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运动前诱发的胰腺炎

Pre-Workout-Induced Pancreatitis.

作者信息

Ridha Mohammad, Rivera Gonzalez Gilberto, Seenivasagam Makeswaran

机构信息

Internal Medicine, HCA Las Palmas Del Sol, El Paso, USA.

出版信息

Cureus. 2023 Sep 3;15(9):e44609. doi: 10.7759/cureus.44609. eCollection 2023 Sep.

DOI:10.7759/cureus.44609
PMID:37795059
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10547118/
Abstract

The use of dietary supplements, including pre-workout formulations, has gained widespread popularity among individuals engaged in sports and fitness. This case report presents a unique instance of pre-workout-induced pancreatitis in a previously healthy young adult. The patient, a 35-year-old male, presented to the emergency department with abdominal pain, elevated pancreatic enzymes, and characteristic radiological findings indicative of acute pancreatitis. The patient's history revealed no prior predisposing factors for pancreatitis such as alcohol consumption or gallstone disease. Extensive diagnostic evaluation excluded other potential causes leading to the suspicion of his pre-workout supplement as the source. Pre-workout supplements contain a blend of stimulants, amino acids, and other metabolic ingredients designed to enhance exercise and muscle performance. Research shows that some of these ingredients, such as amino acids, induce metabolic chain reactions which may damage pancreatic cells. However, there is extremely limited literature regarding these amino acids in combination such as in workout supplements. This case prompts an examination of the potential adverse effects of pre-workout supplements, highlighting the need for increased vigilance among healthcare providers and consumers alike. As the use of these products grows, further research is warranted to allow for safe commercial distribution and to protect consumers from serious harm.

摘要

包括运动前配方在内的膳食补充剂的使用,在从事运动和健身的人群中已广泛流行。本病例报告呈现了一名此前健康的年轻成年人因运动前补充剂诱发胰腺炎的独特案例。该患者为一名35岁男性,因腹痛、胰腺酶升高以及提示急性胰腺炎的典型影像学表现就诊于急诊科。患者病史显示无胰腺炎的既往诱发因素,如饮酒或胆结石疾病。广泛的诊断评估排除了其他潜在病因,从而怀疑其运动前补充剂为病因。运动前补充剂含有多种兴奋剂、氨基酸和其他旨在增强运动和肌肉表现的代谢成分。研究表明,其中一些成分,如氨基酸,会引发代谢连锁反应,可能损害胰腺细胞。然而,关于这些氨基酸在运动补充剂等组合中的相关文献极为有限。该病例促使人们审视运动前补充剂的潜在不良反应,凸显了医疗服务提供者和消费者都需提高警惕。随着这些产品的使用增加,有必要进行进一步研究,以确保安全的商业销售,并保护消费者免受严重伤害。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fad/10547118/fb95d1e2a24c/cureus-0015-00000044609-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fad/10547118/fb95d1e2a24c/cureus-0015-00000044609-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fad/10547118/fb95d1e2a24c/cureus-0015-00000044609-i01.jpg

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引用本文的文献

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