PHYSICAL EXERCISE AND NUTRITIONAL CONTRIBUTION IN INDIVIDUALS WITH RABDOMYOLIS

Abstract

Rhabdomyolysis is a syndrome characterized by numerous symptoms of multifactorial causes. Although it presents with several symptoms, rhabdomyolysis manifests itself through myalgia, dark urine and loss of functional capacity of the patient. In case of aggravation, it can lead the patient to hemodialysis or even death. Different diseases can cause rhabdomyolysis, as well as the practice of intense physical activity without proper nutrient replacement and hydration. Many amateur and professional athletes enter urgent and emergency care because of the disease. Considering the potential for associated death, this study sought to answer the question: what are the nutritional protocols indicated for individuals with rhabdomyolysis because of physical activity? The general objective of this study was to analyze the nutritional replacement methods adopted for the treatment of patients with rhabdomyolysis caused by intense physical activity. As a methodology, a literature review was adopted, through which we sought to characterize rhabdomyolysis in athletes and identify the role of nutritional replacement in the patient's recovery. The results indicate that the worsening of the patient's condition requires the administration of intravenous medication and, in a significant part of the cases, hemodialysis. In all identified cases, an effective use of sodium bicarbonate in nutrient replacement was observed. However, much of the evidence related to the topic is from case reports, which do not constitute evidence based on rigorous research protocols, so that randomized, prospective and retrospective studies to validate the efficacy are still needed.