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no thanks nuha70hamza@ntu.edu.iq


Abstract

The objective of this study was to investigate how muscle-related enzymes, i.e., creatine kinase (CK) and lactate dehydrogenase (LDH), depend on various degrees of physical exercise intensity in apparently healthy individuals. The study participants, 180 in number, between 20 and 50 years old, were selected from Kirkuk city and divided into three groups according to their physical activity: sedentary, moderately active, and highly active. Blood was taken before and 30 minutes after exercise in the active groups, and serum creatine kinase and lactate dehydrogenase levels were determined. In addition, heart rate and blood lactate concentrations were measured.


There was no significant difference between the two groups in terms of initial levels of CK and LDH enzymes, i.e., (p > 0.05). However, after exercise, there was a significant increase in levels of CK and LDH enzymes in moderate and high activity groups, i.e., (p < 0.001), with higher levels of enzymes in highly active individuals.


The increase in CK levels is related to muscle stress during exercise and is a result of temporary changes in cell membrane permeability, and the increase in LDH levels relates to increased demand during exercise. This combination of markers gives a picture of what happens in terms of structure and metabolism in the muscles.

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How to Cite
Hamza Khedhir, N. (2026). Nuha H. Kh. Alterations in Serum Lactate Dehydrogenase and Creatine Kinase Levels in Relation to Physical Activity Intensity: Exercise Intensity–Induced Changes in Serum LDH and CK Levels. Al-Kitab Journal for Pure Sciences, 10(02), 203–220. https://doi.org/10.32441/kjps.10.02.p15
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References

Srinivasan, J. D. (2025). Essentials of Physical Education: Health, Fitness, and Sports Science. AG Publishing House (AGPH Books).

Smith, J. A., Murach, K. A., Dyar, K. A., & Zierath, J. R. (2023). Exercise metabolism and adaptation in skeletal muscle. Nature Reviews Molecular Cell Biology, 24(9), 607-632.

Mukund, K., & Subramaniam, S. (2020). Skeletal muscle: A review of molecular structure and function, in health and disease. Wiley Interdisciplinary Reviews: Systems Biology and Medicine, 12(1), e1462.

Rahmanian, K., Hooshmand, F., Shakeri, M., Rahmanian, V., Jahromi, F. S., & Jahromi, A. S. (2022). Creatine kinase and lactate dehydrogenase enzymes response to lactate tolerance exercise test. Exercise Science, 31(2), 168-172.

Aujla, R., Zubair, M., & Patel, R. (2024). Creatine phosphokinase. StatPearls.

Leite, C. D., Zovico, P. V., Rica, R. L., Barros, B. M., Machado, A. F., Evangelista, A. L., ... & Bocalini, D. S. (2023). Exercise-induced muscle damage after a high-intensity interval exercise session: systematic review. International journal of environmental research and public health, 20(22), 7082.

Farhana, A., & Lappin, S. L. (2023). Biochemistry, lactate dehydrogenase. In StatPearls [internet]. StatPearls Publishing.

Chandel, N. S. (2021). Glycolysis. Cold Spring Harbor Perspectives in Biology, 13(5), a040535.

Zaib, S., Hayyat, A., Ali, N., Gul, A., Naveed, M., & Khan, I. (2022). Role of mitochondrial membrane potential and lactate dehydrogenase A in apoptosis. Anti-Cancer Agents in Medicinal Chemistry-Anti-Cancer Agents), 22(11), 2048-2062.

Leite, C. D., Zovico, P. V., Rica, R. L., Barros, B. M., Machado, A. F., Evangelista, A. L., ... & Bocalini, D. S. (2023). Exercise-induced muscle damage after a high-intensity interval exercise session: systematic review. International journal of environmental research and public health, 20(22), 7082.

Petriz, B. A., Gomes, C. P., Almeida, J. A., de Oliveira Jr, G. P., Ribeiro, F. M., Pereira, R. W., & Franco, O. L. (2017). The effects of acute and chronic exercise on skeletal muscle proteome. Journal of cellular physiology, 232(2), 257-269.

