Creatine Kinase Response Research Articles

Docosahexaenoic acid affects markers of inflammation and muscle damage after eccentric exercise.

The effect of docosahexaenoic acid (DHA) on inflammatory and muscle damage response to acute eccentric exercise and to the subsequent initiation of a resistance training program was studied in 41 untrained men. Subjects consumed either 2 g·d of either DHA or placebo (PL) for 28 days before a 17-day exercise phase (day 1 to day 17) that began with an eccentric exercise bout of the elbow flexors (day 1). For analysis, the exercise period was further divided into an acute response phase (day 1-4). Isometric muscle strength (STR), range of motion (ROM), and delayed onset muscle soreness (DOMS) were measured on days 1, 2, 3, 4, 7, 12, and 17. Fasted blood was measured for interleukin 6 (IL-6), interleukin 1 receptor antagonist, C-reactive protein (CRP), and creatine kinase (CK) on days 1, 2, and 4. Serum CK and CRP were also measured in blood collected on days 7, 12, and 17. In the acute phase, DHA significantly reduced the serum CK (12.5%) and the IL-6 response (32%) but did not affect STR or DOMS. Over the entire 17-day resistance exercise period, DOMS area under the curve was 183.2 ± 96.2 for DHA and 203.2 ± 120.9 for PL (p = 0.054) and the CK response was numerically lower for DHA (p = 0.093). Docosahexaenoic acid supplementation reduced some but not all indicators of muscle damage and inflammation in the 4 days after an acute eccentric exercise bout but did not significantly affect the response to initiation of resistance exercise.

EFFECT OF CONSECUTIVE AEROBIC AND RESISTANCE EXERCISE ON CORTISOL,CREATINE KINASE AND IMMUNOGLOBULIN A RESPONSES IN MALE ATHLETES

Introduction: Immunoglobulin A (IgA) is the main class of antibodies present in the body secreted fluids such as saliva, tears or mucus from the intestines. The meaning of IgA in serum is still unclear. It was postulated that this immunoglobulin performs a complementary role in the neutralization of the pathogens, which defeated the mucosal barrier, as well as macrophage activation, and removal of immune complexes formed with the participation of this isotype. Aim of Work: To investigate the effects of resistance exercise on Cortisol, Immunoglobulin A (IgA), and Creatine kinase (CK) responses of male students. Materials and Methods: Ten subjects (mean age 21.0 ± 1.5 years) completed two trail, aerobic Treadmill exercises (60% VO2max; 45-min) and resistance (80% 1RM; 45-min) exercise concurrently; each subject was his own control. Blood samples were collected pre-exercise, post-exercise, and 3 hours after exercise. One-way ANOVA with repeated measure and LSD post-hoc tests were used to evaluate changes in Cortisol, CK, and IgA during baseline and exercise periods. Results: During baseline, there were no differences between exercise day (ED) values and those obtained at rest day (RD) for Cortisol, CK, and IgA. After exercise, Cortisol concentration in ED was significantly higher than RD (p<0.05); however, changes in IgA and CK responses were not significant. Conclusions: This type of consecutive exercise didn’t increase susceptibility to upper respiratory tract infection and muscle damage. Therefore, it can be useful for the preparation phase of training for athletes.

Repetitive Box Lifting Performance is Impaired in a Hot Environment: Implications for Altered Work-Rest Cycles

