Document Type : Original Article
Authors
1 Msc in Exercise Physiology, Faculty of Educational Sciences and Psychology, Mohaghegh-Ardabili University, Ardabil, Iran.
2 Associate Professor Exercise Physiology, Department of Physical Education & Sport Science, Ardabil Branch, Islamic Azad University, Ardabil, Iran.
3 Associate Professor Exercise Physiology, Faculty of Educational Sciences and Psychology, Mohaghegh-Ardabili University, Ardabil, Iran.
Abstract
Background and Aim: Cardiac biomarkers can be considered as an indicatorto diagnose heart tissue damage and acute myocardial infarction. The purpose of this study was to evaluate the effect of an aerobic exercise with two different intensities on changes in myocardial injury indices including troponin I (CTnI) and creatine kinase MB (CK-MB) in non-athletic middle-aged men. Materials and Methods: Sixteen non-athletic and healthy middle-aged men (mean age 41.72 ± 6.71 years old, height 176.96 ± 5.77 cm and weight 74.77 ± 8.17 kg) were randomly selected forthisstudy in crossover design with 14 day wash out. Subjects were randomly assigned to one of two experimental groups (Moderate intensity group (MI): 8n and High intensity group (HI): 8n). Further, MI group and group HI, ran over a treadmill for thirty minutes with 60% VO2max and 75% VO2max respectively. Blood samples were taken before, immediately and 4 hours after exercise. Data were analyzed using repeated measure ANOVA and independent t-test with significance level was set as pResults: The results indicated that CK-MB significantly increased immediately and four hours after exercise as compared tobaseline in both groups of MI (p<0.001) and HI (p<0.001). However, the increase in cTnI level was significant only after 4 hours after exercise in both groups (p<0.001). In addition, the magnitude of increase in CK-MB (p=0.003) and CTnI (p=0.001) was significantly higher in the HI group than in the MI group, 4 hours after the exercise. Conclusion: According to the results of this study, both moderate and high severity exercises increased the cardiac injury biomarkers, but it seems that high intensity exercise could reults in more damage tomyocardialtissue.
Keywords
Collinson, P., Stubbs, P., & Kessler, A. (2003). Multicentre evaluation of the diagnostic value of cardiac
troponin T, CK-MB mass, and myoglobin for assessing patients with suspected acute coronary syndromes in
routine clinical practice. Heart, 89(3), 280-286.
Defilippi, C. R., De Lemos, J. A., Tkaczuk, A. T., Christenson, R. H., Carnethon, M. R., Siscovick, D. S., ... & Seliger, S. L. (2012). Physical activity, change in biomarkers of myocardial stress and injury, and subsequent heart failure risk in older adults. Journal of the American College of Cardiology, 60(24), 2539-2547.
Dwyer,G. B., & Davis, sh. E. (2008). ACSM,s health-relatedphysical fitness assessment manual. 2th Edition. American Callege of Sports Medicine.
Eijsvogels, T. M., Hoogerwerf, M. D., Maessen, M. F., Seeger, J. P., George, K. P., Hopman, M. T., & Thijssen, D. H. (2015). Predictors of cardiac troponin release after a marathon. Journal of Science and Medicine in Sport, 18(1), 88-92.
Fu, F., Nie, J., & Tong, T. (2009). Serum cardiac troponin T in adolescent runners: effects of exercise intensity
and duration. International Journal of Sports Medicine, 30(03), 168-172.
Gaze, D. C., & Collinson, P. O. (2005). Cardiac troponins as biomarkers of drug-and toxin-induced cardiac toxicity and cardioprotection. Expert Opinion on Drug Metabolism &Toxicology, 1(4), 715-725.
George, K. P., Dawson, E., Shave, R. E., Whyte, G., Jones, M., Hare, E., … & Collinson, P. (2004). Left ventricular
systolic function and diastolic filling after intermittent high intensity team sports. British Journal of Sports Medicine, 38(4), 452-456.
Hayward, R., Hutcheson, K. A., & Schneider, C. M. (2003). Influence of acute resistance exercise on cardiac biomarkers in untrained women. The Journal of Emergency Medicine, 25(4), 351-356.
Klinkenberg, L. J., Luyten, P., van der Linden, N., Urgel, K., Snijders, D. P., Knackstedt, C., … & Cardinaels, E. P.
(2016). Cardiac troponin T and I release after a 30-km run. The American Journal of Cardiology, 118(2), 281-287.
König, D., Schumacher, Y. O., Heinrich, L., Schmid, A., Berg, A., & Dickhuth, H. H. (2003). Myocardial stress after competitive exercise in professional road cyclists. Medicine and Science in Sports and Exercise, 35(10), 1679-1683.
Li, L. H., How, C. K., Kao, W. F., Chiu, Y. H., Meng, C., Hsu, C. C., & Tsay, Y. G. (2017). The impact of hepatitis B carrier on cardiac troponin I in 100-km ultramarathon runners. Journal of the Chinese Medical Association, 80(6), 347-352.
