Acute variation of biochemical markers of muscle damage following a 21‐km, half‐marathon run

Objective. Although there is information on biochemical markers of muscle and cardiac damage following strenuous exercise, little is known about the kinetics of these markers in athletes performing sub‐maximal exercise. Material and methods. Fifteen healthy, trained, Caucasian males took part in a 21‐km run. Blood samples were collected before the run, immediately after (post), and 3 h, 6 h and 24 h thereafter. Biochemical markers of muscle and cardiac damage were evaluated on the Modular System, employing proprietary reagents. In no case did the concentration of troponin T increase by >0.03 ng/mL. The values of aspartate aminotransferase (AST), creatine kinase (CK), CK MB, lactate dehydrogenase (LDH) and myoglobin increased significantly immediately after the run and remained elevated 24 h thereafter. Results. The number of subjects with values above the upper limit of the relative reference ranges did not vary throughout the study period for AST and LDH, while it increased significantly for CK, CK MB and myoglobin. The major variation over the pre‐run value was recorded for myoglobin (3‐fold increment), whereas AST and LDH increased 1.1 and 1.3‐fold, respectively. Conclusions. The results suggest the hypothesis that sub‐maximal exercise influences the concentration of several biomarkers of muscle damage for up to 24 h with no biochemical signs of myocardial damage.

[1]  Nicola Maffulli,et al.  Creatine kinase monitoring in sport medicine. , 2007, British medical bulletin.

[2]  P. Thompson,et al.  Marathoner's heart? , 2006, Circulation.

[3]  T. Meyer,et al.  Reproducibility and clinical significance of exercise-induced increases in cardiac troponins and N-terminal pro brain natriuretic peptide in endurance athletes , 2006, European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology.

[4]  G. Lippi,et al.  Influence of physical exercise and relationship with biochemical variables of NT-pro-brain natriuretic peptide and ischemia modified albumin. , 2006, Clinica chimica acta; international journal of clinical chemistry.

[5]  N Maffulli,et al.  Monitoring of serum enzymes in sport , 2006, British Journal of Sports Medicine.

[6]  M. Panteghini,et al.  10% CV concentration for the fourth generation Roche cardiac troponin T assay derived from Internal Quality Control data , 2006, Clinical chemistry and laboratory medicine.

[7]  R. Baumgarten,et al.  Effects of a long-distance run on cardiac markers in healthy athletes , 2006, Clinical chemistry and laboratory medicine.

[8]  G. Lippi,et al.  High-workload endurance training may increase serum ischemia-modified albumin concentrations , 2005, Clinical chemistry and laboratory medicine.

[9]  D. Pedoe,et al.  Effects of prolonged strenuous exercise (marathon running) on biochemical and haematological markers used in the investigation of patients in the emergency department , 2004, British Journal of Sports Medicine.

[10]  P. Renström,et al.  Leukocytes, cytokines, growth factors and hormones in human skeletal muscle and blood after uphill or downhill running , 2004, The Journal of physiology.

[11]  R. Kraemer,et al.  Alterations in plasma-volume-corrected blood components of marathon runners and concomitant relationship to performance , 2004, European Journal of Applied Physiology and Occupational Physiology.

[12]  W. Herrmann,et al.  Post-race kinetics of cardiac troponin T and I and N-terminal pro-brain natriuretic peptide in marathon runners. , 2003, Clinical chemistry.

[13]  A. Kratz,et al.  Effect of marathon running on hematologic and biochemical laboratory parameters, including cardiac markers. , 2002, American journal of clinical pathology.

[14]  L. Uotila,et al.  Elimination kinetics of myoglobin and creatine kinase in rhabdomyolysis: Implications for follow-up , 2002, Critical care medicine.

[15]  K. Thygesen,et al.  Erratum: Myocardial infarction redefined - A consensus document of the Joint European Society of Cardiology/American College of Cardiology Committee for the Redefinition of Myocardial Infarction (Journal of the American College of Cardiology (2000) 36 (959-969)) , 2001 .

[16]  M. Walsworth,et al.  Diagnosing exertional rhabdomyolysis: a brief review and report of two cases. , 2001, Military medicine.

[17]  C. Leeuwenburgh,et al.  Apoptosis and exercise. , 2001, Medicine and science in sports and exercise.

[18]  Hugo A. Katus,et al.  Myocardial infarction redefined--a consensus document of The Joint European Society of Cardiology/American College of Cardiology Committee for the redefinition of myocardial infarction. , 2000, European heart journal.

[19]  H. Northoff,et al.  Transcriptional and translational regulation of heat shock proteins in leukocytes of endurance runners. , 2000, Journal of applied physiology.

[20]  J. Garry,et al.  Postcompetition elevation of muscle enzyme levels in professional football players. , 2000, MedGenMed : Medscape general medicine.

[21]  K. Fallon,et al.  The biochemistry of runners in a 1600 km ultramarathon. , 1999, British journal of sports medicine.

[22]  M. Denvir,et al.  Changes in Skeletal and Cardiac Muscle Enzymes during the Scottish Coast to Coast Triathlon , 1999, Scottish medical journal.

[23]  B. Dawson,et al.  Biochemical and ultrastructural indices of muscle damage after a twenty-one kilometre run. , 1997, Australian journal of science and medicine in sport.

[24]  H. Vincent,et al.  The Effect of Training Status on the Serum Creatine Kinase Response, Soreness and Muscle Function Following Resistance Exercise , 1997, International journal of sports medicine.

[25]  E. Ergen,et al.  Changes in serum creatine kinase, lactate dehydrogenase and aldolase activities following supramaximal exercise in athletes. , 1994, The Journal of sports medicine and physical fitness.

[26]  B. Boned,et al.  Serum enzymes activities at rest and after a marathon race. , 1992, The Journal of sports medicine and physical fitness.

[27]  T. Hortobágyi,et al.  Variability in Creatine Kinase: Methodological, Exercise, and Clinically Related Factors , 1989, International journal of sports medicine.

[28]  R. Maughan,et al.  Estimation of plasma volume changes during marathon running. , 1985, British journal of sports medicine.

[29]  S. Cattaneo,et al.  Changes in serum myoglobin, total creatine kinase, lactate dehydrogenase and creatine kinase MB levels in runners. , 1983, Clinical biochemistry.

[30]  T. Oei,et al.  Exercise-induced changes in common laboratory tests. , 1982, American journal of clinical pathology.