This study investigated the effects of environmental temperature on repetitive box lifting (RBL) performance, associated stress hormone and creatine kinase (CK) responses. Ten healthy males performed two experimental trials in a random crossover design. The trials consisted of three 40 min (10 min sitting, 20 min standing, and 10 min RBL) circuits performed in either 23°C or 38°C followed by a 180 min seated recovery period in 23°C. RBL performance (i.e., number of boxes lifted) was reduced (p ≤ 0.05) in 38°C compared to the 23°C trial. Physiological Strain Index was significantly different between trials (38°C: 8.5 ± 1.1 versus 23°C: 7.2 ± 0.7; p ≤ 0.01). Plasma testosterone was elevated (p ≤ 0.05) across both trials and then decreased at 60 min recovery, compared to pre-exercise (PRE) measures, but was higher (p ≤ 0.05) during the 38°C trial. Plasma cortisol increased (p ≤ 0.05) at 60 min during both trials and remained elevated until 120 min in 23°C, and until 60 min recovery in 38°C. Serum CK was greater through 48 hr post compared to PRE values in both trials. Thus, 10 min RBL performance was reduced in 38°C despite the 30-min rest periods between RBL intervals. Plasma testosterone and cortisol were generally higher during the 38°C trial, suggesting a greater stress response. Additional research is needed to determine optimal work:rest cycles for maximizing work performance in thermally oppressive environments.

Creatine Kinase Responses 24-36 Hours After Elite Official Basketball Games. A 6-years Follow-up Study.

Creatine Kinase Responses 24-36 Hours After Elite Official Basketball Games. A 6-years Follow-up Study.

The Effects of High Intensity Short Rest Resistance Exercise on Muscle Damage Markers in Men and Women

Within and between sexes, universal load prescription (as assigned in extreme conditioning programs) creates extreme ranges in individual training intensities. Exercise intensity has been proposed to be the main factor determining the degree of muscle damage. Thus, the purpose of this study was to examine markers of muscle damage in resistance-trained men (n = 9) and women (n = 9) from a high intensity (HI) short rest (SR) (HI/SR) resistance exercise protocol. The HI/SR consisted of a descending pyramid scheme starting at 10 repetitions, decreasing 1 repetition per set for the back squat, bench press, and deadlift, as fast as possible. Blood was drawn pre-exercise (pre), immediately postexercise (IP), 15 minutes postexercise (+15), 60 minutes postexercise (+60), and 24 hours postexercise (+24). Women demonstrated significant increases in interleukin 6 (IL-6; IP), creatine kinase (CK; +24), myoglobin (IP, +15, +60), and a greater relative increase when compared with men (+15, +60). Men demonstrated significant increases in myoglobin (IP, +15, +60, +24), IL-6 (IP, +15), CK (IP, +60, +24), and testosterone (IP, +15). There were significant sex interactions observed in CK (IP, +60, +24) and testosterone (IP, +15, +60, +24). Women completed the protocol faster (women: 34:04 ± 9:40 minutes, men: 39:22 ± 14:43 minutes), and at a slightly higher intensity (women: 70.1 ± 3.5%, men 68.8 ± 3.1%); however, men performed significantly more work (men: 14384.6 ± 1854.5 kg, women: 8774.7 ± 1612.7 kg). Overall, women demonstrated a faster inflammatory response with increased acute damage, whereas men demonstrated a greater prolonged damage response. Therefore, strength and conditioning professionals need to be aware of the level of stress imposed on individuals when creating such volitional high intensity metabolic type workouts and allow for adequate progression and recovery from such workouts.

In Memoriam

In Memoriam

Variable inflammation and intramuscular STAT3 phosphorylation and myeloperoxidase levels after downhill running

Individual responses in creatine kinase (CK) release after eccentric exercise are divergent. This study aimed to identify whether this could be related to selected humoral or intramuscular inflammatory factors. Twenty-three subjects were divided into non-exercising (n = 5) and downhill run (DHR; n = 18) groups (12 × 5 min, 10% decline at 15 km/h). Blood samples were analyzed for white blood cell differential count, CK, myoglobin, tumor necrosis factor-α, granulocyte colony-stimulating factor, interleukin (IL)-1β, IL-6, and IL-10. Muscle biopsies were analyzed for signal transducer and activator of transcription-3 (STAT3), IκBα, and myeloperoxidase (MPO). DHR participants clustered as early (DHR1) recovery, biphasic response (DHR2), or classic delayed exaggerated CK response (DHR3), with a delayed CK peak (4784 ± 1496 U/L) on day 4. For DHR1 and DHR2, CK peaked on day 1 (DHR1: 1198 ± 837 U/L) or on day 1 and day 4 (DHR2: 1583 ± 448 U/L; 1878 ± 427 U/L), respectively. Immediately post-DHR, IL-6 increased in DHR2 and DHR3 whereas IL-10 increased in all DHR groups. STAT3 signaling increased for DHR1 and DHR2 at 4 h, but MPO at day 2 only in DHR2. Objective cluster analysis uncovered a group of subjects with a characteristic biphasic CK release after DHR. The second elevation was related to their early cytokine response. The results provide evidence that early responses following eccentric exercise are indicative of later variation.

