The Effect of Eccentric Exercise on Serum Creatine Kinase Activity in Different Ethnic Groups

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Abstract
Eccentric exercise causes release of muscle creatine kinase (CK) 3–4 days after exercise. Racial variation in basal serum CK has been reported but the reasons for this are unknown. We studied 30 subjects of different ethnic origin (Caucasian, Afro-Caribbean, Asian) before and after eccentric exercise. Basal serum CK was significantly higher in the Afro-Caribbean group (201 ± 134IU/L, median ± SD) compared to Caucasians (81 ± 57 IU/L). The Asian group had intermediate CK values (144 ± 93 IU/L). The intra-individual range of peak post-exercise CK values obtained was very wide (95–30 200 IU/L) with little difference in median CK between the Afro-Caribbean (8450 ± 9020 IU/L) and Caucasian groups (7600 ± 8800 IU/L). The median value for the Asian group was lower (594 ± 5410 IU/L). A sub-group of 15 individuals undertook a second bout of exercise 2 weeks later and all subjects demonstrated a training effect resulting in a marked attenuation of enzyme efflux. The variation in CK between the ethnic groups was not related to measurements of muscle strength or body mass, although the torque: body mass ratio followed the same order as the basal CK, i.e. the Afro-Caribbeans had the highest values. These results highlight the importance of considering ethnic origin and previous exercise history when interpreting serum CK assay results.

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