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Persistent HyperCKemia in Athletes.

Paola Brancaccio1, Nicola Maffulli, Luisa Politano

  • 1Seconda Università di Napoli, Servizio di Medicina dello Sport, Department of Experimental Medicine, Centre of Excellence of Cardiovascular Disease, Napoli, Italy (PB, GL, FML).

Muscles, Ligaments and Tendons Journal
|June 6, 2013
PubMed
Summary
This summary is machine-generated.

Athletes with high resting creatine kinase (CK) levels show prolonged elevated CK post-exercise compared to healthy athletes. This indicates different exercise responses in athletes with persistent hyperCKemia.

Keywords:
HyperckemiaMuscular EnzymesPrimitive Myopathy

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Area of Science:

  • Exercise Physiology
  • Biochemistry
  • Sports Medicine

Background:

  • Persistent hyperCKemia, defined as high resting serum creatine kinase (CK) levels, is observed in some athletes.
  • The impact of exercise on serum CK levels in athletes with pre-existing hyperCKemia is not fully understood.

Purpose of the Study:

  • To compare the effects of exercise on serum CK levels in athletes with persistent hyperCKemia versus healthy athletes.
  • To investigate the kinetics of serum CK levels following exhaustive exercise in these two groups.

Main Methods:

  • A prospective controlled study involving 18 male athletes with high resting CK (CK group) and 25 healthy male athletes (control group).
  • Blood samples were collected at rest and at multiple time points (30 min, 6, 24, 48, 72 hours) after a progressive cycloergometer test to exhaustion.
  • Serum CK and isoenzyme levels were measured.

Main Results:

  • Control group athletes had normal resting CK levels that slightly increased post-exercise, returning to baseline within 48 hours.
  • CK group athletes exhibited significantly higher resting CK levels, which remained elevated above the normal range for at least 72 hours post-exercise.
  • Significant differences in serum CK levels and post-exercise kinetics were observed between the two groups.

Conclusions:

  • Athletes with persistent hyperCKemia demonstrate altered serum CK responses to exercise compared to healthy athletes.
  • Elevated serum CK levels in this group persist longer after exertion, suggesting a different physiological response to physical stress.