The Changes on Creatine Kinase in Response to Aerobic Exercise among Novice and Trained Soccer Players of Different Ages

The study was intended to evaluate the creatine kinase responses to exercise among novice and trained soccer players of different ages. Sixty male adolescent soccer players aged 14 and 16 years were selected as participants, of whom thirty of them were trained soccer players and the rest were novice to the sport. The participants were segregated into four groups of fifteen each, namely: junior novice soccer players, senior novice soccer players, junior trained soccer players, and senior trained soccer players. The independent variable confined to this study is aerobic exercise stress testing using Bruce treadmill protocol to evaluate its influence on creatine kinase. The data on creatine kinase was measured at rest and after exercise condition. The data thus collected from novice and trained soccer players of different ages at rest and after exercise condition have been analyzed by three way factorial ANOVA. The finding of the study concludes that there is a statistically significant difference between novice and trained soccer players of different ages at rest and after exercise on creatine kinase.

Identification of high responders for interleukin-6 and creatine kinase following acute eccentric resistance exercise in elderly obese women

Resistance exercise is used as a non-pharmacological tool to elicit both gains in and maintenance of physical function in the elderly. Thus, the present study examined the acute response of creatine kinase and interleukin-6 following an eccentric resistance exercise session in elderly obese women classified as high responders or normal responders. Cross-sectional field study. Ninety elderly obese women (69.4 ± 6.01 years) were tested for a 10 repetition maximum on the leg extension exercise and then completed an acute eccentric resistance exercise session consisting of seven sets of 10 repetitions at 110% of 10 repetition maximum with a rest of 3 min between sets. Subjects were divided into normal response or high response on the basis of the peak serum interleukin-6 (NR = 59 and HR = 7) and creatine kinase (NR = 81 and HR = 9) concentration being greater than (HR) or less than (NR) the 90th percentile. Creatine kinase was higher at 0 h, 3h, 24h and 48 h following the ERE for the HR group. The peak creatine kinase was significantly higher in HR group versus the normal response group. The average increase in the serum interleukin-6 Δ for the HR group (∼ 850%) was significantly higher versus the normal response group (∼ 55%). Serum interleukin-6 was significantly higher at 0 h and 24h following eccentric resistance exercise only for the high response group, while peak levels were significantly higher in high response group versus the normal response group (p ≤ 0.005). Only one subject met the criteria to be classified as high response for both creatine kinase and interleukin-6 responsiveness. Elderly individuals classified as high response experienced greater creatine kinase and interleukin-6 responses to ERE. Thus, a prudent approach for eccentric resistance exercise prescription might be programming additional recovery days and/or lower intensity training, especially in the beginning stages of a program.

The responses of creatine kinase and lactate dehydrogenase to acute eccentric activity after saffron supplementation in healthy man

The responses of creatine kinase and lactate dehydrogenase to acute eccentric activity after saffron supplementation in healthy man

Influence of physical contact on neuromuscular fatigue and markers of muscle damage following small-sided games

