The Comparison of Three Exercise Protocols on Specific Biochemical Markers of Cardiac Cells in Overweight Men

Document Type : Research Paper

Authors

1 Exercise Physiology Department, Sport Science Faculty, University of Tehran, Tehran, Iran

2 Exercise Physiology department, Sport Science Faculty, University of Tehran, ( Kish International Campus), Kish, Iran.

Abstract

Background & Purpose: Exercise duration and intensity associated with increases in serum Biochemical Markers of Cardiac Cells levels. The aim of this study was to evaluate the effect of continuous and intermittent intense running activity on the level of serum CK-MB and cTnI of overweight men.
Methodology: 40 subjects of 30-40 years old with a BMI 27-29 were randomly divided into three experimental groups (continuous, intermittent alternating 30 and 60 seconds) and control group. Exercises were done for eight weeks, each three sessions. Blood samples of the subjects takes for five times (before, four and 24 hours after the first session and the last session). Data were analyzed with repeated measures analysis variance at a significance level (P≤0. 05).
Results: The results showed a significant increase in serum CK-MB in Posttest of training groups with no increase in control group (P≤0. 05). Serum cTnI levels of four-hour posttest of continuous, intermittent exercise 60 seconds group showed a significant increase compared to the pretest and 24-hour posttest (P≤0. 05) but not significant in the interval of 30 seconds (P>0. 05). Serum cTnI levels of posttest of four-hour of continuous groups on the last week was a significant reduction than the four-hour of first week (P≤0. 05). Serum cTnI levels of all training groups was no significant difference, between 24-hour test of last week and first week.
Conclusion: It seems that none of these activities can be sustained heart damage. Temporary increase in the index as a result of impaired cardiac cell membrane is unstable. Activities, especially continuous activities will be situation to reduce this.

