The effect of the competitive season in professional basketball on inflammation and iron metabolism
Open accessAbstract
Following acute physical activity, blood hepcidin concentration appears to increase in response to exercise-induced inflammation, but the long-term impact of exercise on hepcidin remains unclear. Here we investigated changes in hepcidin and the inflammation marker interleukin-6 to evaluate professional basketball players' response to a season of training and games. The analysis also included vitamin D (25(OH)D3) assessment, owing to its anti-inflammatory effects. Blood samples were collected for 14 players and 10 control non-athletes prior to and after the 8-month competitive season. Athletes' performance was assessed with the NBA efficiency score. At the baseline hepcidin correlated with blood ferritin (r = 0.61; 90% CL ±0.31), but at the end of the season this correlation was absent. Compared with the control subjects, athletes experienced clear large increases in hepcidin (50%; 90% CI 15-96%) and interleukin-6 (77%; 90% CI 35-131%) and a clear small decrease in vitamin D (-12%; 90% CI -20 to -3%) at the season completion. Correlations between change scores of these variables were unclear (r = -0.21 to 0.24, 90% CL ±0.5), but their uncertainty generally excluded strong relationships. Athletes were hence concluded to have experienced acute inflammation at the beginning but chronic inflammation at the end of the competitive season. At the same time, the moderate correlation between changes in vitamin D and players' performance (r = 0.43) was suggestive of its beneficial influence. Maintaining the appropriative concentration of vitamin D is thus necessary for basketball players' performance and efficiency. The assessment of hepcidin has proven to be useful in diagnosing inflammation in response to chronic exercise.
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In subjects with initially low serum 25(OH)D, there was an increase in pro-inflammatory cytokines (e.g., TNF-α and IL-6) secretion.
“In subjects with initially low serum of 25(OH)D, there was an increase in pro-inflammatory e.g., TNF-α and IL-6 cytokine, secretion [19,45].”
From Influence of Sunlight and Oral D3 Supplementation on Serum 25(OH)D Concentration and Exercise Performance in Elite Soccer Players (2020) · cites this paper as [19]
The Results report that IL-6 increased over the competitive season, and the Discussion says vitamin D was low at the first assessment and that worsening deficiency could be one cause of inflammation (page numbers unavailable). The paper does not establish that initially low 25(OH)D increased cytokine secretion: it describes the vitamin D–inflammation relationship as uncertain and did not measure TNF-α secretion. (LLM, conf=0.85)
Experimental — accuracy not yet measuredAn increase in serum 25(OH)D levels could decrease cortisol secretion and stress levels.
“Therefore, an increase in serum 25(OH)D levels could decrease cortisol secretion and stress levels [19].”
From Influence of Sunlight and Oral D3 Supplementation on Serum 25(OH)D Concentration and Exercise Performance in Elite Soccer Players (2020) · cites this paper as [19]
The Introduction and Discussion describe vitamin D’s anti-inflammatory effects, and the Methods describe measuring serum 25(OH)D3. Neither those passages nor the passages retrieved by searching for cortisol and stress say that increasing 25(OH)D decreases cortisol secretion or stress levels. Page numbers were not available in our copy. (LLM, conf=0.75)
Experimental — accuracy not yet measuredIn athletes, those cytokines intensify damage in muscle and enhance the risk of injury.
“In athletes, those cytokines intensify damage in muscle and enhance the risk of injury [19,45].”
From Influence of Sunlight and Oral D3 Supplementation on Serum 25(OH)D Concentration and Exercise Performance in Elite Soccer Players (2020) · cites this paper as [19]
The Introduction links exercise-induced inflammation to iron metabolism and possible muscle regeneration, while the Discussion reports increased IL-6 during the basketball season. Neither section says that cytokines intensify muscle damage or increase injury risk; searches for those outcomes found no supporting passage in our copy. (LLM, conf=0.72)
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Nemeth, E., Rivera, S., Gabayan, V., Keller, C., Taudorf, S., Pedersen, B. K., & Ganz, T. (2004) · Journal of Clinical Investigation · doi:10.1172/jci200420945 · Cited by 2,650 · cited 1× · see citing works
“tor responsible for regulating hepcidin activity [9].”
