sport nutrition – The Sport Journal

Exertional Rhabdomyolysis in a Female Collegiate Powerlifter with Type-1 Diabetes

Authors: Benjamin H. Gleason¹, Katherine N. Alexander^1,2, and M. Catherine Fontenot³

¹Department of Kinesiology, Louisiana Tech University, Ruston, LA, USA
²Department of Human Development and Family Studies, Utah State University, Logan, UT, USA
³Department of Human Ecology, Louisiana Tech University, Ruston, LA, USA

Corresponding Author:
Benjamin H. Gleason, PhD, CSCS*D, RSCC, USAW-2
P.O. Box 3176
Ruston, LA, 71270
bgleason67@hotmail.com
334-546-1872

Benjamin H. Gleason, PhD, CSCS*D, RSCC, USAW2 is an Assistant Professor of Kinesiology at Louisiana Tech University in Ruston, LA. His research interests focus on methods of enhancing sport performance, professional roles found within high performance sport, and athlete monitoring.

Katherine N. Alexander, BS, is a Human Development and Family Studies doctoral student at Utah State University in Logan, UT. Her research interests include developmental impacts of early sport-specialization on athletes and social support systems associated with sport participation.

Mary Catherine Fontenot, PhD, RD, LDN, is an assistant professor of nutrition and dietetics in the Department of Human Ecology at Louisiana Tech University in Ruston, LA. Her research interests include food insecurity and its impact on health, nutrition, and aging.

Exertional Rhabdomyolysis in a Female Collegiate Powerlifter with Type-1 Diabetes

ABSTRACT

Purpose: Investigate a case of exertional rhabdomyolysis (ER) in an athlete with Type-1 diabetes. Methods: The athlete shared relevant details from her training notebook, food journal, and medical information from the event with the researchers in a series of in-person interviews and electronic communications. The athlete’s food journal data was evaluated by a Registered Dietitian Nutritionist using computerized nutritional analysis program. The training program was evaluated by a Certified Strength and Conditioning Specialist in collaboration with the athlete to determine the precipitating factors for the injury. Results: Insufficient preparatory training, insufficient recovery, insufficient protein, and insufficient caloric intake were likely contributors to this ER injury. High caffeine intake, training in hot weather, and mild dehydration are also potential factors to an unknown extent. Conclusions: A well-organized, progressive return to heavy training is necessary to avoid musculoskeletal injury. In addition, athletes require appropriate nutrition to support the demands of heavy training and post-exercise recovery. While difficult to assess the extent at this time, athletes with diabetes could be at a higher risk for injury because of their health condition. Therefore, careful attention should be given to details of training, diet, glucose monitoring, and medication regimen, with supervision and education provided by trained professionals. Applications in Sport: This case study identifies specific precipitating factors of a rare case of exertional rhabdomyolysis in an athlete with type-1 diabetes. Knowledge gained from this case may be used to help other athletes prevent injury.

(more…)

Review and Commentary of the Nutritional Recommendations, Weight Management Regulations, Weight Management Practices, and the Potential of Disordered Eating Patterns in High School Age Wrestlers

Author: Chandler Knox, Graduate Student, Mississippi State University
Page Love, MS, RD, CSSD, LD NutriFit Sport Therapy Inc. Atlanta, Georgia

Corresponding Author: Terezie Mosby Ed.D, MS, RD, LD, FAND Mississippi State University
Mailing Address: Herzer Building Box 9805 Mississippi State, Mississippi 39762
Office: 662-325-3200
Email: ttm135@msstate.edu

ABSTRACT
The purpose of this article is to review the nutritional recommendations, the weight management practices, and the weight management regulations of high school wrestlers. Serving as a commentary on how these influences coupled with the perceived demand for lean body composition for better performance can relate to disordered eating patterns in high school wrestlers. Wrestling creates a high caloric demand while at the same time wrestlers practice restrictive dietary behaviors. Extreme weight loss behaviors performed by wrestlers have been observed. Nutritional recommendations are primarily made by athletic coaches who are not properly trained in nutrition and weight management. This can lead to the acceptance by the wrestler to practice poor behaviors related to food and nutrition. There is a need to properly evaluate and educate the coaches and athletes on nutrition, and weight management. Such education is necessary for the health of the athlete as they progress through the season, and through growth and development.
(more…)