The relationship of serum creatine kinase, fiber type, and isometric exercise.

In 11 untrained subjects (mean age = 22.5 yr) serum creatine kinase (CK) was measured before and after two types of knee extension exercise regimens. One regimen consisted of 35 10-s maximal isometric contractions separated by a 20-s rest (10:20). This regimen provided adequate recovery time between trials so that strength loss amounted to only 23.4% over the 35 contractions. The other exercise regimen consisted of the same 35 maximal isometric contractions but separated by 5 s between trials (10:5), resulting in a 54.6% strength loss. Muscle fiber type was also determined to assess the relationship of fiber type with serum CK and strength loss. The fast-twitch (FT)/slow-twitch (ST) area ratio correlated with resting CK. Baseline strength correlated with strength loss over the 10:5 condition but not with strength loss over the 10:20 condition suggesting different mechanisms responsible for strength decline for the two exercise conditions. Although a greater strength loss was found for the 10:5 condition, serum CK levels were significantly higher following the 10:20 exercise. An analysis of covariance showed that the mean strength level over the 35 contractions was significantly related to CK increase in the two exercise conditions. Results suggest that mechanical factors associated with high tension levels may be responsible for CK efflux following isometric exercise.