Physical contact is frequent in rugby league competition and is thought to be a major contributor to the fatigue and creatine kinase (CK) response, although direct evidence is lacking. The aim of this study was to investigate the influence that physical contact had on the fatigue and CK response to small-sided games. Cross-over, counter-balanced study. Twenty-three junior elite rugby league players were divided into two groups. Group one played a contact game on day 1 before playing a non-contact game 72 h later; group two played the games in reverse order. The rules were identical for each game, with the only difference being a 10s contact bout every 50s during the contact game. Upper and lower body neuromuscular fatigue and blood concentrations of CK were assessed immediately before, immediately after, and 12 and 24h after the games. During each game, players wore global positioning system units to provide information on movements. CK increased after both games, peaking immediately following the non-contact game; CK was still rising 24h following the contact game. The difference between the two conditions was practically meaningful at this point (likelihood=likely, 82%; ES=0.86). There were moderate to large reductions in upper body power following the contact game (ES=-0.74 to -1.86), and no reductions following the non-contact game. This study indicates that large increases in blood CK and upper body fatigue result from physical contact. Training sessions involving physical contact should be performed well in advance of scheduled games.

Creatine kinase response to high‐intensity aerobic exercise in adult‐onset muscular dystrophy

We investigated the effect of high-intensity exercise on plasma creatine kinase (CK) in patients with muscular dystrophies. Fourteen patients with Becker (BMD), facioscapulohumeral (FSHD), or limb-girdle type 2 (LGMD2) muscular dystrophy, and 8 healthy subjects performed 5 cycling tests: an incremental max test, and tests at 65%, 75%, 85%, and 95% of maximal oxygen uptake (VO2max ). Heart rate and oxygen consumption were measured during the tests, and plasma CK was measured before, immediately after, and 24 hours after exercise. All subjects were able to perform high-intensity exercise at the different levels. In patients with LGMD2 and FSHD, CK normalized 24 hours after exercise compared with the pre-exercise value, whereas those with BMD and healthy controls had elevated CK values 24 hours after exercise. The findings suggest that high-intensity exercise is generally well tolerated in patients with LGMD2 and FSHD, whereas those with BMD may be more prone to exercise-induced damage.

Triphasic multinutrient supplementation during acute resistance exercise improves session volume load and reduces muscle damage in strength-trained athletes

We hypothesized that triphasic multinutrient supplementation during acute resistance exercise would enhance muscular performance, produce a more favorable anabolic profile, and reduce biochemical markers of muscle damage in strength-trained athletes. Fifteen male strength-trained athletes completed two acute lower-body resistance exercise sessions to fatigue 7 days apart. After a 4-hour fast, participants consumed either a multinutrient supplement (Musashi 1-2-3 Step System, Notting Hill, Australia) (SUPP) or placebo (PLA) beverage preexercise (PRE), during (DUR), and immediately postexercise (IP). Session volume loads were calculated as kilograms × repetitions. Lower-body peak power was measured using unloaded repeated countermovement jumps, and blood samples were collected to assess biochemistry, serum hormones, and muscle damage markers at PRE, DUR, IP, 30 minutes postexercise (P30), and 24 hours postexercise (P24h). The SUPP demonstrated increased glucose concentrations at DUR and IP compared with at PRE (P < .01), whereas PLA demonstrated higher glucose at P30 compared with at PRE (P < .001). Session volume load was higher for SUPP compared with PLA (P < .05). Cortisol increased at DUR, IP, and P30 compared with at PRE in both treatments (P < .05); however, SUPP also displayed lower cortisol at P24h compared with at PRE and PLA (P < .01). The total testosterone response to exercise was higher for PLA compared with SUPP (P < .01); however, total creatine kinase and C-reactive protein responses to exercise were lower for SUPP compared with PLA (P < .05). These data indicate that although triphasic multinutrient supplementation did not produce a more favorable anabolic profile, it improved acute resistance exercise performance while attenuating muscle damage in strength-trained athletes.

