Abstract: Sport is beneficial to human health which has deeply rooted in the hearts of people, however, they hardly aware that unscientific high intensity exercise can lead to acute kidney injury. Although most of the injury is reversible, competitive athletes and military trainers with these derangements will be exposed to more serious acute renal pathology. This article reviews some advances in the pathogenesis, early diagnosis of exercise induced acute kidney injury, in order to draw attention of clinicians and provide guidance for clinical diagnosis and treatment.