Evidence map›Paper›PMID 33156414›Full record

ArticleEuropean journal of applied physiology2021

Eccentric exercise per se does not affect muscle damage biomarkers: early and late phase adaptations.

Nikos V Margaritelis, Anastasios A Theodorou, Panagiotis N Chatzinikolaou, Antonios Kyparos, Michalis G Nikolaidis, Vassilis Paschalis

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in European journal of applied physiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07503860 (Repeated Bout Effect and Indirect Biomarkers After Eccentric Exercise Induced Muscle Damage), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07503860 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Repeated Bout Effect and Indirect Biomarkers After Eccentric Exercise Induced Muscle Damage

TypeinterventionalSponsorVassilis PaschalisRan2025 to 2026Enrolled48ConditionsExercise Induced Muscle DamageArmsEccentric Exercise
3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Eccentric Exercise and Muscle Damage: An Introductory Guide.Journal of functional morphology and kinesiology · 2026
    Review
  4. Review
  5. Using Isometric Squat Strength to Predict Concentric and Eccentric Squat Strength in Young and Older Adults.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2025
    Article
  6. Skeletal Muscle Damage and Inflammation.Advances in experimental medicine and biology · 2025
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Acute and Delayed Effects of Time-Matched Very Short "All Out" Efforts in Concentric vs. Eccentric Cycling.International journal of environmental research and public health · 2021
    Article
  16. Article
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nikos V MargaritelisDialysis Unit, 424 General Military Hospital of Thessaloniki, Thessaloniki, Greece.
Anastasios A TheodorouDepartment of Health Sciences, School of Sciences, European University Cyprus, Nicosia, Cyprus.
Panagiotis N ChatzinikolaouDepartment of Physical Education and Sport Science at Serres, Aristotle University of Thessaloniki, Serres, Greece.
Antonios KyparosDepartment of Physical Education and Sport Science at Serres, Aristotle University of Thessaloniki, Serres, Greece.
Michalis G NikolaidisDepartment of Physical Education and Sport Science at Serres, Aristotle University of Thessaloniki, Serres, Greece.
Vassilis PaschalisDepartment of Physical Education and Sport Sciences, School of Physical Education and Sport Science, National and Kapodistrian University of Athens, Ethnikis Αntistasis 41, 17237, Athens, Greece. vpaschalis@phed.uoa.gr.ORCID http://orcid.org/0000-0002-9469-0457

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAcute high-intensity unaccustomed eccentric exercise performed by naive subjects is accompanied by disturbances in muscle damage biomarkers. The aim of the study was to investigate whether a causal relationship indeed exists between eccentric exercise and muscle damage.

methodsTwenty-four men randomly assigned into a concentric only or an eccentric-only training group and performed 10 weeks of isokinetic resistance exercise (one session/week of 75 maximal knee extensors actions). Physiological markers of muscle function and damage (i.e., range of motion, delayed onset muscle soreness, isometric, concentric and eccentric peak torque) were assessed prior to and 1-3 and 5 days post each session. Biochemical markers of muscle damage (creatine kinase) and inflammation (C-reactive protein) were measured prior and 2 days post each session.

resultsAfter the first bout, eccentric exercise induced greater muscle damage compared to concentric exercise; however, during the nine following sessions, this effect progressively diminished, while after the 10th week of training, no alterations in muscle damage biomarkers were observed after either exercise protocol. Additionally, strength gains at the end of the training period were comparable between the two groups and were mode-specific.

conclusion(1) eccentric exercise per se does not affect muscle damage biomarkers; (2) muscle damage occurs as a result of muscle unaccustomedness to this action type; (3) exercise-induced muscle damage is not a prerequisite for increased muscle strength. Collectively, we believe that muscle unaccustomedness to high-intensity eccentric exercise, and not eccentric exercise per se, is the trigger for muscle damage as indicated by muscle damage biomarkers.

Indexed as

Adaptation, PhysiologicalAdultBiomarkersExerciseHumansKneeMaleMuscle ContractionMuscle, SkeletalMuscle StrengthMyalgiaRange of Motion, ArticularResistance TrainingYoung AdultBiomarkersConcentricEccentricExerciseMuscle damageStrength

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.