{
    "success": true,
    "data": {
        "id": 1810596,
        "msgid": "understanding-rhabdomyolysis-the-massive-muscle-damage-threatening-unprepared-runners-1781790733",
        "date": "2026-06-18 19:32:02",
        "title": "Understanding Rhabdomyolysis: The Massive Muscle Damage Threatening Unprepared Runners",
        "author": "Qommarria Rostanti",
        "source": "REPUBLIKA",
        "tags": "",
        "topic": "Social Policy",
        "summary": "A participant in the Jakarta International Marathon 2026 died after collapsing from rhabdomyolysis, a severe muscle breakdown condition. Medical experts warn that overexertion without adequate training, dehydration, and heat stress are the primary triggers. Early symptoms include intense muscle pain, swelling, and persistent fatigue with nausea, distinguishing it from normal post-exercise soreness.",
        "content": "<p>A participant in the BTN Half Marathon Jakarta International Marathon\n(Jakim) 2026 was reported to have died after collapsing during the event\non Sunday (14\/6\/2026). The runner from Lombok, named Agus Putranadi, was\nrushed to hospital for medical treatment, but his life could not be\nsaved. According to reports, the runner suffered from rhabdomyolysis, a\nmassive muscle breakdown that releases myoglobin into the blood and\nposes a risk of acute kidney failure. So, what are the triggers and\nearly warning signs to watch out for?<\/p>\n<p>Doctor and Secretary General of the Indonesian Health Facilities\nDoctors Association (HIFDI), dr Putro S Muhammad, revealed three main\nfactors that often trigger rhabdomyolysis in runners. The first is\nexcessive physical load (overexertion) without adequate training\npreparation. \u201cThe second factor is dehydration, and the last is heat\nstress due to high air temperature and humidity,\u201d said dr Putro when\ncontacted by Republika on Thursday (18\/6\/2026).<\/p>\n<p>According to dr Putro, runners must understand that the early\nsymptoms of rhabdomyolysis differ from DOMS (Delayed Onset Muscle\nSoreness), the common muscle pain that appears after strenuous physical\nactivity. DOMS is a normal body response after exercise. This condition\ntypically appears within 24 to 48 hours after physical activity,\ncharacterised by muscle pain that develops gradually and tends to\nimprove with light movement. Conversely, rhabdomyolysis symptoms appear\nmore quickly, feel much more severe, and do not improve even after the\nbody has rested. One early sign to be wary of is extremely intense\nmuscle pain, as if being squeezed hard, which already appears while the\nrace is still ongoing or after it finishes. Runners may also experience\nmuscle swelling, especially in the thigh and calf areas. According to dr\nPutro, the muscles will even feel harder than usual. \u201cAnother danger\nsign is the onset of massive fatigue accompanied by nausea or vomiting,\nwhich does not improve despite resting,\u201d said dr Putro.<\/p>",
        "url": "https:\/\/jawawa.id\/newsitem\/understanding-rhabdomyolysis-the-massive-muscle-damage-threatening-unprepared-runners-1781790733",
        "image": ""
    },
    "sponsor": "Okusi Associates",
    "sponsor_url": "https:\/\/okusiassociates.com"
}