Skip to main content

Advertisement

Log in

Hypothalamo-pituitary adrenal axis and sympatho-adrenal medullary system responses to psychological stress were not attenuated in women with elevated physical fitness levels

  • Original Article
  • Published:
Endocrine Aims and scope Submit manuscript

Abstract

It is not clear if higher levels of cardiorespiratory fitness are associated with lower hypothalamo-pituitary adrenal (HPA) axis and sympatho-adrenal medullary (SAM) system reactivity to psychological stress in women. The association between cardio-metabolic risk markers and acute physiological responses to psychological stress in women who differ in their cardiorespiratory fitness status has also not been investigated. Women with high (n = 22) and low (n = 22) levels of fitness aged 30–50 years (in the mid-follicular phase of the menstrual cycle) were subjected to a Trier Social Stress Test (TSST) at 1500 h. Plasma concentrations of cortisol, adrenaline (Adr), noradrenaline (NA), and dopamine (DA) were measured in samples collected every 7–15 min from 1400 to 1700 h. Heart rate and blood pressure were measured at the same time points. Low-fit women had elevated serum triglyceride, cholesterol/HDL ratio, fasting glucose, and HOMA-IR levels compared with high-fit women. While cortisol, Adr, NA, HR, and blood pressure all demonstrated a significant response to the TSST, the responses of these variables did not differ significantly between high- and low-fit women in response to the TSST. Dopamine reactivity was significantly higher in the low-fit women compared with high-fit women. There was also a significant negative correlation between VO2 max and DA reactivity. These findings suggest that, for low-fit women aged 30–50 years, the response of HPA axis and SAM system to a potent acute psychological stressor is not compromised compared to that in high-fit women.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. G.P. Chrousos, Stress and disorders of the stress system. Nature Reviews Endocrinology 5(7), 374–381 (2009). doi:10.1038/nrendo.2009.106

    Article  CAS  PubMed  Google Scholar 

  2. D. Carroll, A.C. Phillips, G. Der, K. Hunt, M. Benzeval, Blood Pressure Reactions to Acute Mental Stress and Future Blood Pressure Status: data From the 12-Year Follow-Up of the West of Scotland Study. Psychosom. Med. 73(9), 737–742 (2011). doi:10.1097/PSY.0b013e3182359808

    Article  PubMed  Google Scholar 

  3. A. Flaa, T.A. Aksnes, S.E. Kjeldsen, I. Eide, M. Rostrup, Increased sympathetic reactivity may predict insulin resistance: an 18-year follow-up study. Metabolism-Clinical and Experimental 57(10), 1422–1427 (2008). doi:10.1016/j.metabol.2008.05.012

    Article  CAS  PubMed  Google Scholar 

  4. A.D.H. Brown, D.A. Barton, G.W. Lambert, Cardiovascular Abnormalities in Patients with Major Depressive Disorder Autonomic Mechanisms and Implications for Treatment. CNS Drugs 23(7), 583–602 (2009)

    Article  PubMed  Google Scholar 

  5. E.O. Johnson, T.C. Kamilaris, G.P. Chrousos, P.W. Gold, Mechanisms of stress - a dynamic overview of hormonal and behavioral homeostasis. Neurosci. Biobehav. Rev. 16(2), 115–130 (1992)

    Article  CAS  PubMed  Google Scholar 

  6. A.M. Dalin, U. Magnusson, J. Haggendal, L. Nyberg, The effect of thiopentone-sodium anesthesia and surgery, relocation, grouping, and hydrocortisone treatment on the blood-levels of cortisol, corticosteroid-binding globulin, and catecholamines in pigs. J. Anim. Sci. 71(7), 1902–1909 (1993)

    CAS  PubMed  Google Scholar 

  7. A. Tsatsoulis, S. Fountoulakis, The protective role of exercise on stress system dysregulation and comorbidities, in Stress, Obesity, and Metabolic Syndrome, ed. by G.P. Chrousos, C. Tsigos. Annals of the New York Academy of Sciences, vol. 1083 (Springer, New York, 2006), pp. 196–213

  8. M. Gerber, U. Pühse, Review article: do exercise and fitness protect against stress-induced health complaints? A review of the literature. Scand. J. Public Health 37(8), 801–819 (2009)

