Comparative Analysis between Spinning and Other Causes in Exercise-Induced Rhabdomyolysis
Purpose Spinning-induced rhabdomyolysis (SIR) has been increasing in recent years and accounts for a large proportion of exercise-induced rhabdomyolysis (EIR). The purpose of this study was to compare the clinical features between SIR and non-spinning exercise-induced rhabdomyolysis (NSIR), and to a...
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| Language: | English |
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Korean Society of Traumatology
2018-12-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-31-159.pdf |
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| author | Do Won Shim Sung Youl Hyun Jae Hyug Woo Jae Ho Jang Jae Yeon Choi |
| author_facet | Do Won Shim Sung Youl Hyun Jae Hyug Woo Jae Ho Jang Jae Yeon Choi |
| author_sort | Do Won Shim |
| collection | DOAJ |
| description | Purpose Spinning-induced rhabdomyolysis (SIR) has been increasing in recent years and accounts for a large proportion of exercise-induced rhabdomyolysis (EIR). The purpose of this study was to compare the clinical features between SIR and non-spinning exercise-induced rhabdomyolysis (NSIR), and to analyze each of these clinical features. Methods A retrospective chart review was conducted on patients treated due to EIR from January 2006 to March 2018. Patients were divided into the SIR and NSIR groups, and their clinical factors, outcome, and blood chemistries were compared and analyzed. Results Sixty-two patients were enrolled in this study, with 23 (37.1%) and 39 (62.9%) patients categorized in the SIR and NSIR groups, respectively. The SIR group were mostly women (78.3% vs. 38.5%, p=0.002), more f requent EIR occurrence in the first exercise class (60.9% vs. 15.4%, p=0.001), and had most complaints of thigh pain (91.3% vs. 43.6%, p=0.001). The SIR group had a higher incidence rate despite its shorter exercise duration (90.5% vs. 62.9%, p=0.024), longer hospital stay (6.0 [4.5–7.0] vs. 5.0 [3.5–6.0] days, p=0.080), and higher rate of peak CPK (15,000 U/L or higher) (91.3% vs. 74.4%, p=0.182) compared to the NSIR group. Conclusions SIR occurs at a higher rate during the first exercise class in women compared to NSIR, and the incidence rate is higher in SIR than in NSIR despite its shorter exercise duration (less than 60 minutes). It is necessary to recognize these risks during spinning exercises and to perform these exercises sequentially and systematically. |
| format | Article |
| id | doaj-art-378fe44a7bbc49c49b673c126c9f600c |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2018-12-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-378fe44a7bbc49c49b673c126c9f600c2025-01-06T01:08:03ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832018-12-0131315916510.20408/jti.2018.038966Comparative Analysis between Spinning and Other Causes in Exercise-Induced RhabdomyolysisDo Won Shim0Sung Youl Hyun1Jae Hyug Woo2Jae Ho Jang3Jae Yeon Choi4 Department of Emergency Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Traumatology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Emergency Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Emergency Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Emergency Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, KoreaPurpose Spinning-induced rhabdomyolysis (SIR) has been increasing in recent years and accounts for a large proportion of exercise-induced rhabdomyolysis (EIR). The purpose of this study was to compare the clinical features between SIR and non-spinning exercise-induced rhabdomyolysis (NSIR), and to analyze each of these clinical features. Methods A retrospective chart review was conducted on patients treated due to EIR from January 2006 to March 2018. Patients were divided into the SIR and NSIR groups, and their clinical factors, outcome, and blood chemistries were compared and analyzed. Results Sixty-two patients were enrolled in this study, with 23 (37.1%) and 39 (62.9%) patients categorized in the SIR and NSIR groups, respectively. The SIR group were mostly women (78.3% vs. 38.5%, p=0.002), more f requent EIR occurrence in the first exercise class (60.9% vs. 15.4%, p=0.001), and had most complaints of thigh pain (91.3% vs. 43.6%, p=0.001). The SIR group had a higher incidence rate despite its shorter exercise duration (90.5% vs. 62.9%, p=0.024), longer hospital stay (6.0 [4.5–7.0] vs. 5.0 [3.5–6.0] days, p=0.080), and higher rate of peak CPK (15,000 U/L or higher) (91.3% vs. 74.4%, p=0.182) compared to the NSIR group. Conclusions SIR occurs at a higher rate during the first exercise class in women compared to NSIR, and the incidence rate is higher in SIR than in NSIR despite its shorter exercise duration (less than 60 minutes). It is necessary to recognize these risks during spinning exercises and to perform these exercises sequentially and systematically.http://www.jtraumainj.org/upload/pdf/jti-31-159.pdfrhabdomyolysisexerciseacute kidney injury |
| spellingShingle | Do Won Shim Sung Youl Hyun Jae Hyug Woo Jae Ho Jang Jae Yeon Choi Comparative Analysis between Spinning and Other Causes in Exercise-Induced Rhabdomyolysis Journal of Trauma and Injury rhabdomyolysis exercise acute kidney injury |
| title | Comparative Analysis between Spinning and Other Causes in Exercise-Induced Rhabdomyolysis |
| title_full | Comparative Analysis between Spinning and Other Causes in Exercise-Induced Rhabdomyolysis |
| title_fullStr | Comparative Analysis between Spinning and Other Causes in Exercise-Induced Rhabdomyolysis |
| title_full_unstemmed | Comparative Analysis between Spinning and Other Causes in Exercise-Induced Rhabdomyolysis |
| title_short | Comparative Analysis between Spinning and Other Causes in Exercise-Induced Rhabdomyolysis |
| title_sort | comparative analysis between spinning and other causes in exercise induced rhabdomyolysis |
| topic | rhabdomyolysis exercise acute kidney injury |
| url | http://www.jtraumainj.org/upload/pdf/jti-31-159.pdf |
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