Impact of an acute bout of vibration on muscle contractile properties, creatine kinase and lactate dehydrogenase response

The aim of this study was to assess the effects of a bout of whole body vibration (WBV) on muscle response and to determine whether this stimulus leads to muscle damage. Thirty healthy and physically active participants (mean±SD; age: 21.8±2.0 years; height: 176.7±5.8 cm; body mass: 76±6.8 kg and BMI: 23.1±3.7 kg·m−2) participated in this study. Participants were randomly allocated in one of two groups, one of them performed a bout of 360 s WBV (frequency: 30 Hz; peak-to-peak displacement: 4 mm) (VIB) and the other one adopted a sham position (CON). Muscle contractile properties were analysed in the rectus femoris (RF) by using tensiomyography (TMG) 2 min before the warm-up and 2 min after intervention. Muscle damage was assessed by determining plasma creatine kinase (CK) and lactate dehydrogenase (LDH) levels at three time points; 5 min before warm-up and 1 h and 48 h after the intervention. TMG results showed a significant decrease in maximal displacement (p<0.05) and delay time (p<0.05) in VIB and in delay time (p<0.05) and relaxation time (p<0.05) in CON. Muscle damage markers showed significant group differences (p<0.05) for CK 1 h after the intervention. In addition, differences for CK 1 h after the intervention from baseline (p<0.05) were also observed in VIB. In conclusion, a 6-min bout of WBV results in an increase of muscle stiffness in RF and increased CK levels 1 h after intervention (returning to baseline within 48 h).

The Effect of Overnight Sleep Deprivation After Competitive Rugby League Matches on Postmatch Physiological and Perceptual Recovery

This study examined the effects of overnight sleep deprivation on recovery after competitive rugby league matches. Eleven male amateur rugby league players played 2 competitive matches, followed by either a normal night's sleep (~8 h; CONT) or a sleep-deprived night (~0 h; SDEP) in a randomized fashion. Testing was conducted the morning of the match, immediately postmatch, 2 h postmatch, and the next morning (16 h postmatch). Measures included countermovement-jump (CMJ) distance, knee-extensor maximal voluntary contraction (MVC) and voluntary activation (VA), venous-blood creatine kinase (CK) and C-reactive protein (CRP), perceived muscle soreness, and a word-color recognition cognitive-function test. Percent change between postmatch and 16-h postmatch was reported to determine the effect of the intervention the next morning. Large effects indicated a greater postmatch to 16-h-postmatch percentage decline in CMJ distance after SDEP than in CONT (P = .10-.16, d = 0.95-1.05). Similarly, the percentage decline in incongruent word-color reaction times was increased in SDEP trials (P = .007, d = 1.75). Measures of MVC did not differ between conditions (P = .40-.75, d = 0.13-0.33), although trends for larger percentage decline in VA were detected in SDEP (P = .19, d = 0.84). Furthermore, large effects indicated higher CK and CRP responses 16 h postmatch in SDEP than in CONT (P = .11-.87, d = 0.80-0.88). Sleep deprivation negatively affected recovery after a rugby league match, specifically impairing CMJ distance and cognitive function. Practitioners should promote adequate postmatch sleep patterns or adjust training demands the next day to accommodate the altered physical and cognitive state after sleep deprivation.

Creatine Kinase and Pressor Response to Orthostatic Tolerance

In a recent publication, Okada et al1 reported that elderly blacks have a blunted sympathetic neural responsiveness, but greater pressor response to orthostasis than elderly whites. The authors conclude that elderly blacks had a greater response in total peripheral resistance for a given change in total muscle sympathetic nerve activity during tilting. The authors suggested that an augmented sympathetic vascular transduction or enhanced nonadrenergic vasoconstrictor mechanisms are involved in this enhanced pressor response.1 In an earlier article, greater orthostatic tolerance …

Response to Creatine Kinase and Pressor Response to Orthostatic Tolerance

We thank Karamat et al1 for their comments on our recent article about sympathetic neural and pressor responses to orthostasis in elderly blacks.2 It is an interesting hypothesis that racial differences in creatine kinase (CK) levels might be one of the mechanisms for the enhanced pressor response to upright tilt in elderly blacks. However, whether CK activity measured in the blood and other tissue/organs3 accurately reflects CK concentration at the resistance vessels that provides ATP for …

Serum creatine kinase after exercise: Drawing the line between physiological response and exertional rhabdomyolysis

