The metabolism of trace elements may be influenced by several factors, including exercise. Regular physical training can increase the demand for essential trace elements, either by accelerating their breakdown or by reducing their excretion from the body. Recent reports suggest that physical training leads to changes in the levels of certain biological minerals in the blood during exercise and recovery (
25). Our study's results indicate a continuous decrease in serum Mg and Zn levels, as well as in Zn, Mn, and Fe levels in the gastrocnemius muscle, after six weeks of moderate-intensity physical activity, with the statistical significance of these findings indicated by a P-value of less than 0.05. Zn, which accounts for 60% of the body's total content in muscle tissue and 30% in bones, may experience variations in concentration in specific areas during exercise and the subsequent recovery period, leading to changes in local levels. Especially during inflammatory processes, such as stress and post-traumatic conditions in athletes, serum Zn levels decrease as Zn is reallocated to repair damaged tissues (
26). Zn is absorbed by the liver, kidney, and spleen through the stimulation of metallothionein production, but its levels decrease in erythrocytes, bones, muscles, and urine (
27). Moreover, Rodriguez Tuya et al. observed that anaerobic athletes (e.g., judo and fencing participants) had higher blood Zn levels compared to aerobic athletes (e.g., cyclists and endurance sports participants), attributing this to the reduced Zn mobilization resulting from impaired energy metabolism and antioxidant activities in anaerobic exercise (
28). The decrease in blood Zn levels, but not in the liver, observed in this study may be related to the previously mentioned factor. Zn's antioxidant properties are credited to its role in superoxide dismutase (SOD), its ability to stabilize cell membranes, protect protein thiol groups from oxidation, and compete with Cu and Fe for oxygen binding, which reduces the generation of hydroxyl radicals (OH•) from membrane phospholipids (
29). Training appears to increase the mRNA levels of SOD in aerobic organs such as the liver, heart, and deep muscles like the vastus lateralis (
29). In addition, significant correlations have been observed between trace element (TE) levels and the antioxidant system, indicating that TEs impact antioxidant enzymes and vice versa. This suggests that the formation of exercise-induced reactive oxygen species (ROS) and the corresponding antioxidant responses are interconnected (
29,
30). Key trace elements, such as Zn and Cu, play a crucial role in these antioxidant processes. They act as cofactors in important antioxidant enzymes, such as glutathione peroxidase (GPx) and Zn- Cu superoxide dismutase (Zn-Cu SOD), which help reduce oxidative stress (OS) caused by ROS. This may explain the observed decrease in Zn levels in the serum and gastrocnemius muscle following submaximal physical exercise, as implemented in the current study (
31). Guo et al. found negative correlations between the levels of Cu in the blood and the amounts of Cu -Zn superoxide dismutase (Cu-Zn SOD) (
32). It has also been proposed that the elimination of Zn, Mg, and Cu occurs through sweat and urine (
32). Additionally, an inverse correlation exists between Zn and Mg levels and interleukin-6 (IL-6) (
33). Athletes with higher levels of IL-6 tend to have lower Zn levels in their blood and experience increased Zn loss through sweat (
7). This can result in an increased influx of Zn into the liver and red blood cells, potentially due to an increase in metallothionein, which contributes to the sequestration of Zn in the liver, leading to a decrease in circulating Zn during the recovery phase of exercise (
33). Furthermore, training might cause changes in gastrointestinal function, potentially affecting the absorption and excretion of Zn and Mg (
4). Research consistently shows that there is a significant increase in the amount of Zn and Mg excreted in urine (about 50%) on the day following continuous exercise compared to the day before without exercise (
5). Prolonged exercise has been shown to result in an increase in urinary Zn loss of about 1 mg per day, which is approximately 6% of the required daily Zn intake (
28). Furthermore, quantifying the depletion of trace minerals through sweat excretion presents challenges due to analytical obstacles, such as the very low levels of minerals and technological difficulties in accurately collecting whole-body sweat samples. Additionally, variations in mineral levels are found in sweat across different regions (
32). The total amount of Zn and Mg lost from the whole body surface without exercise has been estimated at approximately 0.8 mg per day (
28). Considering a sweating loss of 2 liters and a total body sweating concentration of 600 picograms per liter, the amount of Zn and Mg lost through the skin during exercise could potentially reach 1.5 milligrams. Consequently, the amount of Zn lost from the surface may account for up to 10% of the required daily intake of Zn (
30). Unfortunately, this research did not measure the quantity of sweating and excretion rate due to the challenges associated with assessment. The study found that 23% of elite runners had Zn concentrations below 11.5 pmol/L, the lower limit of the normal range for Zn concentrations. The authors of the study suggested an inverse relationship between serum Zn concentration and training mileage (
34). The lack of changes in liver Zn levels may be attributed to simultaneous increases in plasma volume and Zn-carrier proteins, which are likely to result in decreased serum Zn concentrations and a lower ratio of Zn to albumin protein (
35). It has been proposed that the release of Zn and Mg during exercise is influenced by the overall status of total metal elements (TMEs) in the body (
26-
32,
35). Moreover, the specific nature of aerobic exercise prompts Zn and Mg to enter red blood cells (RBCs) as a mechanism for the body to adapt to moderate physical activity. This is another potential explanation for the observed decrease in serum TME levels after exercise (
30,
31).
Following the conclusion of the exercise session, a series of events unfold, the most significant of which is the initiation of inflammatory processes. This involves the secretion of cytokines and the infiltration of immune cells into the active muscles (
36). Our theory posits that the decrease in Zn levels in the blood within 24 - 48 hours after ceasing exercise is due to inflammation and associated mechanisms triggered by exercise-induced muscle injury. Consequently, we observed a decline in the levels of Zn and Manganese in the gastrocnemius muscle. Research indicates that inflammatory cytokines can cause significant changes in the levels of Zn transporters and metallothioneins. These molecules play a pivotal role in regulating the balance of Zn and manganese within cells, thus ensuring their stability (
36). The presence of inflammatory cytokines during the initial phase of the body's response to injury, coupled with changes in the pressure that draws fluid into tissues after aerobic exercise, can be accounted for by the movement of Zn and Mg from the bloodstream into the interstitial spaces and the liver. This phenomenon adheres to a two-compartment model of kinetics for tissue metal elements during the recovery period following exercise (
5).
The current investigation found that serum levels of Cu were significantly lower compared to the saline control group (P < 0.05). According to a study by Holloszy in 1967, the decrease in serum Cu concentration following prolonged physical exercise can be attributed to the increased activity of cytochrome C oxidase, which is enhanced after endurance training. This increased utilization of Cu helps to maintain the activity of cytochrome C oxidase. The suggested relationship indicates that lower levels of Cu in the blood serum may be associated with decreased concentrations of Cu in red blood cells. This correlation is thought to be linked to the role of cuproenzymes in antioxidant activities, especially in extracellular compartments (
37). A limitation of the current study is the lack of measurement of TMEs in erythrocytes, which would provide a more complete understanding of TME dynamics. The varied observations regarding the impact of exercise on TME dynamics may be due to the energy system responsible for supplying ATP during physical activity, as well as the intensity and duration of the exercise (
26). Similarly, in the study of TME chemistry, competitive interactions can occur between minerals that share similar characteristics, such as valence shell electronic configuration, ionic radius, coordination number, geometric arrangement, and ligand exchanges (
38). Both Fe and Mn have an affinity for binding to ferritin and transferrin. A high intake of one mineral may reduce the absorption and overall levels of the other mineral in the plasma, creating a counteractive interaction between these two elements (
38).