Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
Comparison of Some Plasma Inflammation Markers in Elite Master Athletes, Recreational Athletes and Sedentary Males
Elit Master Atletler, Rekreasyonal Atletler ve Sedanter Erkeklerde Bazı Plazma İnflamasyon Markerlerinin Karşılaştırılması
Fatma GİRGİNERa, Gürbüz BÜYÜKYAZI(1954-2018)b, Cevval ULMANc, Yeliz DOĞRUd, Fatma TANELİc, Raziye YILDIZe, Murat TAŞf, Pembe KESKİNOĞLUg
aHacı Serpil Kabaklıoğlu Secondary School, Denizli, TURKEY
bDepartment of Trainer Training, Dokuz Eylül University, Faculty of Sports Sciences, İzmir, TURKEY
cDepartment of Biochemistry, Manisa Celal Bayar University, Faculty of Medicine, Manisa, TURKEY
dDeparment of Sports, İzmir Katip Çelebi University, Deparment of Sports, İzmir, TURKEY
eClinic of Biochemistry Laboratory, Akçaabat Haçkalı Baba State Hospital, Trabzon, TURKEY
fManisa Celal Bayar University, Faculty of Sports Sciences, Manisa, TURKEY
gDepartment of Biostatistics, Dokuz Eylül University, Faculty of Medicine, İzmir, TURKEY
Turkiye Klinikleri J Med Sci. 2019;39(2):202-11
doi: 10.5336/medsci.2018-63235
Article Language: EN
Full Text
ABSTRACT
Objective: It is known that high-intensity exercises lead to muscle damage and fibrosis. This study aims to compare some plasma inflammation markers in elite master athletes, recreational athletes and sedentary males to determine muscle injury. Material and Methods: 60 healthy male participants (min-max 45-65 years) were divided into 3 groups: Elite master athletes performing high intensity training (EMAG; n=22), recreational athletes performing moderate intensity training (RG; n=21) and sedentary controls (CG; n=17). Resting serum levels of the monocyte chemoattractant protein-1 (MCP-1), High-Sensitivity C-Reactive Protein (hsCRP), Tumor Necrosis Factor Alfa (TNF-α), Transforming Growth Factor Beta-1 (TGF-β-1), and Klotho hormone were compared among the groups. Results: Body weight, fat percentages, body mass index were lower and MaxVO2 was higher in EMAG than those of both RG and CG. TGF-β-1 and Klotho Hormone levels of EMAG and RG were higher than CG. Vitamin D levels of EMAG were found higher than those of CG. Conclusion: Regular long-term endurance training has a long-term positive impact on the regeneration of muscle damage and inflammation. The high levels of Klotho hormone determined in EMAG provides a longer and healthier life by extending the initiation process of many illnesses including metabolic diseases.

Keywords: Master athletes; recreational athletes; hsCRP; MCP-1; TGF-β-1; klotho hormone
ÖZET
Amaç: Yüksek şiddette egzersizin kas hasarı ve fibrozise yol açtığı bilinmektedir. Bu çalışma kas yaralanmasını belirlemek için elit master atletler, rekreasyonal atletler ve sedanter erkeklerde bazı plazma inflamasyon markerlerini karşılaştırmayı amaçlamaktadır. Gereç ve Yöntemler: 60 sağlıklı erkek (min-maks: 45-65 yıl) yüksek şiddette antrenman yapan elit master atletler (EMAG; n=22), orta şiddette antrenman yapan rekreasyonal atletler (RG; n=21) ve sedanter kontroller (KG; n=17) olmak üzere üç gruba ayrıldı. Monocyte Chemoattractant Protein-1 (MCP-1), Yüksek hassasiyetli C-Reaktif Protein (hsCRP), Tumor Necrosis Factor Alpha (TNF-α), Transforming Growth Factor Beta-1 (TGF-β-1) ve Klotho hormon istirahat düzeyleri üç grupta karşılaştırıldı. Bulgular: EMAG'ın vücut ağırlığı, yağ yüzdesi ve vücut kütle indeksi değerleri RG ve CG'den daha düşük; MaxVO2 değerleri ise daha yüksekti. EMAG'ın TGF-β-1 ve Klotho hormon düzeyleri hem RG'den hem de CG'den istatistiksel olarak daha yüksekti. EMAG'ın Vitamin D değerleri ise CG'den istatistiksel olarak daha yüksek bulundu. Sonuç: Uzun süre yapılan dayanıklılık antrenmanının kas hasarı ve inflamasyonun rejenerasyonu üzerine olumlu etkisi vardır. EMAG'da belirlenen yüksek düzeylerdeki Klotho hormonu metabolik hastalıklar da dahil pek çok hastalığın başlangıç sürecini uzatarak daha uzun ve daha sağlıklı bir yaşam sağlar.