Keywords


##Burgomaster KA, Howarth KR, Phillips SM, Rakobowchuk M, MacDonald MJ, McGee SL, et al. 2008. Similar metabolic adaptations during exercise after low volume sprint interval and traditional endurance training in humans. The Journal of physiology. 586(1): 151-60.##Burgomaster KA, Heigenhauser GJ, Gibala MJ. 2006. Effect of short-term sprint interval training on human skeletal muscle carbohydrate metabolism during exercise and time-trial performance. Journal of applied physiology.100(6):2041-7.##Burgomaster KA, Hughes SC, Heigenhauser GJ, Bradwell SN, Gibala MJ. 2005. Six sessions of sprint interval training increases muscle oxidative potential and cycle endurance capacity in humans. Journal of applied physiology.98(6):1985-90.##Boutcher SH. 2010. High-intensity intermittent exercise and fat loss. Journal of obesity. 506(1): 151-61.##Gosselin LE, Kozlowski KF, DeVinney-Boymel L, Hambridge C. 2012. Metabolic response of different high-intensity aerobic interval exercise protocols. The Journal of Strength & Conditioning Research.26(10):2866-71.##Asghari E, Damirchi A.2013. A comparison between Effects Of high intensity and high volume training on lactate accumulation, time performance and vo2peak in 10-14 year old distance runners. Sport Biosciences.33(18):29-40##Claessens P, Claessens C, Claessens M, Henderieckx J, Claessens J. 2000. Physiological or pseudophysiological ECG changes in endurance-trained athletes. Heart and vessels.15(4):181-90.##Willich SN, Lewis M, Lowel H, Arntz H-R, Schubert F, Schroder R. 1993. Physical exertion as a trigger of acute myocardial infarction. New England Journal of Medicine.329(23):1684-90.##Michielsen EC, Wodzig WK, Van Dieijen-Visser MP. 2008. Cardiac troponin T release after prolonged strenuous exercise. Sports Medicine.38(5):425-35.##Stuewe SR, Gwirtz PA, Mallet RT. 2001. Exercise training increases creatine kinase capacity in canine myocardium. Medicine and science in sports and exercise.33(1):92-8.##Tian Y, Nie J, George KP, Huang C. 2014.  Reproducibility of cardiac biomarkers response to prolonged treadmill exercise. Biomarkers.19(2):114-20.##Rifai N, Douglas PS, O’Toole M, Rimm E, Ginsburg GS. 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):1085-9.##Nalcakan GR. 2014. The Effects of Sprint Interval vs. Continuous Endurance Training on Physiological And Metabolic Adaptations in Young Healthy Adults. Journal of human kinetics.44(1):97-109.##König D, Schumacher YO, 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):1679-83.##Rejaei SF, Mojtahedi H, Marandi M, Rahnama N, Movahedi AR, Bambaeichi E, et al. 2012 . The Effects of Resistance, Endurance, and Combined Exercise on Cardiac Biomarkers in Active Subjects. Jornal Of Isfahan Medical School,30(86): 500-11. In Persian.##Shave R, Baggish A, George K, Wood M, Scharhag J, Whyte G, et al. 2010. Exercise-induced cardiac troponin elevation: evidence, mechanisms, and implications. Journal of the American College of Cardiology.56(3):169-76.##Eijsvogels T, Hoogerwerf MD, Oudegeest-Sander MH, Hopman M, Thijssen D. 2014. The impact of exercise intensity on cardiac troponin I release. InternationalJournal ofCardiology.171(1):e3-4.##.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):337-9.##Eijsvogels TM, Veltmeijer MT, George K, Hopman MT, Thijssen DH. 2012. The impact of obesity on cardiac troponin levels after prolonged exercise in humans. European journal of applied physiology.112(5):1725-32.##Wakshlag J, Kraus M, Gelzer A, Downey R, Vacchani P. 2010. The Influence of High‐Intensity Moderate Duration Exercise on Cardiac Troponin I and C‐Reactive Protein in Sled Dogs. Journal of Veterinary Internal Medicine.24(6):1388-92.##Legaz-Arrese A, López-Laval I, George K, Puente-Lanzarote JJ, Moliner-Urdiales D, Ayala-Tajuelo VJ, et al.2015. Individual variability in cardiac biomarker release after 30 min high intensity rowing in elite and amateur athletes. Applied Physiology, Nutrition, and Metabolism. 40(9):951-8.##Legaz-Arrese A. 2011. Cardiac biomarker response to intermittent exercise bouts. International Journal of Sports Medicine.32:327-31.##Faramarzi M, Gaeini A, Kordi M. 2007. Effest of intense interval physical activity and carbohydrate supplement on biomarkers of cardiac (cTnI, CK-MB) insoccer players. Olympic.15(3):35-44.##Gelber RP, Gaziano JM, Orav EJ, Manson JE, Buring JE, Kurth T. 2008. Measures of obesity and cardiovascular risk among men and women. Journal of the American College of Cardiology.52(8):605-15.##James W. 2008. Who recognition of the global obesity epidemic. International Journal of Obesity.32:S120-S6.##Wallace TW, Abdullah SM, Drazner MH, Das SR, Khera A, McGuire DK, et al. 2006. Prevalence and determinants of troponin T elevation in the general population. Circulation.113(16):1958-65.##Saunders JT, Nambi V, de Lemos JA, Chambless LE, Virani SS, Boerwinkle E, et al. 2011. Cardiac troponin T measured by a highly sensitive assay predicts coronary heart disease, heart failure, and mortality in the Atherosclerosis Risk in Communities Study. Circulation.123(13):1367-76.##Mehta R, Gaze D, Mohan S, Williams K, Sprung V, George K, et al. 2012. Post-exercise cardiac troponin release is related to exercise training history. International Journal of Sports Medicine.33(5):333-7.##Hottenrott K, Ludyga S, Schulze S. 2012. Effects of high intensity training and continuous endurance training on aerobic capacity and body composition in recreationally active runners. Journal of Sports Science and Medicine.11:483-8.##Dupont G, Blondel N, Lensel G, Berthoin S. 2002. Critical velocity and time spent at a high level of for short intermittent runs at supramaximal velocities. Canadian journal of applied physiology.27(2):103-15.##Burgomaster KA, Cermak NM, Phillips SM, Benton CR, BonenA, Gibala MJ. 2007. Divergent response of metabolite transport proteins in human skeletal muscle after sprint interval training and detraining. American Journal of Physiology-Regulatory, Integrative and Comparative Physiology.292(5):R1970-R6.