The effect of acute exercise on the cortisol awakening response

Eur J Appl Physiol. 2023 May;123(5):1027-1039. doi: 10.1007/s00421-023-05132-4. Epub 2023 Jan 11.

Abstract

The effects of acute exercise on the cortisol awakening response (CAR), characterized by the rapid increase in cortisol concentrations within the 30-45 min following sleep offset has yet to be fully elucidated. Thus, our study investigated the effects of late-evening acute exercise on the CAR the following morning. We hypothesized that exercise would have a significant effect on the CAR the following morning. Twelve participants (mean (SD): age = 23 (4) years; mass = 76.8 (8.7) kg; height = 175.6 (5.0) cm; [Formula: see text]O2max = 48.9 (7.5) ml.kg-1.min-1) reported to the laboratory in the evening (1800 h) on two occasions and were randomly assigned to either exercise for one hour (70-75% of maximal power output) or rest condition. Blood and saliva samples were assayed for cortisol. Mixed-effects models determined the effect of exercise on the cortisol response post-waking in both blood and saliva. Participants demonstrated an average exercise-induced increase in circulating cortisol of 477.3%, with actual mean (SD) heart rate relative to maximum of 87.04% (6.14%). Model results demonstrated a negative effect for exercise condition when modeling the serum and salivary cortisol responses to awakening via a quadratic growth model (serum, βCondition = - 42.26 [95% CI - 64.52 to - 20.01], p < 0.001; saliva, βCondition = - 11.55 [95% CI - 15.52 to - 7.57], p < 0.001). These results suggest that cortisol concentrations in saliva and blood are significantly lower the morning following a prior evening exercise session. Therefore, the CAR may serve as a useful biomarker to monitor responses to exercise training, although the underlying mechanism for these decreases in the CAR should be investigated further.

Keywords: Circadian; Cycling; Hormonal profile; Sleep.

MeSH terms

  • Adult
  • Circadian Rhythm / physiology
  • Exercise
  • Humans
  • Hydrocortisone*
  • Saliva
  • Sleep* / physiology
  • Wakefulness / physiology
  • Young Adult

Substances

  • Hydrocortisone