Abstract

(1) Background: This study aimed to explore wearable sensors′ potential use to assess cumulative mechanical kidney trauma during endurance off-road running. (2) Methods: 18 participants (38.78 ± 10.38 years, 73.24 ± 12.6 kg, 172.17 ± 9.48 cm) ran 36 k off-road race wearing a Magnetic, Angular Rate and Gravity (MARG) sensor attached to their lower back. Impacts in g forces were recorded throughout the race using the MARG sensor. Two blood samples were collected immediately pre- and post-race: serum creatinine (sCr) and albumin (sALB). (3) Results: Sixteen impact variables were grouped using principal component analysis in four different principal components (PC) that explained 90% of the total variance. The 4th PC predicted 24% of the percentage of change (∆%) of sCr and the 3rd PC predicted the ∆% of sALB by 23%. There were pre- and post-race large changes in sCr and sALB (p ≤ 0.01) and 33% of participants met acute kidney injury diagnosis criteria. (4) Conclusions: The data related to impacts could better explain the cumulative mechanical kidney trauma during mountain running, opening a new range of possibilities using technology to better understand how the number and magnitude of the g-forces involved in off-road running could potentially affect kidney function.

Highlights

  • Acute kidney injury (AKI) is a relatively uncommon condition in sports

  • (4) Conclusions: The data related to impacts could better explain the cumulative mechanical kidney trauma during mountain running, opening a new range of possibilities using technology to better understand how the number and magnitude of the g-forces involved in off-road running could potentially affect kidney function

  • This condition has been reported in prolonged and repetitive strenuous exercises [1]. It is understood as a transitional decrease in renal function, expressed by a reduction in glomerular filtration rate, increase in serum creatinine and albumin, and alterations of other novel AKI-related urine and blood biomarkers during a relatively short period (1–3 days) [2]

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Summary

Introduction

Acute kidney injury (AKI) is a relatively uncommon condition in sports. This condition has been reported in prolonged and repetitive strenuous exercises [1]. Monitoring physical load is critical in endurance sports, such as off-road running, due to the high number of actions involved [15] This is why non-invasive tools as wearable sensors could be an accessible option to assess potential cumulative mechanical kidney trauma, indirectly analyzing the mobility of anatomical structures near the kidneys, such as the lower back. These wearable sensors are used to monitor physical load during exercise in different parts of the body, such as the wrist, waist, and trunk [16,17,18]. This study aimed to explore the potential use of wearable Magnetic, Angular Rate and Gravity (MARG) sensors to assess cumulative mechanical kidney trauma during off-road running

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