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Aerobic Exercise under Cold Conditions May Affect the Cardiac Structure by Elevating the Galectin 3 and CK-MB Levels.
Saime Ozbek Sebin1, Engin Sebin2, Basak Gulakar3
1Department of Physiology, Medical Faculty, Atatürk University, Erzurum, Turkey.
Journal of Human Kinetics
|April 29, 2026
Summary
Aerobic exercise in cold weather, especially at 0°C, significantly increases galectin-3 (Gal-3) and CK-MB levels, indicating potential myocardial injury in healthy individuals. Regular exercise may also lead to biochemical abnormalities affecting cardiac function.
Area of Science:
- Exercise physiology
- Cardiovascular health
- Environmental medicine
Background:
- Regular exercise is crucial for cardiovascular health, but environmental factors like temperature can influence its effects.
- Biomarkers such as galectin-3 (Gal-3) and creatine kinase-MB (CK-MB) are indicators of myocardial stress and injury.
- Understanding the impact of cold-weather exercise on cardiac biomarkers is important for athlete and public health.
Purpose of the Study:
- To evaluate the myocardial effects of acute aerobic exercise in cold weather (0°C) versus temperate conditions (20°C) in healthy individuals.
- To measure changes in galectin-3 (Gal-3) and CK-MB levels in response to exercise at different temperatures.
- To compare these effects between professional athletes, physically active individuals, and sedentary individuals.
Main Methods:
- Forty-one healthy individuals (professional athletes, physically active, sedentary) participated.
- Participants underwent 40 minutes of acute aerobic running exercise at 0°C and 20°C.
- Serum levels of galectin-3 (Gal-3) and CK-MB were measured before and after exercise.
Main Results:
- Baseline Gal-3 levels were significantly higher in athletes and physically active individuals compared to sedentary individuals.
- Exercise at 0°C, but not 20°C, led to a significant increase in post-exercise Gal-3 levels (+7.1%).
- Significant increases in post-exercise CK-MB levels were observed at 0°C, but not at 20°C.
Conclusions:
- Aerobic exercise in cold conditions (0°C) may induce myocardial injury, as evidenced by increased Gal-3 and CK-MB levels.
- Regular exercise is associated with biochemical changes that could potentially affect cardiac structure and function.
- Cold exposure during aerobic exercise warrants further investigation regarding its impact on cardiac health.
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