Identification of cardiac repercussions after intense and prolonged concentric isokinetic exercise in young sedentary people

• Published in: Clinical physiology and functional imaging Vol. 35; no. 5; pp. 368 - 375
• Main Authors: Le Goff, Caroline, Kaux, Jean-François, Couffignal, Vincent, Coubard, Romain, Mélon, Pierre, Cavalier, Etienne, Croisier, Jean-Louis
• Format: Journal Article
• Language: English
• Published: England Blackwell Publishing Ltd 01.09.2015; Wiley Subscription Services, Inc
• Subjects: Biomarkers; cardiac biomarkers; Exercise - physiology; Heart - physiology; Humans; Immunologic Factors - blood; isokinetic; Kinases; Male; maximal concentric exercise; oxidative stress; Physical Endurance - physiology; Physical Exertion - physiology; Reactive Oxygen Species - blood; Young Adult; isokinetic; cardiac biomarkers; oxidative stress; maximal concentric exercise
• ISSN: 1475-0961; 1475-097X; 1475-097X
• DOI: 10.1111/cpf.12172

Summary Introduction Cardiopathies are the world's leading cause of mortality and morbidity. Although rare, cardiovascular accidents can occur during intense and infrequent sporting activity, particularly among those who are unaware of their heart condition. The development of cardiospecific biochemical markers has led to a reconsideration of the role of biology in the diagnosis of cardiovascular illnesses. The aim of this study therefore was, through the use of cardiac biomarker assays, to highlight the impact of sustained physical effort in the form of intense and prolonged concentric isokinetic exercise and to research potential cardiovascular risks. Materials and methods Eighteen subjects participated in a maximal concentric isokinetic exercise involving 30 knee flexion–extensions for each leg. Five blood tests were taken to study the kinetics of the cardiac biomarkers. Haemodynamic parameters were measured continuously using a Portapres, and respiratory parameters were measured using a Sensormedics Vmax 29C. Results The results showed significant increases in the creatine kinase, myoglobin, homocysteine and haemoglobin cardiac markers. Evolutionary trends were also observed for the following biomarkers: NT‐proBNP, myeloperoxydase and C‐reactive protein. All the physiological parameters measured presented statistically significant changes. Conclusion Isokinetic effort leads to the release of cardiac markers in the blood, but these do not exceed the reference values in healthy subjects. Maximal concentric isokinetic exercise does not, therefore, lead to an increased risk of cardiovascular pathologies.