Murugappan Kadhiresan R, Cocchi Michael N, Bose Somnath, Neves Sara E, Cook Charles H, Sarge Todd, Shaefi Shahzad, Leibowitz Akiva
Beth Israel Deaconess Medical Center (BIDMC).
Int J Sport Nutr Exerc Metab. 2019 Jan 1;29(1):68-71. doi: 10.1123/ijsnem.2018-0087.
Rapid weight loss or "weight cutting" is a dangerous practice that is ubiquitous in modern combat sports yet underrepresented in the medical literature. We present a case of exertional rhabdomyolysis in a mixed martial artist with sickle cell trait to illustrate the hazards of weight cutting and ensuing critical illness. Sickle cell trait is known to predispose patients to exertional rhabdomyolysis, and multiple fatal cases have been reported in the setting of strenuous exercise. Dehydration and consequent electrolyte abnormalities make combat sport athletes with sickle cell trait particularly vulnerable to this entity. This case suggests a potential role for sickle cell trait screening in this population and underscores the need for safer weight-control practices and monitoring among all combat sport athletes.
快速减重或“减体重”是一种危险行为，在现代格斗运动中普遍存在，但在医学文献中的描述却很少。我们报告一例患有镰状细胞性状的综合格斗运动员发生劳力性横纹肌溶解症的病例，以说明减体重及随之而来的危重症的危害。已知镰状细胞性状会使患者易患劳力性横纹肌溶解症，并且在剧烈运动情况下已有多例致命病例报告。脱水及随之出现的电解质异常使患有镰状细胞性状的格斗运动运动员尤其易患此病。该病例表明对这一人群进行镰状细胞性状筛查可能具有重要作用，并强调了所有格斗运动运动员都需要采取更安全的体重控制措施及监测。