Rivera, S., Nemeth, E., Gabayan, V., Lopez, M. A., Farshidi, D., & Ganz, T. (2005) · Blood · doi:10.1182/blood-2005-04-1766 · Cited by 308 · see citing works
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Research works printed but not linked: 35
- [1]Yuan X Cong Y Hao J Shan Y Zhao Z Wang S Chen J Regulation of lip level and ros formation through interaction of h-ferritin with g-csf receptor J Mol Biol. 2004 339 1 131 144 15123426
- [2]Antosiewicz J Ziolkowski W Kaczor JJ Herman-Antosiewicz A Tumor necrosis factor-alpha-induced reactive oxygen species formation is mediated by jnk1-dependent ferritin degradation and elevation of labile iron pool Free Radic Biol Med. 2007 43 2 265 270 17603935
- [3]Cooper DM Radom-Aizik S Schwindt C Zaldivar F Jr Dangerous exercise: Lessons learned from dysregulated inflammatory responses to physical activity J Appl Physiol (1985). 2007 103 2 700 709 17495117
- [4]Paulsen G Mikkelsen UR Raastad T Peake JM Leucocytes, cytokines and satellite cells: What role do they play in muscle damage and regeneration following eccentric exercise? Exerc Immunol Rev 2012 1842 97 22876722
- [5]Zembron-Lacny A Slowinska-Lisowska M Ziemba A Integration of the thiol redox status with cytokine response to physical training in professional basketball players Physiol Res. 2010 59 2 239 245 19537921
- [6]Ziemann E Kasprowicz K Kasperska A Zembron-Lacny A Antosiewicz J Laskowski R Do high blood hepcidin concentrations contribute to low ferritin levels in young tennis players at the end of tournament season? J Sports Sci Med. 2013 12 2 249 258 24149803 PMC3761837
- [7]Nicolas G Viatte L Bennoun M Beaumont C Kahn A Vaulont S Hepcidin, a new iron regulatory peptide Blood Cells Mol Dis. 2002 29 3 327 335 12547223
- [8]Park CH Valore EV Waring AJ Ganz T Hepcidin, a urinary antimicrobial peptide synthesized in the liver J Biol Chem. 2001 276 11 7806 7810 11113131
- [10]Nemeth E Tuttle MS Powelson J Vaughn MB Donovan A Ward DM Ganz T Kaplan J Hepcidin regulates cellular iron efflux by binding to ferroportin and inducing its internalization Science. 2004 306 5704 2090 2093 15514116
- [11]Peeling P Exercise as a mediator of hepcidin activity in athletes Eur J Appl Physiol. 2010 110 5 877 883 20697906
- [12]Sim M Dawson B Landers G Swinkels DW Tjalsma H Trinder D Peeling P Effect of exercise modality and intensity on post-exercise interleukin-6 and hepcidin levels Int J Sport Nutr Exerc Metab. 2013 23 2 178 186 23070801
- [13]Skarpanska-Stejnborn A Basta P Trzeciak J Szczesniak-Pilaczynska L Effect of intense physical exercise on hepcidin levels and selected parameters of iron metabolism in rowing athletes Eur J Appl Physiol. 2015 115 2 345 351 25311752 PMC4289533
- [14]Antosiewicz J Kaczor JJ Kasprowicz K Laskowski R Kujach S Luszczyk M Radziminski L Ziemann E Repeated "all out" interval exercise causes an increase in serum hepcidin concentration in both trained and untrained men Cell Immunol. 2013 283 1-2 12 17 23850671
- [15]Roecker L Meier-Buttermilch R Brechtel L Nemeth E Ganz T Iron-regulatory protein hepcidin is increased in female athletes after a marathon Eur J Appl Physiol. 2005 95 5-6 569 571 16249921
- [16]Ma X Patterson KJ Gieschen KM Bodary PF Are serum hepcidin levels chronically elevated in collegiate female distance runners? Int J Sport Nutr Exerc Metab. 2013 23 5 513 521 23580449
- [17]Deschemin JC Vaulont S Role of hepcidin in the setting of hypoferremia during acute inflammation PLoS One. 2013 8 4 e61050 23637785 PMC3634066
- [18]Mangin M Sinha R Fincher K Inflammation and vitamin d: The infection connection Inflamm Res. 2014 63 10 803 819 25048990 PMC4160567
- [19]Lim JS Hwang JS Lee JA Kim DH Park KD Jeong JS Cheon GJ Cross-calibration of multi-frequency bioelectrical impedance analysis with eight-point tactile electrodes and dual-energy x-ray absorptiometry for assessment of body composition in healthy children aged 6-18 years Pediatr Int. 2009 51 2 263 268 19405930
- [20]Volgyi E Tylavsky FA Lyytikainen A Suominen H Alen M Cheng S Assessing body composition with dxa and bioimpedance: Effects of obesity, physical activity, and age Obesity (Silver Spring) 2008 16 3 700 705 18239555
- [21]Ziemann E Olek RA Grzywacz T Antosiewicz J Kujach S Luszczyk M Smaruj M Sledziewska E Laskowski R Whole-body cryostimulation as an effective method of reducing low-grade inflammation in obese men J Physiol Sci. 2013 63 5 333 343 23744123 PMC3751373
- [22]Ganz T Olbina G Girelli D Nemeth E Westerman M Immunoassay for human serum hepcidin Blood. 2008 112 10 4292 4297 18689548
