lee

2021

Singapore Medical Journal

View full text Add to dashboard Cite

Section: The Issuesupporting

confidence: 90%

Section: Final Recommendationsmentioning

confidence: 99%

Tackling the rhabdomyolysis outbreak before it spins out of control

Cheah¹,

Lee

2021

Singapore Medical Journal

View full text Add to dashboard Cite

“…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%

See 1 more Smart Citation

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

Wam

Paik

Ngoh

et al. 2022

The Physician and Sportsmedicine

View full text Add to dashboard Cite

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.

show abstract

Clinical outcomes of hospitalised individuals with spin-induced exertional rhabdomyolysis

Lim

Chong

Liu

et al. 2023

Ann Acad Med Singap

View full text Add to dashboard Cite

Introduction: Exertional rhabdomyolysis (ER) is caused by myocyte breakdown after strenuous physical activity. In recent years, the incidence of spin-induced ER (SER) has been increasing. We describe the clinical characteristics, management and outcomes of patients admitted for SER. Method: A review was conducted for all patients admitted to Singapore General Hospital for SER from 1 March 2021 to 31 March 2022. All patients with the admission diagnosis of “rhabdomyolysis”, “raised creatine kinase (CK) level”, or “elevated CK level” with a preceding history of spin-related physical exertion were included. Patients without a history of exertion, with a history of non-spin related exertion, or with a peak serum CK <1000 U/L were excluded. Results: There were 93 patients in our final analysis; mean age was 28.6±5.6 years and 66 (71.0%) were female patients. Mean body mass index was 25.0±5.7 kg/m2; 81 (87.1%) patients were first-time spin participants. All patients had muscle pain, 68 (73.1%) had dark urine, 16 (17.2%) muscle swelling and 14 (15.1%) muscle weakness. There were 80 (86.0%) patients with admission CK of >20,000 U/L. Mean admission creatinine was 59.6±15.6 μmol/L. Mean intravenous (IV) hydration received was 2201±496 mL/ day, oral hydration 1217±634 mL/day and total hydration 3417±854 mL/day. There was 1 (1.1%) patient with acute kidney injury, which resolved the next day with IV hydration. Conclusion: Inpatient management of SER includes laboratory investigations, analgesia and hydration. Risk of complications is low in SER patients. SER patients without risk factors for complications can be considered for hospital-at-home management with bed rest, aggressive hydration and early outpatient review.

show abstract

Rhabdomyolysis following an intensive indoor cycling exercise: A series of 5 cases

Cited by 3 publications

References 7 publications

Tackling the rhabdomyolysis outbreak before it spins out of control

Tackling the rhabdomyolysis outbreak before it spins out of control

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

Clinical outcomes of hospitalised individuals with spin-induced exertional rhabdomyolysis

Contact Info

Product

Resources

About