Löwbeer, C., Seeberger, A., Gustafsson, S. A., Bouvier, F., & Hulting, J. (2007). Serum cardiac troponin T, troponin I, plasma BNP and left ventricular mass index in professional football players. Journal of Science and Medicine in Sport, 10(5), 291-296.
McLaurin, M. D., Apple, F. S., Voss, E. M., Herzog, C. A., & Sharkey, S. W. (1997). Cardiac troponin I, cardiac troponin T, and creatine kinase MB in dialysis patients without is chemic heart disease: evidence of cardiac troponin T expression in skeletal muscle. Clinical Chemistry, 43(6), 976-982.
Neumayr, G., Pfister, R., Mitterbauer, G., & Hortnagl, H. (2001). Asymptomatic myocardial damage by extraordinary long-term exercise? Deutsche Zeitschrift Fur Sport Medizin, 52(9), 253-257.
Rahnama, N., Faramarzi, M., & Gaeini, A. A. (2011). Effects of intermittent exercise on cardiac troponin I and creatine kinase-MB. International Journal of Preventive Medicine, 2(1), 20.
Rifai, N., Douglas, P. S., O’Toole, M., Rimm, E., & Ginsburg, G. S. (1999). Cardiac troponin T and I, electrocardiographic wall motion analyses, and ejection fractions in athletes participating in the Hawaii Ironman Triathlon. The American Journal of Cardiology, 83(7), 1085-1089.
Scherr, J., Braun, S., Schuster, T., Hartmann, C., Moehlenkamp, S., Wolfarth, B., … & Halle, M. (2011). 72-h kinetics of high-sensitive troponin T and inflammatory markers after marathon. Medicine and Science in Sports and Exercise, 43(10), 1819-1827.
Serrano-Ostáriz, E., Legaz-Arrese, A., Terreros-Blanco, J. L., López-Ramón, M., Cremades-Arroyos, D.,
Alvarez-Izquierdo, S., &Boscos-Terraz, P. (2009). Cardiac biomarkers and exercise duration and intensity during a cycle-touring event. Clinical Journal of Sport Medicine, 19(4), 293-299.
Serrano‐Ostáriz, E., Terreros‐Blanco, J. L., Legaz‐Arrese, A., George, K., Shave, R., Bocos‐Terraz, P., ... & Aragonés, M. T. (2011). The impact of exercise duration and intensity on the release of cardiac biomarkers. Scandinavian Journal of Medicine& Science in Sports, 21(2), 244-249.
Shave, R., Dawson, E., Whyte, G., George, K., Gaze, D., & Collinson, P. (2004). Altered cardiac function and
minimal cardiac damage during prolonged exercise. Medicine & Science in Sports & Exercise,36(7), 1098-1103.
Shave, R., Ross, P., Low, D., George, K., & Gaze, D. (2010). Cardiac troponin I is released following high-intensity short-duration exercise in healthy humans. International Journal of Cardiology, 145(2), 337-339.
Salarmohammadi, S., Mogharnasi, M., Marefati, H., Aminizadeh, S., & Hajghani, M. (2015). The effects of endurance training with testosterone injection on chemerin and apelin levels in rats with ischemic heart disease. Journal of Practical Studies of Biosciences in Sport, 3(6) ,31-41. [Persion]
Smith, J. E., Garbutt, G., Lopes, P., & Pedoe, D. T. (2004). Effects of prolonged strenuous exercise (marathon running) on biochemical and haematological markers used in the investigation of patients in the emergency department. British Journal of Sports Medicine, 38(3), 292-294.
Stewart, G. M., Yamada, A., Haseler, L. J., Kavanagh, J. J., Chan, J., Koerbin, G., ... & Sabapathy, S. (2016). Influence of exercise intensity and duration on functional and biochemical perturbations in the human heart. The Journal of Physiology, 594(11), 3031-3044.
Tartibian, B., & Ebrahimi-Torkamani, B. (2016). Muscle damage and inflammatory indices response to intense
exercise in healthy boys: relationship between the indices. Journal of Practical Studies of Biosciences in Sport, 4(8), 31-41. [Persion]
Traiperm, N., Gatterer, H., Wille, M., & Burtscher, M. (2012). Cardiac troponins in young marathon runners. The
American Journal of Cardiology, 110(4), 594-598.
Van Der Linden, N., Klinkenberg, L. J., Leenders, M., Tieland, M., Verdijk, L. B., Niens, M., ... & van Dieijen-Visser, M. P. (2015). The effect of exercise training on the course of cardiac troponin T and I levels: three independent training studies. Scientific Reports, 5, 18320.
Whyte, G. P., George, K., Sharma, S., Lumley, S., Gates, P., Prasad, K., & McKENNA, W. J. (2000). Cardiac fatigue following prolonged endurance exercise of differing distances. Medicine & Science in Sports & Exercise, 32(6), 1067-1072.