Skip to main content
Log in

Role of psychological stress in cortisol recovery from exhaustive exercise among elite athletes

  • Published:
International Journal of Behavioral Medicine Aims and scope Submit manuscript

Abstract

Life-event stress (LES) was used to classify elite athletes (n = 39) into high-and low-LES groups. A repeated measures analysis of variance revealed higher Cortisol concentration after a graded exercise test among the high-LES group relative to the low-LES group, which was maintained for up to 20 hr. Subsequent prospective analyses further indicated that high-LES athletes were more likely to be symptomatic than low-LES athletes and that elevated Cortisol level was positively correlated with symptomatology. To the extent that Cortisol is a marker of exercise recovery in competitive atbletes, our results suggest that chronic stress prolongs the recovery process, which may potentially widen a window of susceptibility for illness and injury among competitive athletes.

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.

Institutional subscriptions

Similar content being viewed by others

References

  • Anderson, M. B., & Williams, J. W. (1986). A model of stress and athletic injury: Prediction and prevention.Journal of Sport & Exercise Psychology.10. 294–306

    Google Scholar 

  • Armstrong, R. B. (1986). Muscle damage and endurance events,Sports Medicine, 3. 370–381.

    Article  PubMed  Google Scholar 

  • Armstrong, R. B., Warren, G. L., & Warren, J. A. (1991), Mechanisms of exercise-induced muscle fibre injury.Sports Medicine, 3. 184–207.

    Google Scholar 

  • Barron, J. L., Noakes, T. D., Levy, W., Smith, C., & Millar, R. (1985). Hypothalamic dystunction in overtrained athletes.Journal of Clinical Endocrinology Metabolism.60. 803–806.

    PubMed  Google Scholar 

  • Borg, G. A., & Noble, B. J. (1974). Perceived exertion. In J. H. Wilmore (Ed.),Exercise and sport sciences reviews (pp. 141–153). New York: Academic.

    Google Scholar 

  • Cashmore, C. C., Davies, C. T., & Few, J. D. (1977). Relationship between increase in plasma Cortisol concentration and rate of Cortisol secretion during exercise in man.Journal of Endocrinology.72. 109–110.

    Article  PubMed  Google Scholar 

  • Cohen, S., Tyrrell, D. A., & Smith, A. P. (1991). Psychological stress and susceptibility to the common cold.New England Journal of Medicine.325(9). 606–612.

    PubMed  Google Scholar 

  • Cupps, T., & Fauci, A. (1982). Corticosteroid-mediated immunoregulation in man.Immunological Review, 65. 133–155.

    Article  Google Scholar 

  • Daniels, W. L., Sharp, D. S., Wright, J. E., Vogcl, J. A., Friman, G., Beisel, W. R., & Knapik, J. J. (1985). Effects of virus infection on physical performance in man.Military Medicine, 150, 1–8.

    Google Scholar 

  • Duncan, M., Sadlik, J.,& Hadden, J. (1982), Glucocorticoid modulation of lymphokine-induced macrophage proliferation.Cellular Immunology.67, 23–30.

    Article  PubMed  Google Scholar 

  • Eskola, J., Ruuskanen, O., Soppi, E., Viljanen, M. K., Jarvinen, M., Toivonen, H., & Kouvalainen, K. (1978). Effect of sport stress on lymphocyte transformation and antibody formation.Clinical Experimental Immunology, 32, 339–345.

    Google Scholar 

  • Farrell, P. A., Garthwaite, T. L., & Gustafson, B. (1983) Plasma adrenocorlicolropin and Cortisol response to submaximal and exhaustive exercise.Journal of Applied Physiology, 55, 1441–1444.

    PubMed  Google Scholar 

  • Florini, J. R. (1987). Hormonal control of muscle growth.Muscle & Nerve.10. 577–598.

    Article  Google Scholar 

  • Flynn, M. G., Pizza, F. X., Boone, J. B., Andres, F. F., Michaud, T. A., Rodriguez-Zayas, J. R. (1994). Indices of training stress during competitive running and swimming seasons.International Journal of Sports Medicine, 15, 21–26.

    Article  PubMed  Google Scholar 

  • Frankenhaeuser, M. (1990). A psychobiological framework for human stress and coping. In M. H. Appley & R. Trumbull (Eds.),Dynamics of stress: Physiological, psychological, and social perspectives (pp. 105–111). New York: Plenum.

    Google Scholar 

  • Frankenhaeuser, M. (1991). The psychophysiology of workload, stress, and health. Comparison between sexes.Annuals of Behavioral Medicine, 13(4), 197–204.

    Google Scholar 

  • Hanson, S. J., McCullagh, P., & Tonymon, P. (1992). The relationship of personality characteristics, life stress, and coping resources to athletic injury.Journal of Sport and Exercise Psychology, 14, 262–272.

    Google Scholar 

  • Henry, J. P. (1992). Biological basis of the stress response.Integrative Physiological and Behavioral Sciences.27(1). 66–93.

