Int J Sports Med 2022; 43(06): 533-537
DOI: 10.1055/a-1678-7340
Training & Testing

Individual-based Creatine Kinase Reference Values in Response to Soccer Match-play

João Ribeiro
1   Research Center in Sports Sciences Health Sciences and Human Development, (CIDESD), Portugal; University of Maia, ISMAI, Portugal
2   Department of Performance Optimization, GOD, Sporting Clube de Braga SAD, Braga, Portugal
,
3   Physical Education, Federal University of Paraiba, Joao Pessoa, Brazil
,
Vitor Moreira
2   Department of Performance Optimization, GOD, Sporting Clube de Braga SAD, Braga, Portugal
,
Francisco Miranda
2   Department of Performance Optimization, GOD, Sporting Clube de Braga SAD, Braga, Portugal
,
Nuno Romano
4   AS Roma , Football Club, Rome, Italy
,
Fábio Yuzo Nakamura
5   Federal University of Paraiba, Department Sports Sciences, Joao Pessoa, Brazil
6   Research Center in Sports Sciences Health Sciences and Human Development, CIDESD Multicentric Research Group, Vila Real, Portugal
› Author Affiliations
Funding This study was supported by Portuguese Foundation for Science and Technology (FCT) grant UID/04045/2020.

Abstract

The aim of the present study was to determine the creatine kinase reference limits for professional soccer players based on their own normal post-match response. The creatine kinase concentration was analyzed in response to official matches in 25 players throughout a 3-year period. Samples were obtained between 36–43 hours following 70 professional soccer matches and corresponded to 19.1±12.1 [range: 6–49] samples per player. Absolute reference limits were calculated as 2.5th and 97.5th percentile of the samples collected. Creatine kinase values were also represented as a percentage change from the individual’s season mean and represented by 90th, 95th and 97.5th percentiles. The absolute reference limits for creatine kinase concentration calculated as 97.5th and 2.5th percentiles were 1480 U.L−1 and 115.8 U.L−1, respectively. The percentage change from the individual’s season mean was 97.45±35.92% and players were in the 90th, 95th and 97.5th percentiles when the percentages of these differences were 50.01, 66.7, and 71.34% higher than player’s season mean response, respectively. The data allowed us to determine whether the creatine kinase response is typical or if it is indicative of a higher than normal creatine kinase elevation and could be used as a practical guide for detection of muscle overload, following professional soccer match-play.



Publication History

Received: 04 August 2020

Accepted: 13 October 2021

Article published online:
09 January 2022

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  • References

  • 1 Stolen T, Chamari K, Castagna C. et al. Physiology of soccer: An update. Sports Med 2005; 35: 501-536
  • 2 Baird MF, Graham SM, Baker JS. et al. Creatine-kinase- and exercise-related muscle damage implications for muscle performance and recovery. J Nutr Metab 2012; 2012: 960363
  • 3 Mohr M, Draganidis D, Chatzinikolaou A. et al. Muscle damage, inflammatory, immune and performance responses to three football games in 1 week in competitive male players. Eur J Appl Physiol 2016; 116: 179-193
  • 4 Mougios V. Reference intervals for serum creatine kinase in athletes. Br J Sports Med 2007; 41: 674-678
  • 5 Meyer T, Meister S. Routine blood parameters in elite soccer players. Int J Sports Med 2011; 32: 875-881
  • 6 Lazarim FL, Antunes-Neto JM, da Silva FO. et al. The upper values of plasma creatine kinase of professional soccer players during the Brazilian National Championship. J Sci Med Sport 2009; 12: 85-90
  • 7 Brancaccio P, Maffulli N, Limongelli FM. Creatine kinase monitoring in sport medicine. Br Med Bull 2007; 81-82: 209-230
  • 8 Inman LAG, Rennie MJ, Watsford ML. et al. Reference values for the creatine kinase response to professional Australian football match-play. J Sci Med Sport 2018; 21: 852-857
  • 9 Hecksteden A, Pitsch W, Julian R. et al. A new method to individualize monitoring of muscle recovery in athletes. Int J Sports Physiol Perform 2017; 12: 1137-1142
  • 10 Harriss DJ, MacSween A, Atkinson G. Ethical standards in sport and exercise science research: 2020 update. Int J Sports Med 2019; 40: 813-817
  • 11 de Oliveira DCX, Frisselli A, de Souza EG. et al. Venous versus capillary sampling for total creatine kinase assay: Effects of a simulated football match. PLoS One 2018; 13: e0204238
  • 12 Solberg HE. The IFCC recommendation on estimation of reference intervals. The RefVal program. Clin Chem Lab Med 2004; 42: 710-714
  • 13 Solberg HE. Approved recommendation (1987) on the theory of reference values. Part 5. Statistical treatment of collected reference values. Determination of reference limits. Clin Chim Acta 1987; 170: S13-S32
  • 14 Solberg HE, Lahti A. Detection of outliers in reference distributions: performance of Horn's algorithm. Clin Chem 2005; 51: 2326-2332
  • 15 Ispirlidis I, Fatouros IG, Jamurtas AZ. et al. Time-course of changes in inflammatory and performance responses following a soccer game. Clin J Sport Med 2008; 18: 423-431
  • 16 Ascensao A, Rebelo A, Oliveira E. et al. Biochemical impact of a soccer match – analysis of oxidative stress and muscle damage markers throughout recovery. Clin Biochem 2008; 41: 841-851
  • 17 Malone S, Mendes B, Hughes B. et al. Decrements in neuromuscular performance and increases in creatine kinase impact training outputs in elite soccer players. J Strength Cond Res 2017; 32: 1342-1351
  • 18 Russell M, Northeast J, Atkinson G. et al. Between-match variability of peak power output and creatine kinase responses to soccer match-play. J Strength Cond Res 2015; 29: 2079-2085
  • 19 Coelho DB, Morandi RF, Melo MAAd. et al. Creatine kinase kinetics in professional soccer players during a competitive season. Rev Bras de Cineantropometria e Desempenho Hum 2011; 13: 189-194
  • 20 Gregson W, Drust B, Atkinson G. et al. Match-to-match variability of high-speed activities in premier league soccer. Int J Sports Med 2010; 31: 237-242
  • 21 Al Haddad H, Mendez-Villanueva A, Torreno N. et al. Variability of GPS-derived running performance during official matches in elite professional soccer players. J Sports Med Phys Fitness 2018; 58: 1439-1445
  • 22 Nedelec M, McCall A, Carling C. et al. The influence of soccer playing actions on the recovery kinetics after a soccer match. J Strength Cond Res 2014; 28: 1517-1523
  • 23 Varley MC, Gabbett T, Aughey RJ. Activity profiles of professional soccer, rugby league and Australian football match play. J Sports Sci 2014; 32: 1858-1866
  • 24 Hagstrom AD, Shorter KA. Creatine kinase, neuromuscular fatigue, and the contact codes of football: A systematic review and meta-analysis of pre- and post-match differences. Eur J Sport Sci 2018; 18: 1234-1244
  • 25 Flatt AA, Esco MR, Nakamura FY. Individual heart rate variability responses to preseason training in high level female soccer players. J Strength Cond Res 2017; 31: 531-538
  • 26 Flatt AA, Esco MR, Nakamura FY. et al. Interpreting daily heart rate variability changes in collegiate female soccer players. J Sports Med Phys Fitness 2017; 57: 907-915