Freebie Rhabdomyolysis: A Public Health Concern. Spin Class-Induced Rhabdomyolysis

Maureen Brogan, Rudrick Ledesma, Alan Coffino, Praveen Chander

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


Background Rhabdomyolysis is a pathologic condition in which intracellular muscle constituents leak into the blood circulation. It is usually caused by muscle trauma. “Spinning” is an indoor form of cycling where participants use a special stationary exercise bicycle with a weighted flywheel and undergo high-intensity cycling classes focusing on endurance. There have been several case reports in the literature of exertional rhabdomyolysis following spin class. Methods Our nephrology practices have diagnosed a number of cases of symptomatic patients presenting to our emergency departments following their first spin classes, with histories and creatinine phosphokinase levels diagnostic of exertional rhabdomyolysis. Results We present 3 unusual cases of exertional rhabdomyolysis, each occurring after a first spin class. In the first case, rhabdomyolysis developed following 15 minutes of spin class. In the second case, it occurred in a young individual who exercises regularly. In the third case, the patient developed biopsy-proved acute kidney injury secondary to exertional rhabdomyolysis and required hemodialysis. Conclusion The high-intensity exercise associated with “spin class” comes with significant risks to newcomers.

Original languageEnglish (US)
Pages (from-to)484-487
Number of pages4
JournalAmerican Journal of Medicine
Issue number4
StatePublished - Apr 1 2017


  • Acute kidney injury
  • Exertional rhabdomyolysis
  • Public health concern
  • Spin class

ASJC Scopus subject areas

  • General Medicine


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