Farligt med plötslig överätning efter en lång tävlingsdiet

[King Grub]

Refeeding syndrome, as a life-threatening condition, is well known among severely malnourished or deeply metabolically stressed patients. This case presents an atypical manifestation of the syndrome to a young bodybuilder, whose extreme diet, including 5 months of insufficient nourishment before the sport competition and 6 days of carbohydrates overload afterwards, has led him to a bilateral lower - limb paralysis and drastic homeostatic disturbances. Severe hypokalemia, hypophosphatemia, hypomagnesemia and hyperglycemia with mildly elevated liver enzymes have occurred. The patient could barely move his legs and arms, and his state has been followed by a hypertensive crisis, which required an immediate intravenous treatment. Although his weight was 112,5 kg with a body mass index of 32,2 kg per square meter, and his blood serum albumin concentration resulted inside the normal range, the overall condition was corresponding to the state of extenuated and malnourished patients. This case reflects to high prevalence of eating disorders or non-adequate nutrition among weight-sensitive sport athletes. The importance of prevention and opportune diagnostics of refeeding syndrome among special vulnerable groups should be considered.

Clin Nutr ESPEN. 2018 Feb;23:253-255. Consequences of an extreme diet in the professional sport: Refeeding syndrome to a bodybuilder.

[Scratch89]

En så kallad paltkoma!

[King Grub]

"The patient could barely move his legs and arms" - standardeffekten efter en middag?

[Kischen]

Bra tryck?

[Termy]

Från diskussionen:
Our psatient, within his second phase of preparations, lost 19 kg. During the third phase situation became even worse when a huge intake of glucose provoked hyperinsulinemia. Insulin, by transporting glucose into cells, has as well activated potassium transport. As extracellular storages of potassium and other nutrients have already been depleted during the second phase, a shift of extracellular electrolytes has increased the deficit and initiated muscle spasms and weakness, which led to the condition we have mentioned before. Although multivitamins and other dietary supplements have been used orally during the preparation stage, they could not manage to cover the extracellular deficit because of a disturbed homeostasis and relatively low bioavailability

[Scratch89]

"The patient could barely move his legs and arms" - standardeffekten efter en middag?

Svårt för ironi idag? :)

Jag tycker sådana här case studies är så häftiga och intressanta. Tragiska, förvisso, men hur man i princip når respiratory failure av att äta är extremt.