Anahtar Kelimeler: Master atletler; rekreasyonal atletler; hsCRP; MCP-1; TGF-β-1; klotho hormon
REFERENCES:
  1. Poirier P, Després JP. Exercise in weight management of obesity. Cardiol Clin 2001; 19(3):459-70. [Crossref]
  2. Pollock KM. Exercise in treating depression: broadening the psychotherapist?s role. J Clin Psychol 2001;57(11):1289-300. [Crossref] [PubMed]
  3. Vuori IM. Dose-response of physical activity and low back pain, osteoarthritis, and osteoporosis. Med Sci Sports Exerc 2001;33(6 Suppl):S551-86. [Crossref]
  4. Alvarez RH, Kantarjian HM, Cortes JE. Biology of platelet-derived growth factor and its involvement in disease. Mayo Clin Proc 2006;81(9):1241-57. [Crossref] [PubMed]
  5. Blobe GC, Schiemann WP, Lodish HF. Role of transforming growth factor beta in human disease. N Engl J Med 2000;342(18):1350-8.[Crossref] [PubMed]
  6. Ajani UA, Ford ES, Mokdad AH. Prevalence of high C-reactive protein in persons wih serum lipid concentrations within recommended values. Clin Chem 2004;50(9):161822. [Crossref] [PubMed]
  7. Kasapis C, Thompson PD. The effects of physical activity on serum Creactive protein and inflammatory markers: a systematic review. J Am Coll Cardiol 2005;45(10):1563-9.[Crossref] [PubMed]
  8. Murphy MH, Murtagh EM, Boreham CA, Hare LG, Nevill AM. The effect of a worksite-based walking programme on cardiovascular risk in previously sedentary civil servants. BMC Public Health 2006;6:136-43. [Crossref] [PubMed] [PMC]
  9. Ryu SY, Lee YS, Park J, Kang MG, Kim KS. Relations of plasma high-sensitivity Creactive protein to various cardiovascular risk factors. J Korean Med Sci 2005;20(3):379-83.[Crossref] [PubMed] [PMC]
  10. Yeh ET. High-sensitivity C-reactive protein as a risk assessment tool for cardiovascular disease. Clin Cardiol 2005;28(9):408-12. [Crossref] [PubMed]
  11. Alghadir AH, Gabr SA, Al-Eisa ES. Effects of moderate aerobic exercise on cognitive abilities and redox state biomarkers in older adults. Oxid Med Cell Longev 2016;2016: 2545168. [Crossref] [PubMed] [PMC]
  12. Yoon JH, Park Y, Ahn J, Shin KA, Kim YJ. Changes in the markers of cardiac damage in men following long-distance and ultra-longdistance running races. J Sports Med Phys Fitness 2016;56(3):295-301.
  13. Shireman PK, Contreras-Shannon V, Ochoa O, Karia BP, Michalek JE, McManus LM. MCP-1 deficiency causes altered inflammation with impaired skeletal muscle regeneration. J Leukoc Biol 2007;81(3):775-85.[Crossref] [PubMed]
  14. Charo IF, Ransohoff RM. The many roles of chemokines and chemokine receptors in inflammation. N Engl J Med 2006;354(6):61021. [Crossref] [PubMed]
  15. Kleemann R, Bucala R. Macrophage migration inhibitory factor: critical role in obesity, insulin resistance, and associated comorbidities. Mediators Inflamm 2010;2010:610479.[Crossref] [PubMed] [PMC]
  16. Glintborg D, Christensen LL, Kvorning T, Larsen R, Brixen K, Hougaard DM, et al. Strength training and testosterone treatment have opposing effects on migration inhibitor factor levels in ageing men. Mediators Inflamm 2013;2013:539156. [Crossref] [PubMed] [PMC]
  17. Kaspar F, Jelinek HF, Perkins S, Al-Aubaidy HA, deJong B, Butkowski E. Acutephase inflammatory response to single-bout HIIT and endurance training: a comparative study. Mediators Inflamm 2016;2016:5474837. [Crossref] [PubMed] [PMC]
  18. Güner İ, Özmen D, Bayındır O. [Cytokines]. Turkiye Klinikleri J Med Sci 1997;17(2):65-74.
  19. Ho SS, Dhaliwal SS, Hills AP, Pal S. Effects of chronic exercise training on inflammatory markers in Australian overweight and obese individuals in a randomized controlled trial. Inflammation 2013;36(3):625-32. [Crossref] [PubMed]
  20. Sakamoto A, Tsukamoto T, Furutani Y, Sudo Y, Shimada K, Tomita A, et al. Livecell single-molecule imaging of the cytokine receptor MPL for analysis of dynamic dimerization. J Mol Cell Biol 2016;8(6):553-5. [Crossref][PubMed]
  21. Kim HJ, Lee YH, Kim CK. Biomarkers of muscle and cartilage damage and inflammation during a 200 km run. Eur J Appl Physiol 2007;99(4):443-7. [Crossref] [PubMed]
  22. Schuster N, Krieglstein K. Mechanisms of TGF-beta-mediated apoptosis. Cell Tissue Res 2002;307(1):1-14. [Crossref] [PubMed]
  23. Czarkowska-Paczek B, Zendzian-Piotrowska M, Bartlomiejczyk I, Przybylski J, Gorski J. The influence of physical exercise on the generation of TGF-β 1, PDGF-AA, and VEGF-A in adipose tissue. Eur J Appl Physiol 2011; 111(5):875-81. [Crossref] [PubMed][PMC]
  24. Kuro-o M, Matsumura Y, Aizawa H, Kawaguchi H, Suga T, Utsugi T, et al. Mutation of the mouse klotho gene leads to a syndrome resembling ageing. Nature 1997; 390(6655):45-51. [Crossref] [PubMed]
  25. Çağlayan E, Turan K. [Klotho gene, aging and DNA methylation]. Müsbed 2014;4(3):182-92.