    Article  Google Scholar 

  • Hill, S., Goetz, F., Fox, H., Murawski, B., Krakauer, L., Reifenstein, R., Gray, S., Reddy, W. Hedberg, S., St. Marc, J., & Thorn, G. (1956). Studies on adrenocortical and psychological responses to stress in man.Archives of Internal Medicine.97. 269–298.

    Google Scholar 

  • Hooper, S. L., Mackinnon, L. T., Gordon, R. D., & Bachmann, A. W. (1993). Hormonal responses of elite swimmers to over-training.Medicine and Science in Sports and Exercise.25, 741–747.

    PubMed  Google Scholar 

  • Jemmott, J., & Lockc, S. (1984). Psychosocial factors, immunologic mediation, and human susceptibility to infectious diseases: How much do we know?Psychological Bulletin.95, 79–108

    Article  Google Scholar 

  • Kerr, G., & Minden, H. (1988). Psychological factors related to the occurrence of athletic injuries.Journal of Sport and Exercise Psychology.10, 167–173.

    Google Scholar 

  • KiecoJt-Gmser, J. K., & Glaser, R. (1991). Stress-immune functions in humans, In R. Adder, D. L. Felton, & N. Cohen (Eds.),Psychoneuroimmunology (2nd ed., pp. 849–868). New York: Academic.

    Google Scholar 

  • Kiecolt-Glaser, J. K., & Glaser, R. (1992). Psychoneuroimmunology; Can psychological interventions modulate immunity?Journal of Consulting and Clinical Psychology, 60, 569–575.

    Article  PubMed  Google Scholar 

  • Kirschbaum, C. & Hellhammer, D. H. (1994). Salivary Cortisol in psychoneuroendoerine research: Recent developments and applications.Psychoneuroendocrinology.19(4), 313–333.

    Article  PubMed  Google Scholar 

  • Kirwan, J. P.. Costill, D. L., Flynn, M. G., Mitchell, J. B., Fink, W. J., Neufer, P. D., & Houmard, J. A. (1988). Physiological responses to successive days of intense training in competitive swimmers.Medicine and Science in Sports and Exercise, 20, 255–259.

    Article  PubMed  Google Scholar 

  • Lopez Calhet, J. A., Navarro, M. A., Barbany, J. R., Garcia Manso, J., Bonnin, M. R., & Valero, J. (1993). Salivary steroid changes and physical performance in highly trained cyclists,International Journal of Sports Medicine, 14, 111–117.

    Article  Google Scholar 

  • Lutoslawska, G., Obminski, Z., Krogulski, A., & Sendecki, W. (1991). Plasma Cortisol and testosterone following 19-km and 42-km kayak races.Journal of Sports Medicine and Physical Fitness.31(4). 538–541.

    PubMed  Google Scholar 

  • Mackinnon, L. T. (1992).Exercise and immunology: Current issues in exercise science. Champaign, IL: Human Kinetics.

    Google Scholar 

  • Mackinnon, L. T., Ginn, E., & Seymour, G. (1991). Effects of exercise during sports training and competition on salivary IgA levels. In A. J. Husband (Ed.),Behaviour and immunity (pp. 169–177), Boca Raton, FL: CRC.

    Google Scholar 

  • Mackinnon, L. T., & Jenkins, D. G. (1993). Decreased salivary immunoglobulins after intense interval exercise before and after training.Medicine and Science in Sports and Exercise, 678–683.

  • Mason, J. W., Kosten, T. R., Southwick, S. M., & Giller, E. L. (1990). The use of psychoendocrine strategies in post-traumatic stress disorder.Journal of Applied Social Psychology.20(21), 1822–1846.

    Article  Google Scholar 

  • McCabe, P. M., & Schneiderman, N. (1985). Psychophysiologic reactions to stress. In N. Schneiderman & J. T. Tapp (Eds.),Behavioral medicine: The biopsychosocial approach (pp. 99–131). Hillsdale, NJ: Lawrence Erlbaum Associates, Inc.

    Google Scholar 

  • McDowell, S., Perna, F., & Ratliff, K. (1994). Performance and psychological profiles of elite rowers,Medicine and Science in Sports and Exercise.26(5), S195.

    Google Scholar 

  • Miller, L. H., Smith, A. D., & Mehler, B. (1987).The stress audit. Boston, MA: Biobehavioral Associates.

    Google Scholar 

  • Morgan, W., & Goldston, S. (1987).Exercise and mental health. New York: Hemisphere.

    Google Scholar 

  • Munck, A., Guyre, P. M., & Holbrook, N. J. (1984). Physiological functions of glucocorticoid in stress and their relation to pharmacological actions.Endocrine Review, 5, 25–44.

    Google Scholar 

  • Nieman, D. C., Johanssen, L. M., & Lee, J. W. (1989). Infectious episodes in runners before and after a road race.Journal of Sports Medicine, 29, 289–296.

    Google Scholar 

  • Nieman, D. C.. Johanssen, L. M., Lee, J. W., & Arabatzis, K. (1990). Infectious episodes in runners before and after the Los Angeles Marathon.Journal of Sports Medicine, 30. 316–328.

