CrossFit and rhabdomyolysis: A case series of 11 patients presenting at a single academic institution
CrossFit and rhabdomyolysis: A case series of 11 patients presenting at a single academic institution
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DOI：
10.1016/j.jsams.2019.01.019
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发表时间：
2019-07-01
影响因子：
4
通讯作者：
Dandaleh, Nader S.
中科院分区：
文献类型：
--
作者：
Hopkins, Benjamin S.;Li, Daniel;Dandaleh, Nader S.
目的：混合健身是一种越来越受欢迎的高强度锻炼项目，在短时间内进行高重复和高强度的锻炼。最近，CrossFit参与后横纹肌溶解（肌肉坏死和极端肌肉分解）的记录病例越来越受到医生和参与者的关注。设计：回顾性队列研究。方法：在2010年6月至2016年6月期间，所有在一家大型学术中心的主要医院抱怨在进行CrossFit时受伤的患者都通过关键词“CrossFit”，“CrossFit”，“CrossFit”或“crossfit”进行识别。结果：523例患者发生与CrossFit活动相关的损伤。11例患者最终被诊断为横纹肌溶解（2.1%）。横纹肌溶解患者平均年龄34.9岁，男性占81.9%。平均BMI为24.2，平均经验水平为初学者（54.5%）。最常见的症状是尿色深（90.9%），其次是上肢疼痛（54.5%）。平均症状持续时间为2.9天，81.8%的患者首次就诊于急诊科。平均住院时间约为2.9天，患者平均有1.44次临床随访。结论：参与CrossFit对参与者有显著的风险，包括运动引起的横纹肌溶解。为了提高对这一问题的认识，并进一步量化可能在参与过程中促进受伤的风险因素，需要进一步的研究。(C) 2019澳大利亚运动医学。Elsevier Ltd.出版。版权所有。
Objectives: CrossFit is an increasingly popular high intensity work out program geared towards high repetition and intensity done in short intervals. Recently, documented cases of rhabdomyolysis (muscle necrosis and extreme muscle breakdown) after CrossFit participation have become increasingly concerning to physicians and participants alike.Design: Retrospective cohort study.Methods: All patients who presented to the main hospital at a major academic center complaining of an injury sustained performing CrossFit between June 2010 and June 2016 were identified by the key phrases 'CrossFit', 'crossfit', 'Crossfit' or 'cross fit'.Results: 523 patients incurred injuries associated with CrossFit activities. 11 patients presented to our institution ultimately received a diagnosis of rhabdomyolysis (2.1%). The average age of Rhabdomyolysis patient was 34.9 years, with 81.9% of patients being male. The average BMI was 24.2, and the average experience level was beginner (54.5%). The most common presenting symptom was dark urine (90.9%), followed by upper extremity pain (54.5%). Average symptom duration was 2.9 days with 81.8% of patients presenting initially to the ED. The average hospital stay was roughly 2.9 days, and patients had an average of 1.44 clinical follow up visits.Conclusion: CrossFit participation poses significant risks to participants including exercise induced rhabdomyolysis. Further study is needed in order to raise awareness of this issue and further quantify risk factors that may promote injury during participation. (C) 2019 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.