Authors: Benjamin H. Gleason1, Katherine N. Alexander1,2, 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
Benjamin H. Gleason, PhD, CSCS*D, RSCC, USAW-2
P.O. Box 3176
Ruston, LA, 71270
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
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…)