Be careful in the heat and avoid overtaining (rhabdomyolysis)

in #fitness6 years ago (edited)

This is from my own personal experience and experiences of others

For those in the US right now you may be aware that the weather is one of the worst heatwaves in a long time. Not only is it extremely hot during the day (often 100+ degrees) but it is also extremely humid at night (humidity 90+ percent). If you like to work out this could put you in a dangerous situation where it becomes extremely easy to over train due to being literally overheated and dehydrated.

What is rhabdomyolysis?

Rhabdomyolysis is typically diagnosed when you end up at the ER or at the doctor and they give you a test called a CK blood test. This blood test combined with the color of your urine can indicate whether you are taking on an unusually high amount of muscle injury (under recovery). This essentially means your body is over trained but it is also potentially life threatening.

Rhabdomyolysis is dangerous in itself but when combined with dehydration it puts the patient at risk of kidney failure. Dehydration happens extremely easily in situations where it is hot and humid. In addition rhabdomyolysis itself threatens the kidneys because when muscles are breaking down (to be consumed as fuel) the body produces a toxin which the kidneys have a difficult time filtering out. The end result is this toxin from muscle breaking down can clog the kidney and injury the kidney (acute kidney injury). This is ultimately one of the reasons why rhabdomyolysis can quickly become life threatening.

What is the typical treatment for rhabdomyolysis?

Typically you'll end up in the ER and will be given an IV. They'll give you that IV if your CK levels are high and also if you are dehydrated. This usually stabilizes the patient enough to send them home and from there it's a matter of resting and getting lots of fluid. The point being if you want to reduce your risk of overtraining, of dehydration, of rhabdomyolysis, then when the weather is extremely hot (and humid) it is best not to do cardiovascular training unless you stay in a well air conditioned cool dry environment. If you train in the humidity then it is easy for the body to overheat because of inability to sweat and easy for the body to become dehydrated as well. If you do heavy weight lifting in a new exercise you don't usually do then it can cause excessive tears to the muscle fibers and in a normal situation you might recover but when it's also very hot this reduces your ability to recover.

For more about rhabdomyolysis:


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Thanks for this informative post, which I really enjoyed reading and learing from it since I love exercising and a week ago we just have moved to Central America where it is very, very hot and humid right now too, and this is the first time I hear about the Rhabdomyolysis.

You have to be careful. If you exercise in the heat it is better to do the minimum amount to just maintain your fitness unless you are in a cool dry environment. If you are in the heat then:

  • You could suffer from heat exhaustion which will make you light headed, give you muscle cramps, and fatigue. This isn't heat stroke but it can lead to that.
  • You could suffer from heat stroke which is much much worse and life threatening. This is what happens when your body cannot cool down. This may have been what Bruce Lee died from in fact.

And rhabdomyolysis is a result of doing new intense exercises that you are not used to while also in environments you're not used to. For example if it's hot, humid, etc and you decide to do more squats and also do cardio too? Well this is what they call cross fit and in normal circumstances the body might be able to recover but when dehydrated this recovery process is greatly compromised which can lead to problems.

If you can't sweat (due to humidity) you can over heat very easily.

thanks dana,

Helpful post. Thank you for this post.

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