Inflammatory Biomarkers in Elite Cross-Country Skiers After a Competition Season: A Case–Control Study

Raakel Luoto , Olli Ruuskanen , Johanna K. Ihalainen , Satu Pekkala , Jukka Hintikka , Noora Kanerva , Matti Waris , Olli J. Heinonen , Maarit Valtonen

Journal of Science in Sport and Exercise ›› 2022, Vol. 5 ›› Issue (3) : 254 -262.

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Journal of Science in Sport and Exercise ›› 2022, Vol. 5 ›› Issue (3) : 254 -262. DOI: 10.1007/s42978-022-00186-w
Original Article

Inflammatory Biomarkers in Elite Cross-Country Skiers After a Competition Season: A Case–Control Study

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Abstract

Purpose

Whether elite athletes, who have been exposed to vigorous-intensity exercise combined with other stressors, have elevated systemic low-grade inflammation, remains largely unclear. To address this question, we studied the levels of six inflammatory cytokines as potential biomarkers of a low-grade inflammatory state in elite athletes after an 11-month training and competition season.

Methods

We collected sera from 27 Finnish elite cross-country skiers and 27 gender- and age-matched, moderately-exercising controls. The serum concentrations of C-reactive protein (CRP), interleukin 6 (IL-6), tumor necrosis factor alpha (TNF-α), glycoprotein acetyls (GlycA), interleukin 10 (IL-10), and interferon gamma (IFN-γ) cytokines were quantified as surrogate markers of low-grade inflammation.

Results

The athletes were found to have significantly lower concentrations of CRP (P = 0.0232) and higher concentrations of IL-10, TNF-α, and IFN-γ (P = 0.0097, P = 0.0256, and P = 0.0185, respectively) than the controls. No significant differences between athletes and controls were detected in the concentrations of IL-6 and GlycA. The inflammatory score (IS) did not differ significantly between athletes and controls.

Conclusion

The results of this study argued against the hypothesis of a significant chronic low-grade inflammation in response to prolonged high-performance exercise among elite endurance athletes.

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Raakel Luoto, Olli Ruuskanen, Johanna K. Ihalainen, Satu Pekkala, Jukka Hintikka, Noora Kanerva, Matti Waris, Olli J. Heinonen, Maarit Valtonen. Inflammatory Biomarkers in Elite Cross-Country Skiers After a Competition Season: A Case–Control Study. Journal of Science in Sport and Exercise, 2022, 5(3): 254-262 DOI:10.1007/s42978-022-00186-w

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Funding

Jenny ja Antti Wihurin Rahasto

University of Turku (UTU) including Turku University Central Hospital

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