In this investigation we assessed the spectrum of creatine kinase (CK) responses in military recruits undergoing basic training. Musculoskeletal examination data, questionnaire findings, and CK levels were obtained from 499 recruits at days 0, 3, 7, and 14 of training. Correlations of CK with ethnicity, age, body mass index, exercise, muscle pain, and climate were obtained. None of the subjects developed clinical exertional rhabdomyolysis (ER). The mean/median serum CK values were 223/157, 734/478, 1226/567, and 667/486 IU/L at days 0, 3, 7, and 14, respectively, with a wide overall range (34-35,056 IU/L). African-American subjects had higher mean CK levels. CK elevations and muscle pain are common during basic training. Widely accepted laboratory diagnostic values for ER are routinely exceeded in this military recruits, suggesting that CK levels >50 times the upper limit of normal are more specific. The findings support using CK as a marker for ER. Normal laboratory reference ranges for CK should be published by ethnicity.

Sex-based responses of plasma creatine kinase in broilers to thermoneutral constant and cyclic high temperatures

1. The plasma creatine kinase (CK) activities of male and female broilers under different temperature regimens were studied to investigate the suitability of plasma CK as an indicator of muscle damage due to heat exposure (HE). 2. This study characterises the responses of plasma CK concentration of Arbor Acres broilers to thermoneutral (TN) constant (22°C) or warm cyclic (WC) temperatures (ranging from 27·9°C to 37·9°C). 3. The daily mean CK of the females tended to be higher than those of the males, and significant differences in plasma CK were observed between the genders during the first 5-d test period, namely 2-d TN constant and 3-d WC temperatures. 4. During a 5-d HE to the WC regimens, CK of both genders fluctuated with HE time but exhibited somewhat different profiles. Specifically, the daily mean CK of the females was significantly higher on d 5 of HE than any other daily means, whereas significant difference in daily CK of the males occurred on d 4 of HE. 5. Repetitive blood sampling over 5 d of HE had significant effects on the plasma CK of the females regardless of the number of repeated bleeding times. 6. Profiles of the plasma CK for each gender during d 1 of HE were similar to those under the TN condition, implying that heat stress affects the range of broiler plasma CK concentration but with a 1-d lag. 7. Plasma CK activities of female and male broilers showed a response to HE. However, both the gender and the time of blood sampling should be taken into account when plasma CK is used as an indicator of HE for market-size broilers.

Glutamine Supplementation in Recovery From Eccentric Exercise Attenuates Strength Loss and Muscle Soreness

The purpose of this study was to examine the effect of glutamine supplementation on indices of recovery following eccentric exercise. In a randomized single-blind placebo-controlled design, 15 physically active males (mean age, 21 ± 1.5 years; mean height, 1.81 ± 0.07 m; mean body mass, 78.4 ± 9.2 kg) were assigned to a control or glutamine intervention group. Each participant performed 100 drop jumps from 0.6m followed by ingestion of 0.3 g · kg−1 body mass of maltodextrin mixed with 750 mL of distilled water and lemon flavoring (Control) or with an additional 0.3 g · kg−1 L-glutamine (Glutamine) at 0, 24, 48, and 72 hours post-exercise. Knee-extensor concentric peak torque at angular velocities of 0.52 and 3.14 rad · s−1, perceived muscle soreness, and plasma creatine kinase activity were measured at 0, 1, 24, 48, 72, and 96 hours post-exercise. L-glutamine supplementation resulted in a greater preservation of peak torque over the 96-hour measurement period at both 0.52 rad · s−1 (Control, 75 ± 16%; Glutamine, 85 ± 15% of pre-exercise values, p = 0.03) and 3.14 rad · s−1 (Control, 79 ± 16%; Glutamine, 90 ± 12%, p = 0.01). Muscle soreness was significantly lower over 96 hours with L-glutamine supplementation (Control, 4.6 ± 2.5 units; Glutamine, 3.6 ± 2.5 units, p = 0.03). L-glutamine supplementation did not affect the magnitude or temporal nature of the creatine kinase response. As a therapeutic intervention, glutamine supplementation was effective in attenuating strength loss and muscle soreness following eccentric exercise-induced muscle damage.