Measures to Prevent Rhabdomyolysis in Military Personnel: A Narrative Review

• Autor(a) principal: Faria, Sherman Pinheiro
• Data de Publicação: 2022
• Outros Autores: Miranda, Maria Elisa, Bunn, Priscila dos Santos, Vale, Rodrigo Gomes de Souza
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista de Educação Física
• Texto Completo: https://revistadeeducacaofisica.emnuvens.com.br/revista/article/view/2818
• topic: militares; saúde; aptidão física; esforço físico; military personnel; health; physical fitness; physical exertion

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.