    Article  PubMed  Google Scholar 

  9. U. Rimmele, R. Seiler, B. Marti, P.H. Wirtz, U. Ehlert, M. Heinrichs, The level of physical activity affects adrenal and cardiovascular reactivity to psychosocial stress. Psychoneuroendocrinology 34(2), 190–198 (2009). doi:10.1016/j.psyneuen.2008.08.023

    Article  PubMed  Google Scholar 

  10. U. Rimmele, B.C. Zellweger, B. Marti, R. Seiler, C. Mohiyeddini, U. Ehlert, M. Heinrichs, Trained men show lower cortisol, heart rate and psychological responses to psychosocial stress compared with untrained men. Psychoneuroendocrinology 32(6), 627–635 (2007). doi:10.1016/j.psyneuen.2007.04.005

    Article  CAS  PubMed  Google Scholar 

  11. H.E. Webb, D.S. Rosalky, S.E. Tangsilsat, K.A. McLeod, E.O. Acevedo, B. Wax, Aerobic fitness affects cortisol responses to concurrent challenges. Med. Sci. Sports Exerc. 45(2), 379–386 (2013)

    Article  CAS  PubMed  Google Scholar 

  12. N.M. Moyna, J.D. Bodnar, H.R. Goldberg, M.S. Shurin, R.J. Robertson, B.S. Rabin, Relation between aerobic fitness level and stress induced alterations in neuroendocrine and immune function. Int. J. Sports Med. 20(2), 136–141 (1999). doi:10.1055/s-1999-970279

    Article  CAS  PubMed  Google Scholar 

  13. E.M. Jackson, R.K. Dishman, Cardiorespiratory fitness and laboratory stress: a meta-regression analysis. Psychophysiology 43(1), 57–72 (2006). doi:10.1111/j.1469-8986.2006.00373.x

    Article  PubMed  Google Scholar 

  14. H. Summers, M.K. Lustyk, M. Heitkemper, M.E. Jarrett, Effect of aerobic fitness on the physiological stress response in women. Biol. Res. Nurs. 1(1), 48–56 (1999). doi:10.1177/109980049900100107

    Article  CAS  PubMed  Google Scholar 

  15. G. Grassi, M. Esler, How to assess sympathetic activity in humans. J. Hypertens. 17(6), 719–734 (1999). doi:10.1097/00004872-199917060-00001

    Article  CAS  PubMed  Google Scholar 

  16. T. Traustadottir, P.R. Bosch, K.S. Matt, The HPA axis response to stress in women: effects of aging and fitness. Psychoneuroendocrinology 30(4), 392–402 (2005). doi:10.1016/j.psyneuen.2004.11.002

    Article  CAS  PubMed  Google Scholar 

  17. E. Kajantie, D.I.W. Phillips, The effects of sex and hormonal status on the physiological response to acute psychosocial stress. Psychoneuroendocrinology 31(2), 151–178 (2006). doi:10.1016/j.psyneuen.2005.07.002

    Article  CAS  PubMed  Google Scholar 

  18. M.C. Pardon, Stress and ageing interactions: a paradox in the context of shared etiological and physiopathological processes. Brain Res. Rev. 54(2), 251–273 (2007). doi:10.1016/j.brainresrev.2007.02.007

    Article  PubMed  Google Scholar 

  19. J. Exton, L. Mallette, L. Jefferson, E. Wong, N. Friedmann, T. Miller, C. Park, The hormonal control of hepatic gluconeogenesis. Recent Prog. Horm. Res 26, 411–455 (2013)

    Google Scholar 

  20. A. Holmäng, P. Björntorp, The effects of cortisol on insulin sensitivity in muscle. Acta Physiol. Scand. 144(4), 425–431 (1992)

    Article  PubMed  Google Scholar 

  21. S.W. Coppack, Pro-inflammatory cytokines and adipose tissue. Proc. Nutr. Soc. 60(03), 349–356 (2001)

    Article  CAS  PubMed  Google Scholar 

  22. M.E. Ullian, The role of corticosteroids in the regulation of vascular tone. Cardiovasc. Res. 41(1), 55–64 (1999)

    Article  CAS  PubMed  Google Scholar 

  23. A. Kriska, Can a physically active lifestyle prevent type 2 diabetes? Exerc. Sport Sci. Rev. 31(3), 132–137 (2003)

    Article  PubMed  Google Scholar 

  24. J. Achten, A.E. Jeukendrup, Optimizing fat oxidation through exercise and diet. Nutrition 20(7), 716–727 (2004)

    Article  CAS  PubMed  Google Scholar 

  25. G.A. Kelley, K.S. Kelley, Z.V. Tran, Walking and resting blood pressure in adults: a meta-analysis. Prev. Med. 33(2), 120–127 (2001)

