Practical protocol for monitoring biochemical markers during the sports season.
Practical Protocol for Monitoring Biochemical Markers During the Season
1. General Preparation Phase
- Objective: To develop the general physical base.
- Recommended Measures:
- Creatine Kinase (CK): Once a week, 24 to 48 hours after intense strength and conditioning sessions.
- Cortisol/Testosterone Ratio: Once every two weeks to actively monitor hormonal balance and anabolic/catabolic state.
- Ferritin: Once at the beginning of the preparation phase to evaluate baseline iron reserves.
2. Specific Preparation Phase
- Objective: To develop sport-specific qualities (speed, explosive power, anaerobic capacities, etc.).
- Recommended Measures:
- Blood Lactate: Analyzed during performance tests (speed or endurance testing) every two weeks.
- Creatine Kinase (CK): Twice a week during periods of increased training load and volume.
- Cortisol/Testosterone Ratio: Once a week.
- CRP (C-Reactive Protein): Monitored solely in cases of abnormal systemic fatigue or suspected inflammation.
3. Competition Phase
- Objective: To maintain peak performance levels and mitigate excessive neuromuscular and systemic fatigue.
- Recommended Measures:
- Creatine Kinase (CK): 24 hours after each official match or highly intense physical event.
- Cortisol/Testosterone Ratio: Once every two weeks.
- Blood Glucose: Tested on the morning of major competitions to verify the athlete's energetic and glycogen status.
- CRP (C-Reactive Protein): In the event of persistent muscle soreness or clinical signs of fatigue.
4. Transition Phase (End of Season)
- Objective: To facilitate complete recovery and physiological regeneration.
- Recommended Measures:
- Creatine Kinase (CK): Once, to verify full muscular recovery and tissue repair.
- Ferritin: Re-assessment of iron stores post-season.
- Cortisol/Testosterone Ratio: To evaluate and ensure the return to physiological hormonal homeostasis.
- Blood Urea: To confirm the absence of excessive protein breakdown and muscle catabolism.
⚠️ Important Remarks
- Sampling Conditions: Blood samples must be taken in the morning on an empty stomach (typically between 7:00 AM and 9:00 AM), strictly prior to any physical activity.
- Individualized Interpretation: Data analysis must be highly individualized. Results should be compared against the athlete's own baseline values (historical data) rather than solely relying on general clinical norms.
- Data Trends: The evolution and trending of the measurements over time are significantly more relevant than isolated absolute values. (Example: A +30% spike in CK levels compared to the athlete's usual baseline is a direct clinical sign of physical overload).