- [24]Hopkins W Marshall S Batterham A Hanin J Progressive statistics for studies in sports medicine and exercise science Med Sci Sports Exerci. 2009 41 1 3 12 19092709
- [25]Delaby C Pilard N Goncalves AS Beaumont C Canonne-Hergaux F Presence of the iron exporter ferroportin at the plasma membrane of macrophages is enhanced by iron loading and down-regulated by hepcidin Blood. 2005 106 12 3979 3984 16081696
- [27]McKinnon EJ Rossi E Beilby JP Trinder D Olynyk JK Factors that affect serum levels of ferritin in australian adults and implications for follow-up Clin Gastroenterol Hepatol. 2014 12 1 101 108 e104 23906872
- [28]Kell DB Iron behaving badly: Inappropriate iron chelation as a major contributor to the aetiology of vascular and other progressive inflammatory and degenerative diseases BMC Med Genomics 2009 22 19133145 PMC2672098
- [29]Lin M Rippe RA Niemela O Brittenham G Tsukamoto H Role of iron in nf-kappa b activation and cytokine gene expression by rat hepatic macrophages Am J Physiol. 1997 272 6 Pt 1 G1355 1364 9227470
- [30]Pham CG Bubici C Zazzeroni F Papa S Jones J Alvarez K Jayawardena S De Smaele E Cong R Beaumont C Torti FM Torti SV Franzoso G Ferritin heavy chain upregulation by nf-kappab inhibits tnfalpha-induced apoptosis by suppressing reactive oxygen species Cell. 2004 119 4 529 542 15537542
- [31]Bednarek-Skublewska A Smolen A Jaroszynski A Zaluska W Ksiazek A Effects of vitamin d3 on selected biochemical parameters of nutritional status, inflammation, and cardiovascular disease in patients undergoing long-term hemodialysis Pol Arch Med Wewn. 2010 120 5 167 174 20502401
- [32]Choi M Park H Cho S Lee M Vitamin D3 supplementation modulates inflammatory responses from the muscle damage induced by high-intensity exercise in sd rats Cytokine. 2013 63 1 27 35 23669253
- [33]Bescos Garcia R Rodriguez Guisado FA Low levels of vitamin D in professional basketball players after wintertime: Relationship with dietary intake of vitamin D and calcium Nutr Hosp. 2011 26 5 945 951 22072336
- [34]Kopec A Solarz K Majda F Slowinska-Lisowska M Medras M An evaluation of the levels of vitamin d and bone turnover markers after the summer and winter periods in polish professional soccer players J Hum Kinet 2013 38135 140 PMC3827761 24232955
- [35]Sghaier-Ayadi A Feki M Ayed IB Abene O Fredj MB Kaabachi K Chaouachi A Vitamin D status and determinants of deficiency in non-supplemented athletes during the winter months in Tunisia Biol Sport. 2015 32 4 281 287 26681829 PMC4672158
- [36]Koundourakis NE Androulakis NE Malliaraki N Margioris AN Vitamin d and exercise performance in professional soccer players PLoS One. 2014 9 7 e101659 24992690 PMC4081585
- [37]Hamilton B Vitamin D and human skeletal muscle Scand J Med Sci Sports. 2010 20 2 182 190 19807897 PMC2860762
- [38]Agergaard J Trostrup J Uth J Iversen JV Boesen A Andersen JL Schjerling P Langberg H Does vitamin-D intake during resistance training improve the skeletal muscle hypertrophic and strength response in young and elderly men? - a randomized controlled trial Nutr Metab (Lond) 2015 1232 PMC4589960 26430465
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Sorted by citations
Michalczyk, M. M., Gołaś, A., Maszczyk, A., Kaczka, P., & Zając, A. (2020) · Nutrients · doi:10.3390/nu12051311 · Cited by 39 · see citing works
- Authors
- Dzedzej, A., Ignatiuk, W., Jaworska, J., Grzywacz, T., Lipińska, P., Antosiewicz, J., Korek, A., & Ziemann, E.
- Affiliations
- Gdansk University of Physical Education and Sport (PL)
- Instytut Sportu (PL)
- Asseco (Poland) (PL)
- Corresponding author
- Ziemann, Ewa
- Venue
- Biology of Sport
- Publisher
- Index Copernicus
- Published
- 2016-05-03
- Volume
- 33
- Issue
- 3
- Pages
- 223-229
- ISSN
- 0860-021X (ISSN-L)
- 2083-1862
- PMC
- PMC4993137
- OpenAlex
- W2509157842
- Cited by
- 18
- References
- 2
- Citations by year
- 2025: 1 · 2022: 2 · 2021: 2 · 2020: 3 · 2019: 1 · 2018: 5 · 2017: 4
- FWCI
- 3.17
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Biology of Sport (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
- Health Sciences › Medicine › Rehabilitation › Exercise and Physiological Responses
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
- Keywords
- hepcidin, iron metabolism, exercise-induced inflammation, professional basketball players, interleukin-6, vitamin D, ferritin, exercise training, athletic performance
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