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Dantas GHM, de Alkmim Moreira Nunes R, Casimiro-Lopes G, Neves EB, de Castro JBP, de Souza Vale RG. Analysis of physiological markers and risk factors for the development of rhabdomyolysis in military personnel: a systematic review. REVIEWS ON ENVIRONMENTAL HEALTH 2023; 38:613-620. [PMID: 35852130 DOI: 10.1515/reveh-2022-0038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Accepted: 06/18/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVES To analyze case reports with individual patient data belonging to the Armed Forces submitted to specific physical or military combat training that was affected by rhabdomyolysis and identify factors that influenced the diagnosis and clinical evolution of the syndrome. CONTENT We conducted a systematic review following the PRISMA guidelines and registered on PROSPERO (CRD42021242465). We searched MedLine (via PubMed), Scopus, Cochrane, Lilacs, SciELO, CINAHL, Web of Science, SPORTDiscus, ScienceDirect, and PEDro databases for studies that reported cases of military personnel affected by rhabdomyolysis. SUMMARY AND OUTLOOK Thirteen studies met the inclusion criteria. Forty-nine individual cases of rhabdomyolysis were analyzed. From them, it was possible to identify several associated factors, which were responsible for developing rhabdomyolysis in military personnel. Thirty military personnel (60%) practiced physical training and 20 (40%) practiced specific military combat training. The creatine kinase (CK) peak ranged from 1,040 to 410,755 U/L, with an average of 44.991 U/L, and 14 (28%) of the cases reported alteration of renal function and four militaries (8%) evolved to death condition. Physical activities performed strenuously and without proper planning conditions such as room temperature, the period without adequate water intake, the amount of equipment used during the activity contributed to the development of rhabdomyolysis in the cases of military personnel analyzed in the present study. Therefore, it is recommended that future studies investigate the relationship between the prevalence of rhabdomyolysis cases and the severity of its consequence when associated with progressive methods of training, hydration control, acclimatization to austere environments, monitoring for the existence of hereditary diseases, and control of the use of supplementary nutritional substances.
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Affiliation(s)
- Guilherme Henrique Mattos Dantas
- Laboratory of Exercise and Sport (LABEES), Institute of Physical Education and Sports, Rio de Janeiro State University, Rio de Janeiro, Brazil
- Postgraduate Program in Exercise and Sport Sciences (PPGCEE), Rio de Janeiro State University, Rio de Janeiro, RJ, Brazil
| | - Rodolfo de Alkmim Moreira Nunes
- Laboratory of Exercise and Sport (LABEES), Institute of Physical Education and Sports, Rio de Janeiro State University, Rio de Janeiro, Brazil
- Postgraduate Program in Exercise and Sport Sciences (PPGCEE), Rio de Janeiro State University, Rio de Janeiro, RJ, Brazil
| | - Gustavo Casimiro-Lopes
- Postgraduate Program in Exercise and Sport Sciences (PPGCEE), Rio de Janeiro State University, Rio de Janeiro, RJ, Brazil
- Laboratory of Exercise Pathophysiology (LAFE), Institute of Physical Education and Sports, Rio de Janeiro State University, Rio de Janeiro, Brazil
| | - Eduardo Borba Neves
- Postgraduate Program on Biomedical Engineering (PPGEB), Federal Technological University of Paraná (UTFPR), Curitiba, PR, Brazil
| | - Juliana Brandão Pinto de Castro
- Laboratory of Exercise and Sport (LABEES), Institute of Physical Education and Sports, Rio de Janeiro State University, Rio de Janeiro, Brazil
- Postgraduate Program in Exercise and Sport Sciences (PPGCEE), Rio de Janeiro State University, Rio de Janeiro, RJ, Brazil
| | - Rodrigo Gomes de Souza Vale
- Laboratory of Exercise and Sport (LABEES), Institute of Physical Education and Sports, Rio de Janeiro State University, Rio de Janeiro, Brazil
- Postgraduate Program in Exercise and Sport Sciences (PPGCEE), Rio de Janeiro State University, Rio de Janeiro, RJ, Brazil
- Laboratory of Exercise Physiology, Estácio de Sá University, Cabo Frio, RJ, Brazil
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Bakaes Y, Jackson JB, Gonzalez T. Gastrocnemius Fascial Tear With Soleus Vascular Leash Leading to Tibial Neuritis: A Case Report. FOOT & ANKLE ORTHOPAEDICS 2023; 8:24730114231205558. [PMID: 37846411 PMCID: PMC10576930 DOI: 10.1177/24730114231205558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2023] Open
Affiliation(s)
- Yianni Bakaes
- University of South Carolina School of Medicine Columbia, Columbia, SC, USA
| | | | - Tyler Gonzalez
- University of South Carolina Department of Orthopaedics, Columbia, SC, USA
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