Szydłowska, S., Błaszków, K., Elias, J., Biesiada, W., Zubiak, M., & Kaźmierczak, D. (2025). Regular monitoring of post-training biochemical markers as a tool for injury prevention in professional athletics–review. Quality in Sport, 39, 58897-58897.

LeDrew, M., Sadri, P., Peil, A., & Farahnak, Z. (2025). Muscle Biomarkers as Molecular Signatures for Early Detection and Monitoring of Muscle Health in Aging. Nutrients, 17(17), 2758.

GILBERT, J. A. (2010). IMPACT DU LAIT ET DE SES COMPOSANTES SUR LE CONTRÔLE DE L'APPÉTIT, LA PERTE PONDÉRALE ET LA CAPACITÉ À L'EFFORT Thèse présentée. Physiology & Behavior, 100, 67-75.

Allen, N. E., Arnold, M., Parish, S., Hill, M., Sheard, S., Callen, H., ... & Collins, R. (2021). Approaches to minimising the epidemiological impact of sources of systematic and random variation that may affect biochemistry assay data in UK Biobank. Wellcome open research, 5, 222.

Powers SK, Howley ET. Exercise Physiology: Theory and Application to Fitness and Performance. 11th ed. New York: McGraw-Hill Education; 2021.

Mohammed, S. N., Jasim, M. H., Mahmood, S. H., Saleh, E. N., & Hashemzadeh, A. (2025). The role of irisin in exercise-induced muscle and metabolic health: a narrative review. Naunyn-Schmiedeberg's Archives of Pharmacology, 398(9), 11463-11491.

Carobene, A., Røraas, T., Sølvik, U. Ø., Sylte, M. S., Sandberg, S., Guerra, E., ... & Ceriotti, F. (2017). Biological variation estimates obtained from 91 healthy study participants for 9 enzymes in serum. Clinical chemistry, 63(6), 1141-1150.

Plevkova, J., Brozmanova, M., Harsanyiova, J., Sterusky, M., Honetschlager, J., & Buday, T. (2020). Various aspects of sex and gender bias in biomedical research. Physiological research, 69(Suppl 3), S367.

Landen, S., Hiam, D., Voisin, S., Jacques, M., Lamon, S., & Eynon, N. (2023). Physiological and molecular sex differences in human skeletal muscle in response to exercise training. The Journal of physiology, 601(3), 419-434.

McKeon, J. M. M., & McKeon, P. O. (2016). A balancing act between control and generalizability. International Journal of Athletic Therapy and Training, 21(2), 1-3.

Holmberg, M. J., & Andersen, L. W. (2022). Adjustment for baseline characteristics in randomized clinical trials. Jama, 328(21), 2155-2156.

Radišić Biljak, V., Lazić, A., Nikler, A., Pekas, D., Saračević, A., & Trajković, N. (2025). Post-exercise creatine kinase variability: a literature review. Biochemia medica, 35(2), 186-200.

Powers, S. K., Goldstein, E., Schrager, M., & Ji, L. L. (2022). Exercise training and skeletal muscle antioxidant enzymes: an update. Antioxidants, 12(1), 39.

Brancaccio, P., Lippi, G., & Maffulli, N. (2010). Biochemical markers of muscular damage. Clinical Chemistry & Laboratory Medicine, 48(6).

Baird, M. F., Graham, S. M., Baker, J. S., & Bickerstaff, G. F. (2012). Creatine‐kinase‐and exercise‐related muscle damage implications for muscle performance and recovery. Journal of nutrition and metabolism, 2012(1), 960363.

Farhana, A., & Lappin, S. L. (2023). Biochemistry, lactate dehydrogenase. In StatPearls [internet]. StatPearls Publishing.

Duncan, L. M., Deeds, J., Cronin, F. E., Donovan, M., Sober, A. J., Kauffman, M., & McCarthy, J. J. (2001). Melastatin expression and prognosis in cutaneous malignant melanoma. Journal of clinical oncology, 19(2), 568-576.

Suzuki, Y., & Shioi, Y. (1999). Detection of chlorophyll breakdown products in the senescent leaves of higher plants. Plant and Cell Physiology, 40(9), 909-915.

