Background: The serum concentration of creatine kinase (CK) is used widely as an index of skeletal muscle fibre damage in sport and exercise. Since athletes have higher CK values than non-athletes, comparing the values of athletes to the normal values established in non-athletes is pointless. The purpose of this study was to introduce reference intervals for CK in athletes. Method: CK was assayed in serum samples from 483 male athletes and 245 female athletes, aged 7-44. Samples had been obtained throughout the training and competition period. For comparison, CK was also assayed in a smaller number of non-athletes. Reference intervals (2.5th to 97.5th percentile) were calculated by the non-parametric method. Results: The reference intervals were 82-1083 U/L (37˚C) in male and 47-513 U/L in female athletes. The upper reference limits were twice the limits reported for moderately active non-athletes in the literature or calculated in the non-athletes in this study. The upper limits were up to six times higher than the limits reported for inactive individuals in the literature. When reference intervals were calculated specifically in male football (soccer) players and swimmers, a threefold difference in the upper reference limit was found (1492 vs 523 U/ L, respectively), probably resulting from the different training and competition demands of the two sports. Conclusion: Sport training and competition have profound effects on the reference intervals for serum CK. Introducing sport-specific reference intervals may help to avoid misinterpretation of high values and to optimise training.

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The concentration and fatty acid composition of phospholipids in animal cells are important determinants of membrane function. Membrane function may influence apoptosis, a biological process that is crucial for the normal development and function of the body. Few and conflicting data exist regarding the effect of chronic exercise on apoptosis in skeletal muscle, and no data exist regarding the effect of chronic exercise on the fatty acid composition of individual muscle phospholipids. We therefore examined the effects of 8 weeks of voluntary wheel running on DNA fragmentation (an index of apoptosis) and on the concentration and fatty acid composition of individual muscle phospholipids and ceramide (a lipid involved in apoptotic signalling) in rat gastrocnemius muscle by comparing 11 trained and 14 untrained male Wistar rats. The trained animals had significantly (P < 0.05) higher cytochrome c oxidase activity (an index of aerobic adaptation) and lower phosphatidyl inositol concentration compared with their untrained counterparts. Groups did not differ in DNA fragmentation or any other lipid parameter. Our findings suggest that chronic wheel running did not affect apoptosis or the concentration and fatty acid composition of most phospholipids and ceramide in rat gastrocnemius muscle. Given the participation of several phospholipids and ceramide in apoptotic signalling, it appears that the lack of changes in the lipid parameters is in agreement with the lack of change in DNA fragmentation with exercise.

The aim of the present study was to compare the values of seventeen hematologic and biochemical parameters between juvenile and adult athletes and non-athletes of both sexes. 579 athletes and 241 non-athletes participated in the study. We measured packed-cell volume, hemoglobin, red blood cell count, white blood cell count, platelet count, iron, glucose, urea, triacylglycerols, total cholesterol, high-density lipoprotein cholesterol, total/high-density lipoprotein cholesterol ratio, calcium, magnesium, creatine kinase, as well as alanine and aspartate aminotransferases. We found significant differences according to age, sex, and physical activity in the majority of the parameters. The effect size of physical activity on most parameters was small (< 0.5); however, that on packed-cell volume, glucose, urea, calcium, magnesium, and creatine kinase was moderate to high (0.5 to 0.8). It is remarkable that three of the highest effect sizes of physical activity appeared on parameters thought to be under tight homeostatic control (i. e., glucose, calcium, and magnesium). We conclude that physical training influences most of the biochemical parameters routinely measured in athletes, although, in some cases, its effect appears to be of limited biological importance. Therefore, clinical assessment on the basis of blood tests has to take into account not only the age and sex, but also the training status of individuals.

We investigated the effect of an acute bout of endurance exercise on c-Fos protein levels in the extensor digitorum longus muscle of trained and untrained rats. Fifty rats were equally divided into a trained and an untrained group. Rats of the trained group ran on a treadmill 45 min/day for 5 days. On the sixth day, 5 rats were killed without exercise, while the remaining 20 ran as above and were killed 0, 3, 6, and 12 h post-exercise (5 rats at each time point). In the untrained group, 5 rats were killed without exercise, while the remaining 20 ran as above only once and were killed at the same time points as the trained group. Western blotting demonstrated no significant changes in c-Fos protein levels in the untrained group. On the contrary, in the trained group, there was a significant increase at 6 and 12 h compared to 3 h post-exercise. The levels of the protein in the trained rats were above the corresponding levels in the untrained ones at all time points, although these differences reached statistical significance only immediately, 6 h and 12 h post-exercise. These results show that trained skeletal muscle exhibits increased levels of c-Fos, probably as a cumulative result of changes occurring during recovery from each exercise bout, and greater c-Fos response after acute endurance exercise compared to untrained skeletal muscle.