Why ‘strenuous’ exercise is landing some young women in hospital

by Chief Editor

The Rising Tide of Rhabdo: Are Intense Workouts Putting Young Women at Risk?

The pursuit of fitness is a cornerstone of modern health, but a growing number of young women are experiencing a potentially life-threatening condition after pushing themselves too hard. Exercise-induced rhabdomyolysis, often called “rhabdo,” is gaining attention as cases surge, particularly in areas like Newfoundland and Labrador, Canada.

What is Rhabdomyolysis?

Rhabdomyolysis occurs when damaged muscle tissue releases proteins and electrolytes into the bloodstream. These substances can cause dehydration, heart issues, and even kidney failure. While it can affect anyone, recent reports indicate a concerning trend among young women engaging in strenuous exercise.

Kyra Fancey, a 24-year-old from St. John’s, experienced this firsthand after her exceptionally first spin class in December 2023. She spent six days in the hospital with the condition, describing excruciating leg pain and dark brown urine days after the workout. “I felt like I was dying,” Fancey recalled.

A Surge in Cases

Between October 2025 and April, emergency rooms in Newfoundland and Labrador’s eastern area saw 20 cases of rhabdo, primarily affecting women aged 19-30. This is a significant increase, as the area typically expects between eight and 14 cases annually. Experts note that while cases aren’t tracked nationally across Canada, research in the United States found over 40,000 ER visits related to rhabdo between 2000 and 2019.

Dr. Richard Barter, clinical chief of emergency medicine for Newfoundland and Labrador Health Services in St. John’s, spoke out about a ‘worrisome’ trend of young women getting rhabdo. (Curtis Hicks/CBC)

The Role of Intense Workouts and Social Media

Experts suggest several factors may be contributing to the rise in rhabdo cases. “It’s usually if you do something that you’re just not used to and you really push it too hard,” explains Dr. Mark Tarnopolsky, division head of neuromuscular and neurometabolic disorders at McMaster University. Returning to exercise after a break can also increase risk.

There’s growing speculation about the influence of social media. People may be pressured to participate in challenging activities or emulate fitness influencers, potentially pushing their bodies beyond safe limits. Melissa Denny, owner of Peak Performance Training & Nutrition, notes a trend of individuals seeking “supermodel” physiques and engaging in intense classes like spin and HIIT.

Prevention is Key

Preventing rhabdo involves a multi-faceted approach. Staying hydrated, listening to your body, and gradually increasing exercise intensity are crucial. Denny emphasizes the importance of proper diet, hydration, and recovery. Her trainers prioritize small class sizes, allowing for individual monitoring, and encourage breaks and hydration during workouts.

If you experience extreme muscle pain, difficulty bending limbs, or dark-colored urine after exercise, seek immediate medical attention. Early intervention with IV fluids can prevent complications.

A man wearing glasses and sitting down, looks off camera.
Dr. Mark Tarnopolsky is the division head of neuromuscular and neurometabolic disorders at McMaster University in Hamilton, Ont. (Hugo Levesque/CBC News)

Frequently Asked Questions

  • What are the symptoms of rhabdomyolysis? Severe muscle pain, weakness, dark-colored urine, and decreased urination are common symptoms.
  • Is rhabdo always serious? It can be life-threatening if left untreated, but with prompt medical care, most people recover fully.
  • Can I get rhabdo more than once? While possible, it’s unlikely if you address the underlying causes and avoid overexertion.
  • What role does heat play? Higher temperatures can increase muscle breakdown and dehydration, increasing the risk of rhabdo.

Did you understand? While intense exercise is a common trigger, rhabdomyolysis can also be caused by certain medications, drug use, and genetic conditions.

As the fitness landscape evolves, prioritizing safety and mindful training is paramount. Listening to your body, respecting its limits, and seeking professional guidance can help you achieve your fitness goals without risking your health.

What are your thoughts on the pressure to push yourself in workouts? Share your experiences in the comments below!

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