  26. Kuro-o M. Klotho as a regulator of oxidative stress and senescence. J Biol Chem 2008;389(3):233-41. [Crossref] [PubMed]
  27. Semba RD, Cappola AR, Sun K, Bandinelli S, Dalal M, Crasto C, et al. Relationship of low plasma klotho with poor grip strength in older community-dwelling adults: the InCHIANTI study. Eur J Appl Physiol 2012;112(4):1215-20. [Crossref] [PubMed] [PMC]
  28. Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: development and psychometric characteristics. Nurs Res 1987;36(2):76-81. [Crossref] [PubMed]
  29. Laukkanen R, Oja P, Pasanen M, Vuori I. Validity of a two kilometre walking test for estimating maximal aerobic power in over weight adults. Int J Obes Relat Metab Disord 1992;16(4):263-8.
  30. Della Gatta PA, Garnham AP, Peake JM, Cameron-Smith D. Effect of exercise training on skeletal muscle cytokine expression in the elderly. Brain Behav Immun 2014;39:80-6. [Crossref] [PubMed]
  31. Bartlett DB, Fox O, McNulty CL, Greenwood HL, Murphy L, Sapey E, et al. Habitual physical activity is associated with the maintenance of neutrophil migratory dynamics in healthy older adults. Brain Behav Immun 2016;56:15-20. [Crossref] [PubMed] [PMC]
  32. Benito B, Gay-Jordi G, Serrano-Mollar A, Guasch E, Shi Y, Tardif JC, et al. Cardiac arrhythmogenic remodeling in a rat model of long-term intensive exercise training. Circulation 2011;123(1):13-22. [Crossref] [PubMed]
  33. Bunout D, Barrera G, Leiva L, Gattas V, de la Maza MP, Avendaño M, et al. Effects of vitamin D supplementation and exercise training on physical performance in Chilean vitamin D deficient elderly subjects. Exp Gerontol 2006;41(8):746-52. [Crossref] [PubMed]
  34. Hu MC, Shi M, Zhang J, Quiñones H, Griffith C, Kuro-o M, et al. Klotho deficiency causes vascular calcification in chronic kidney disease. J Am Soc Nephrol 2011;22(1):124-36. [Crossref] [PubMed] [PMC]
  35. Saito Y, Yamagishi T, Nakamura T, Ohyama Y, Aizawa H, Suga T, et al. Klotho protein protects against endothelial dysfunction. Biochem Biophys Res Commun 1998;248(2): 324-9.[Crossref] [PubMed]
  36. Semba RD, Cappola AR, Sun K, Bandinelli S, Dalal M, Crasto C, et al. Plasma klotho and car diovascular disease in adults. J Am Geriatr Soc 2011;59(9):1596-601. [Crossref] [PubMed] [PMC]
  37. Mostafidi E, Moeen A, Nasri H, Ghorbani Hagjo A, Ardalan M. Serum klotho levels in trained athletes. Nephrourol Mon 2016;8(1): e30245. [Crossref] [PubMed] [PMC]
  38. Jurado-Fasoli L, Amaro-Gahetea FJ, De-la-O A, Gutiérreza Á, Castilloa MJ. Alcohol consumption and S-klotho plasma levels in sedentary healthy middle-aged adults: a cross sectional study. Drug Alcohol Depend 2019;194:107-11. [Crossref] [PubMed]
  39. Amitani M, Asakawa A, Amitani H, Kaimoto K, Sameshima N, Koyama KI, et al. Plasma klotho levels decrease in both anorexia nervosa and obesity. Nutrition 2013;29(9):1106-9.[Crossref] [PubMed]
  40. Pedersen L, Pedersen SM, Brasen CL, Rasmussen LM. Soluble serum klotho levels in healthy subjects comparison of two different immunoassay. Clin Biochem 2013;46(12): 1079-83. [Crossref] [PubMed]
  41. Amaro-Gahete FJ, De-la-O A, Jurado-Fasoli L, Espuch-Oliver A, Robles-Gonzalez L, Navarro-Lomas G, et al. Exercise training as S-klotho protein stimulator in sedentary healthy adults: Rationale, design, and methodology. Contemp Clin Trials Commun 2018;11:10-9. [Crossref] [PubMed] [PMC]

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