##Whyte LJ, Gill JM, Cathcart AJ. 2010. Effect of 2 weeks of sprint interval training on health-related outcomes in sedentary overweight/obese men. Metabolism.59(10):1421-8.##Apple F, Rogers M, Sherman W, Costill D, Hagerman F, Ivy J. 1984. Profile of creatine kinaseisoenzymes in skeletal muscles of marathon runners. Clinical chemistry.30(3):413-6.##Gibala MJ, Little JP, MacDonald MJ, Hawley JA. 2012. Physiological adaptations to low‐volume, high‐intensity interval training in health and disease. The Journal of physiology.590(5):1077-84.##Nie J, Tong T, Shi Q, Lin H, Zhao J, Tian Y. 2008. Serum Cardiac Troponin Response in Adolescents Playing Basketball. International Journal of Sports Medicine.29:449-52. ##Siegel A, Silverman L, Evans W, Madar D. 1982.Elevated Skeletal Muscle Creatine Kinase Mb Isoenzyme Levels In Marathon Runners. Medicine & Science in Sports & Exercise.14(2):171.##Jaffe AS, Garfinkel BT, Ritter CS, Sobel BE. 1984. Plasma MB creatine kinase after vigorous exercise in professional athletes. The American journal of cardiology.53(6):856-8.##Thompson PD, Apple FS, Wu A. 2006. Marathoner’s heart? Circulation.114(22):2306-8.##Clarkson P, Byrnes W, McCormick K, Turcotte L, White J. 1986. Muscle soreness and serum creatine kinase activity following isometric, eccentric, and concentric exercise. International journal of sports medicine.7(3):152-5.##Toft AD, Jensen LB, Bruunsgaard H, Ibfelt T, Halkjær-Kristensen J, Febbraio M, et al. 2002. Cytokine response to eccentric exercise in young and elderly humans. American Journal of Physiology-Cell Physiology.28(1) 3:C289-C95.##Pavlat DJ, Breithaupt T, Mundfrom D, Schneider CM. 2002.The Effects Of Strenuous Exercise On Cardiac Markers In An Inactive Population. Medicine & Science in Sports & Exercise.34(5):S112.##Antman E, Bassand J-P, Klein W, Ohman M, Sendon JLL, Rydén L, et al. 2000. Myocardial infarction redefineda consensus document of the Joint European Society of Cardiology/American College of Cardiology committee for the redefinition of myocardial infarction: the Joint European Society of Cardiology/American College of Cardiology Committee. Journal of the American College of Cardiology.36(3):959-69.##Shave R, Dawson E, Whyte G, George K, Gaze D, Collinson P. 2004. Altered cardiac function and minimal cardiac damage during prolonged exercise. MedicineAnd Science In Sports And Exercise.36(7):1098-103.##Shave R, Dawson E, Whyte G, George K, Gaze D, Collinson P.2004. Effect of prolonged exercise in a hypoxic environment on cardiac function and cardiac troponin T. British journal of sports medicine. 38(1): 86-88.##Tian Y, Nie J, Tong T, Cao J, Gao Q, Man J, et al. 2006. Changes in serum cardiac troponins following a 21-km run in junior male runners. Journal of sports medicine and physical fitness.46(3):481.##George K, Dawson E, Shave R, Whyte G, Jones M, Hare E, et al. 2004. Left ventricular systolic function and diastolic filling after intermittent high intensity team sports. British journal of sports medicine.38(4):452-6.##Beltrami AP, Barlucchi L, Torella D, Baker M, Limana F, ChimentiS, et al. 2003. Adult cardiac stem cells are multipotent and support myocardial regeneration. Cell.114(6):763-76.##Thijssen D, Steendijk S, Hopman M. 2009. Blood redistribution during exercise in subjects with spinal cord injury and controls. Medicine+ Science in Sports+ Exercise.41(6):1249.##Qamar M, Read A. 1987. Effects of exercise on mesenteric blood flow in man. Gut.28(5):583-7.##Hickman PE, Potter JM, Aroney C, Koerbin G, Southcott E, Wu AH, et al. 2010. Cardiac troponin may be released by ischemia alone, without necrosis. Clinica Chimica Acta.411(5):318-23.##Koller A, Schobersberger W. 2009. Post-exercise release of cardiac troponins. Journal of the American College of Cardiology.53(15):1341-.##McNeil PL, Khakee R. 1992. Disruptions of muscle fiber plasma membranes. Role in exercise-induced damage. The American journal of pathology.140(5):1097.##Legaz-Arrese A, George K, Carranza-García LE, Munguía-Izquierdo D, Moros-García T, Serrano-Ostáriz E. 2011. The impact of exercise intensity on the release of cardiac biomarkers in marathon runners. European journal of applied physiology.111(12):2961-7.##Goette A, Bukowska A, Dobrev D, Pfeiffenberger J, Morawietz H, Strugala D, et al. 2009. Acute atrial tachyarrhythmia induces angiotensin IItype 1 receptor-mediated oxidative stress and microvascular flow abnormalities in the ventricles. European heart journal. 30(11):1411-20.##Sahlin EHK. 1980. Acid-base balance during exercise. Exercise and sport sciences reviews.8(1):41-128.##Fortescue EB, Shin AY, Greenes DS, Mannix RC, Agarwal S, Feldman BJ, et al. 2007. Cardiac troponin increases among runners in the Boston Marathon. Annals of emergency medicine.49(2):137-43. e1.##Ebbeling CB, Clarkson PM. 1989. Exercise-induced muscle damage and adaptation. Sports Medicine.7(4):207-34.##Eijsvogels TM, Hoogerwerf MD, Maessen MF, Seeger JP, George KP, Hopman MT, et al. 2015. Predictors of cardiac troponin release after a marathon. Journal of Science and Medicine in Sport.18(1):88-92.##Normandin E, Nigam A, Meyer P, Juneau M, Guiraud T, Bosquet L, et al. 2013. Acute responses to intermittent and continuous exercise in heart failure patients. Canadian Journal of Cardiology.29(4):466-71.##Guiraud T, Juneau M, Nigam A, Gayda M, Meyer P, Mekary S, etal. 2010. Optimization of high intensity interval exercise in coronary heart disease. European journal of applied physiology.108(4):733-40.##Meyer K, Samek L, Schwaibold M, Westbrook S, Hajric R, Beneke R, et al. 1997. Interval training in patients with severe chronic heart failure: analysis and recommendations for exercise procedures. Medicine and Science in Sports and Exercise.29(3):306-12.#