    Google Scholar 

  • O’Connor, P. J., Morgan, W. P., Raglin, J. S., Barksdale, C. M., & Kalin, N. H. (1989). Mood stale and salivary Cortisol levels following overtraining in female swimmers.Psychoneuroendocrinology, 14. 303–310.

    Article  PubMed  Google Scholar 

  • Oshida, Y., Yamanouchi, K., Hayatmizu, S., & Salo, Y. (1988). Effete of acute physical exercise on lymphocyte subpnpulalions in trained and untrained subjects.International Journal of Sports Medicine, 9, 137–140.

    Article  PubMed  Google Scholar 

  • Passer, M. W., & Seese, M. D. (1983). Life-stress and athletic injury: An examination of positive versus negative events and three moderator variables.Journal of Human Stress, 9, 11–16.

    PubMed  Google Scholar 

  • Perna, F. M., McDowell, S. M., & Spencer, S. M, (1994) Stress, coping, and health among elite athletes.Annuls of Behavioral Medicine, 16, S148.

    Google Scholar 

  • Petrie, T. A. (1490. August).Life stress, social support, and athletic injury: Development and validation of the Life Events Survey for Collegiate Athlete. Paper presented at the meeting of the American Psychological Association, Boston.

  • Petrie, T. A. (1991). Psychosocial antecedents of athletic injury The effects of life stress and social support on female collegiate gymnasts.Behavioral Medicine, 18(3), 127–138.

    Google Scholar 

  • Riad-Fahmy, D., Read, G. F., Walker, R. F., & Griffiths, D. (1982). Steroids in saliva for assessing endocrine function.Endocrine Review, 3(4), 367–390.

    Article  Google Scholar 

  • Roberts, J. A. (1986). Viral illness and sports performance.Sports Medicine.3, 296–303.

    Article  Google Scholar 

  • Simon, H. B. (1987). Exercise and infection.Physician and Sports Medicine, 15(10), 135–141.

    Google Scholar 

  • Smith, J. A., McKenzie, S. J., Telford, R. D., & Weidmann, M. J. (1991). Why does moderate exercise enhance, but intense training depress immunity? In A. Husband (Ed.).Behaviour and immunity (pp. 155–168). Boca Raton, FL: CRC.

    Google Scholar 

  • Smith, R. E., Smoll, F. L. &Placek, J. T. (1990). Conjunctive moderator variables in vulnerability and resiliency research; Life stress, social support and coping skills, and adolescent sport injuries.Journal of Personality and Social Psychology.5812. 360–370.

    Article  Google Scholar 

  • Snegovskaya, V., & Viru, A. (1993). Efevation of Cortisol and growth hormone levels in the course of further improvement of performance capacity in trained rowers.International Journal of Sports Medicine, 14, 202–206.

    Article  PubMed  Google Scholar 

  • Tharp, G. D. (1975). The role of glucocorticoids in exercise.Medicine and Science in Sports.7. 6–11.

    PubMed  Google Scholar 

  • Tharp, G. D., & Barnes, M. W. (1990). Reduclion of saliva immunoglobulin levels by swim training.European Journal of Applied Physiology, 60, 61–64.

    Article  Google Scholar 

  • Tvede, N., Pedersen, B. K., Hansen, F. R. Bcndix, T. Christensen, L. D., Galbo, H., & Halkjaer-Kristensen, J. (1989). Effect of physical exercise on blood mononuclear cell subpopulations and in vitro proliferative responses.Scandinavian Journal of Immunology, 29, 383–389.

    Article  PubMed  Google Scholar 

  • Urhausen, A., & Kinderman, W. (1987). Behaviour of testosterone, sex hormone binding globulin, and Cortisol before and aftera triathlon competition.International Journal of Sports Medicine, 8, 305–308.

    Article  PubMed  Google Scholar 

  • Verde, T., Thomas, S., & Shephard, R. J., (1992). Potential markers of heavy training in highly trained distance runners.British Journal of Sports Medicine, 26(3), 167–175.

    Article  PubMed  Google Scholar 

  • Weidner, T. G. (1994). Literature review. Upper respiratory illness and sport and exercise.International Journal of Sports Medicine, 15, 1–9.

    Article  PubMed  Google Scholar 

  • Williams, J. M.. Tonymon, P., & Wadsworth, W. A. (1986). Relationship of life slress to injury in intercollegiate volleyball.Journal of Human Stress, 12, 38–43.

    PubMed  Google Scholar 

  • Zawadzki, K. M., Wilber, R. L., Fleck, S. J., & Kearney, J. T. (1994). Physiological profiles of elite female cyclists.Medicine and Science in Sports and Exercise.26(5). S182.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

This article was supported in part by the Division of Sport Science and Technology of the United States Olympic Training Center and by NIMH research training Grant MHI8917.

We thank David Morris, Susan Fox, and the coxswains of the U.S. Women’s Crew and Vesper Boat Club for assistance in the data Collection.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Perna, F.M., McDowell, S.L. Role of psychological stress in cortisol recovery from exhaustive exercise among elite athletes. Int. J. Behav. Med. 2, 13–26 (1995). https://doi.org/10.1207/s15327558ijbm0201_2

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1207/s15327558ijbm0201_2

Key words

Navigation