1.
Exertional rhabdomyolysis after spinning: case series and review of the literature.
Ramme, AJ, Vira, S, Alaia, MJ, VAN DE Leuv, J, Rothberg, RC
The Journal of sports medicine and physical fitness. 2016;(6):789-93
Abstract
Spinning is a popular indoor stationary cycling program that uses group classes as a motivational tool. Exertional rhabdomyolysis (ER) is frequently reported in athletes and military recruits; however, infrequently it has been reported after spinning class. ER is diagnosed by clinical history, physical exam, and laboratory values. Hydration, electrolyte management, and pain control are key components to treatment of this condition. Severe cases can be complicated by acute renal failure, compartment syndrome, arrhythmia, and disseminated intravascular coagulation. We describe three cases of admission due to rhabdomyolysis after spinning. The diagnosis, admission criteria, and medical treatment of ER are presented in the context of a literature review. A retrospective review of three cases with review of the current literature. The medical and laboratory records of three patient cases were reviewed. A search of the PubMed database was used to perform a comprehensive review of exertional rhabdomyolysis. Our institution's IRB reviewed this study. We report three cases of exertional rhabdomyolysis after spinning and describe the diagnostic workup and medical management of these patients. The diagnosis of ER is made by clinical history, physical exam, and laboratory values. The disease spectrum ranges from mild to severe with the potential of serious complications in some patients. We demonstrate three cases of ER in deconditioned individuals who presented to the emergency department for evaluation. Careful medical management and patient monitoring resulted in improved patient symptomatology and eventual return to physical activity.
2.
Interactions among dietary fat, mineral status, and performance of endurance athletes: a case study.
Lukaski, HC, Bolonchuk, WW, Klevay, LM, Milne, DB, Sandstead, HH
International journal of sport nutrition and exercise metabolism. 2001;(2):186-98
Abstract
In a pilot study, performance measures and mineral metabolism were assessed in 3 male endurance cyclists who consumed isoenergetic, isonitrogenous diets for 28-day periods in a randomized, crossover design in which dietary carbohydrate, polyunsaturated, or saturated fat contributed about 50% of daily energy intake. Peak aerobic capacity [62 ml/(kg รก min)] was unaffected by diet. Endurance capacity at 70-75% peak aerobic capacity decreased with the polyunsaturated fat diet. Copper retention tended to be positive only with saturated fat. Less iron and zinc were retained (intake - losses), and fecal losses of these minerals increased with the polyunsaturated fat. Blood biochemical measures of trace element nutritional status were unaffected by diet, except serum ferritin, which tended to decrease during consumption of the polyunsaturated fat diet. These preliminary results suggest that diets high in polyunsaturated fat, particularly linoleic acid, impair absorption and utilization of iron and zinc, and possibly magnesium, and may reduce endurance performance.