    CAS  PubMed  Google Scholar 

  26. D.J. Green, A. Maiorana, G. O’Driscoll, R. Taylor, Effect of exercise training on endothelium-derived nitric oxide function in humans. J. Physiol. 561(1), 1–25 (2004)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. A. Bauman, B.E. Ainsworth, F. Bull, C.L. Craig, M. Hagstromer, J.F. Sallis, M. Pratt, M. Sjostrom, Progress and pitfalls in the use of the International Physical Activity Questionnaire (IPAQ) for adult physical activity surveillance. J. Phys. Activity Health 6(1), S5 (2009)

    Google Scholar 

  28. C.D. Spielberger, State-trait anxiety inventory (Wiley Online Library, New York, 2010)

    Book  Google Scholar 

  29. A.T. Beck, R.A. Steer, G.K. Brown, Beck depression inventory (Manual, Swedish version) (Psykologiförlaget, Sandviken, 2005)

    Google Scholar 

  30. AHA, Exercise testing and training of apparently healthy individuals: a handbook for physicians (American Heart Association, New York, 1972)

    Google Scholar 

  31. M.K.B. Lustyk, K.C. Olson, W.G. Gerrish, A. Holder, L. Widman, Psychophysiological and neuroendocrine responses to laboratory stressors in women: implications of menstrual cycle phase and stressor type. Biol. Psychol. 83(2), 84–92 (2010). doi:10.1016/j.biopsycho.2009.11.003

    Article  PubMed  Google Scholar 

  32. C. Kirschbaum, K.M. Pirke, D.H. Hellhammer, The Trier Social Stress Test—a tool for investigating psychobiological stress responses in a laboratory setting. Neuropsychobiology 28(1–2), 76–81 (1993)

    Article  CAS  PubMed  Google Scholar 

  33. S. Jayasinghe, S. Torres, C. Nowson, A. Tilbrook, A. Turner, Physiological responses to psychological stress: importance of adiposity in men aged 50–70 years. Endocr. Connect. 3(3), 110–119 (2014)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. G.W. Lambert, I.H. Jonsdottir, Influence of voluntary exercise on hypothalamic norepinephrine. J. Appl. Physiol. 85(3), 962–966 (1998)

    CAS  PubMed  Google Scholar 

  35. S. Klaperski, B. von Dawans, M. Heinrichs, R. Fuchs, Does the level of physical exercise affect physiological and psychological responses to psychosocial stress in women? Psychol. Sport Exerc. 14(2), 266–274 (2013). doi:10.1016/j.psychsport.2012.11.003

    Article  Google Scholar 

  36. L. Poole, A. Steptoe, A.J. Wawrzyniak, S. Bostock, E.S. Mitchell, M. Hamer, Associations of objectively measured physical activity with daily mood ratings and psychophysiological stress responses in women. Psychophysiology 48(8), 1165–1172 (2011). doi:10.1111/j.1469-8986.2011.01184.x

    Article  PubMed  Google Scholar 

  37. A. Nagano-Saito, A. Dagher, L. Booij, P. Gravel, K. Welfeld, K.F. Casey, M. Leyton, C. Benkelfat, Stress-induced dopamine release in human medial prefrontal cortex-18F-fallypride/PET study in healthy volunteers. Synapse 67(12), 821–830 (2013)

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

The authors thank Mais Hussein for her substantial contributions during recruitment and data collection and Sarah Phillips for technical support. The authors also thank the participants for being involved in this research. Deakin University provided financial support for this research.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Anne I. Turner.

Ethics declarations

Conflict of interest

All authors declare no conflicts of interest.

Ethical Approval

All procedures were approved by the Human Research Ethics Committee of Deakin University (Project code: 2011-242), conformed to the guidelines of the National Health and Medical Research Council’s National Statement on Ethical Conduct in Human Research (2007) and were in accordance with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Jayasinghe, S.U., Lambert, G.W., Torres, S.J. et al. Hypothalamo-pituitary adrenal axis and sympatho-adrenal medullary system responses to psychological stress were not attenuated in women with elevated physical fitness levels. Endocrine 51, 369–379 (2016). https://doi.org/10.1007/s12020-015-0687-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12020-015-0687-6

Keywords

Navigation