Abstract
Serum total creatine kinase (CK) and the lactate dehydrogenase (LDH) isoenzymes were studied in 38 sedentary middle-aged men (aged 35-50 yrs) during a 30 week marathon training programme. Basal CK activity rose by 33% after 15 weeks but a significant rise (27%) in LDH activity took 30 weeks to occur. Post-exercise (maximum test on a bicycle ergometer) CK and LDH activities were higher than pre-exercise levels but the increment in enzyme activity following exercise did not change. LDH1 and LDH2 isoenzyme activity increased by 2.5% and 4% of total LDH respectively while LDH3 and LDH5 decreased by 3.9% and 2.4% respectively over 30 weeks. Post marathon total CK did not correlate with finishing time at 30 mins or 30 hrs post race. The range of CK MB isoenzyme activity at 30 mins post race was 1.8-9.8% of total CK with 11 subjects having a value above 6%. The training programme appears not to have affected muscle CK and LDH release during exercise but isoenzyme distribution changes reflect the adaptations known to occur in muscle during endurance training. Unfortunately only 16 subjects were available for all the investigations, and it is these upon whom most of the data were obtained.
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Selected References
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- DAWSON D. M., GOODFRIEND T. L., KAPLAN N. O. LACTIC DEHYDROGENASES: FUNCTIONS OF THE TWO TYPES RATES OF SYNTHESIS OF THE TWO MAJOR FORMS CAN BE CORRELATED WITH METABOLIC DIFFERENTIATION. Science. 1964 Feb 28;143(3609):929–933. doi: 10.1126/science.143.3609.929. [DOI] [PubMed] [Google Scholar]
- Gollnick P. D., Armstrong R. B., Saubert C. W., 4th, Piehl K., Saltin B. Enzyme activity and fiber composition in skeletal muscle of untrained and trained men. J Appl Physiol. 1972 Sep;33(3):312–319. doi: 10.1152/jappl.1972.33.3.312. [DOI] [PubMed] [Google Scholar]
- HALONEN P. I., KONTTINEN A. Effect of physical exercise on some enzymes in the serum. Nature. 1962 Mar 10;193:942–944. doi: 10.1038/193942a0. [DOI] [PubMed] [Google Scholar]
- Hikida R. S., Staron R. S., Hagerman F. C., Sherman W. M., Costill D. L. Muscle fiber necrosis associated with human marathon runners. J Neurol Sci. 1983 May;59(2):185–203. doi: 10.1016/0022-510x(83)90037-0. [DOI] [PubMed] [Google Scholar]
- Hunter J. B., Critz J. B. Effect of training on plasma enzyme levels in man. J Appl Physiol. 1971 Jul;31(1):20–23. doi: 10.1152/jappl.1971.31.1.20. [DOI] [PubMed] [Google Scholar]
- Karlsson J., Diamant B., Saltin B. Lactate dehydrogenase activity in muscle after prolonged severe exercise in man. J Appl Physiol. 1968 Jul;25(1):88–91. doi: 10.1152/jappl.1968.25.1.88. [DOI] [PubMed] [Google Scholar]
- Karlsson J., Frith K., Sjödin B., Gollnick P. D., Saltin B. Distribution of LDH isozymes in human skeletal muscle. Scand J Clin Lab Invest. 1974 Jun;33(4):307–312. [PubMed] [Google Scholar]
- Ohman E. M., Teo K. K., Johnson A. H., Collins P. B., Dowsett D. G., Ennis J. T., Horgan J. H. Abnormal cardiac enzyme responses after strenuous exercise: alternative diagnostic aids. Br Med J (Clin Res Ed) 1982 Nov 27;285(6354):1523–1526. doi: 10.1136/bmj.285.6354.1523. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Robinson D., Williams P. T., Worthington D. J., Carter T. J. Raised creatine kinase activity and presence of creatine kinase MB isoenzyme after exercise. Br Med J (Clin Res Ed) 1982 Dec 4;285(6355):1619–1620. doi: 10.1136/bmj.285.6355.1619. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rosalki S. B. Creatine phosphokinase isoenzymes. Nature. 1965 Jul 24;207(995):414–414. doi: 10.1038/207414a0. [DOI] [PubMed] [Google Scholar]
- Stansbie D., Aston J. P., Dallimore N. S., Williams H. M., Willis N. Effect of exercise on plasma pyruvate kinase and creatine kinase activity. Clin Chim Acta. 1983 Aug 15;132(2):127–132. doi: 10.1016/0009-8981(83)90240-1. [DOI] [PubMed] [Google Scholar]
- Thomson W. H., Sweetin J. C., Hamilton I. J. ATP and muscle enzyme efflux after physical exertion. Clin Chim Acta. 1975 Mar 10;59(2):241–245. doi: 10.1016/0009-8981(75)90035-2. [DOI] [PubMed] [Google Scholar]
- Young A. Plasma creatine kinase after the marathon--a diagnostic dilemma. Br J Sports Med. 1984 Dec;18(4):269–272. doi: 10.1136/bjsm.18.4.269. [DOI] [PMC free article] [PubMed] [Google Scholar]