Todorovic, D., Stojanovic, M., Medic, A., Gopcevic, K., Mutavdzin, S., Stankovic, S., & Djuric, D. (2021). Four weeks of aerobic training affects cardiac tissue matrix metalloproteinase, lactate dehydrogenase and malate dehydrogenase enzymes activities, and hepatorenal biomarkers in experimental hyperhomocysteinemia in rats. International Journal of Molecular Sciences, 22(13), 6792.

Bartoloni, B., Mannelli, M., Gamberi, T., & Fiaschi, T. (2024). The multiple roles of lactate in the skeletal muscle. Cells, 13(14), 1177.

Stožer, A., Vodopivc, P., & Bombek, L. K. (2020). Pathophysiology of exercise-induced muscle damage and its structural, functional, metabolic, and clinical consequences. Physiological research, 69(4), 565.

Szydłowska, S., Błaszków, K., Elias, J., Biesiada, W., Zubiak, M., & Kaźmierczak, D. (2025). Regular monitoring of post-training biochemical markers as a tool for injury prevention in professional athletics–review. Quality in Sport, 39, 58897-58897.

Spanakis, M., Fragkiadaki, P., Renieri, E., Baliou, S., Fragkiadoulaki, I., Vakonaki, E., ... & Tsatsakis, A. (2025). Exploiting interrelated genomic, biochemical, nutritional and pathophysiological data to optimize athletic performance. World Academy of Sciences Journal, 7(4), 52.

Furrer, R., Hawley, J. A., & Handschin, C. (2023). The molecular athlete: exercise physiology from mechanisms to medals. Physiological reviews, 103(3), 1693-1787.

BLuher, M. A. T. T. H. I. A. S., Brennan, A. M., Kelesidis, T., Kratzsch, J., Fasshauer, M., Kralisch, S., ... & Mantzoros, C. S. (2007). Total and high–molecular weight adiponectin in relation to metabolic variables at baseline and in response to an exercise treatment program: comparative evaluation of three assays. Diabetes care, 30(2), 280-285.

Stepanov, G. (2023). Pathophysiological significance of creatinekinase and lactatedehydrogenase in the mechanisms of adaptation of muscle tissue of descendants. Journal of Education, Health and Sport, 50(1), 153-167.

Brancaccio, P., Maffulli, N., & Limongelli, F. M. (2007). Creatine kinase monitoring in sport medicine. British medical bulletin, 81(1), 209-230.

Ball, D. (2015). Metabolic and endocrine response to exercise: sympathoadrenal integration with skeletal muscle. Journal of Endocrinology, 224(2), R79-R95.

Yparraguirre Salcedo, K. G., Rivera Prado, A. B., Lloja Lozano, L., Chambilla Quispe, V. F., & Ramirez Atencio, C. W. (2024). Evaluating Muscle Damage Biomarkers in Adolescent Athletes: Implications for Public Health in Tacna, Peru—2023. International Journal of Environmental Research and Public Health, 21(11), 1394.

Kelly, R. S., Kelly, M. P., & Kelly, P. (2020). Metabolomics, physical activity, exercise and health: A review of the current evidence. Biochimica et Biophysica Acta (BBA)-Molecular Basis of Disease, 1866(12), 165936.

Smith, D. L., & Fernhall, B. (2023). Advanced cardiovascular exercise physiology. Human Kinetics.

Rahmanian, K., Hooshmand, F., Shakeri, M., Rahmanian, V., Jahromi, F. S., & Jahromi, A. S. (2022). Creatine kinase and lactate dehydrogenase enzymes response to lactate tolerance exercise test. Exercise Science, 31(2), 168-172.

Gronwald, T., Rogers, B., & Hoos, O. (2020). Fractal correlation properties of heart rate variability: a new biomarker for intensity distribution in endurance exercise and training prescription?. Frontiers in physiology, 11, 550572.

Li, X., Yang, Y., Zhang, B., Lin, X., Fu, X., An, Y., ... & Yu, T. (2022). Lactate metabolism in human health and disease. Signal transduction and targeted therapy, 7(1), 305.

Lee, S., Choi, Y., Jeong, E., Park, J., Kim, J., Tanaka, M., & Choi, J. (2023). Physiological significance of elevated levels of lactate by exercise training in the brain and body. Journal of bioscience and bioengineering, 135(3), 167-175.