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ACSM

010-111 · Question #226

What tends to cause the symptoms of soreness that occur at 24-48 hours after a single bout of intensive exercise?

The correct answer is C. Muscle fiber damage. Delayed onset muscle soreness (DOMS) peaking at 24-48 hours post-exercise is caused by microscopic muscle fiber damage and the resulting inflammatory response, not metabolic byproducts.

Exercise Program Development and Implementation

Question

What tends to cause the symptoms of soreness that occur at 24-48 hours after a single bout of intensive exercise?

Options

  • ALactic acid buildup
  • BGlycogen depletion
  • CMuscle fiber damage
  • DExcessive cortisol secretion

How the community answered

(27 responses)
  • A
    4% (1)
  • B
    11% (3)
  • C
    78% (21)
  • D
    7% (2)

Why each option

Delayed onset muscle soreness (DOMS) peaking at 24-48 hours post-exercise is caused by microscopic muscle fiber damage and the resulting inflammatory response, not metabolic byproducts.

ALactic acid buildup

Lactic acid is rapidly cleared from muscle and blood within 1-2 hours of exercise cessation and does not persist long enough to cause soreness at 24-48 hours.

BGlycogen depletion

Glycogen depletion produces acute fatigue and reduced force output during and immediately after exercise, but does not cause localized delayed soreness.

CMuscle fiber damageCorrect

Intense exercise - especially eccentric contractions - causes micro-tears in myofibrils and surrounding connective tissue, triggering a localized inflammatory cascade. This inflammation sensitizes nociceptors in the damaged tissue over a period of hours, explaining why soreness peaks at 24-72 hours rather than immediately after exercise.

DExcessive cortisol secretion

Elevated cortisol is a normal acute hormonal response to exercise stress and promotes catabolism, but is not the primary mechanism responsible for localized DOMS.

Concept tested: Mechanism of delayed onset muscle soreness (DOMS)

Topics

#DOMS#muscle fiber damage#delayed onset soreness#exercise physiology

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