Measures to Prevent Rhabdomyolysis in Military Personnel: A Narrative Review

Introduction: Rhabdomyolysis is a syndrome caused by the release of intracellular content into the circulation due to injury to muscle cells. Objective: List the prevention measures and initial symptoms of rhabdomyolysis, highlighting its applications in a military operational context. Methods: A na...

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Detalhes bibliográficos
Autores: Faria, Sherman Pinheiro, Miranda, Maria Elisa, Bunn, Priscila dos Santos, Vale, Rodrigo Gomes de Souza
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2022
País:Brasil
Recursos:Centro de Capacitação Física do Exército (CCFEX)
Repositório:Revista de Educação Física
Idioma:português
OAI Identifier:oai:ojs.revistadeeducacaofisica.emnuvens.com.br:article/2818
Acesso em linha:https://revistadeeducacaofisica.emnuvens.com.br/revista/article/view/2818
Access Level:Acceso aberto
Palavra-chave:militares
saúde
aptidão física
esforço físico
military personnel
health
physical fitness
physical exertion
Descrição
Resumo:Introduction: Rhabdomyolysis is a syndrome caused by the release of intracellular content into the circulation due to injury to muscle cells. Objective: List the prevention measures and initial symptoms of rhabdomyolysis, highlighting its applications in a military operational context. Methods: A narrative review of the literature, including scientific research indexed in MEDLINE, Science Direct, Cochrane and LILACS, in July 2021. For this, the following descriptors were used: “rhabdomyolysis”, “prevention & control”, “military personnel ” and its synonyms. Results and Discussion: After an electronic database search, 22 studies met the inclusion criteria for the review. A wide diversity was identified among the scientific studies analyzed regarding the development of the theme, largely because rhabdomyolysis has a multifactorial etiology and presents different clinical conditions according to the patient. However, preventive measures against the syndrome were grouped into attitudinal and laboratory preventive measures. The attitudinal measures include temperature and hydration control, physical conditioning control due to the physical overload imposed in military operations, nutritional control, consumption of supplements and exposure to toxic agents. As for preventive biochemical laboratory measures, periodic monitoring by biochemical analysis and urine characteristics is highlighted. Conclusion: These prevention actions have greater potential for effect when they receive support from institutions for their application and dissemination. It is important that the organization of lectures and collective orientations of the military from the military organization to which it is inserted becomes a habit.