Importance of total testosterone in subjects who perform exercises that require great physical effort
DOI:
https://doi.org/10.56294/saludcyt2024702Keywords:
Total Testosterone (TT), International Olympic Committee (IOC), Anabolic Androgenic Steroids (AAS), Androgenic Receptors (RA)Abstract
Introduction: physical activity, especially high-impact activity, generates an increase in total testosterone levels in the athletes' bodies, this increase provides a gain in strength and muscle growth in a short period of time.
Methods: a narrative review was carried out with different search strategies in PubMed, Elsevier, Academic Google, Scielo, 22 research articles and reviews published in Spanish and English were included, from 2019 to 2023.
Results: of the studies reviewed, the majority provided key information on the association between elevated levels of total testosterone and physical growth in athletes.
Conclusion: sport is essential to improve the quality of life of the individual, however, the obsession with developing spectacular muscles and increasing their strength has led athletes to consume anabolic androgenic steroids that dangerously raise testosterone levels, consequently, causing the damage to organs and systems, which could become a public health problem; therefore, consumption must be controlled medically. Low testosterone levels in men are associated with erectile dysfunction, in women with infections and vaginal dryness. Testosterone levels in trans women, despite wanting to suppress them through hormone therapy, remain high, giving them an additional advantage over the rest of the female gender
References
1. Di Liegro, Schiera, Proia, Di Liegro. Physical Activity and Brain Health. Genes 2019;10:720. https://doi.org/10.3390/genes10090720.
2. Mahalakshmi B, Maurya N, Lee S-D, Bharath Kumar V. Possible Neuroprotective Mechanisms of Physical Exercise in Neurodegeneration. IJMS 2020;21:5895. https://doi.org/10.3390/ijms21165895.
3. Desiderio DWA, Losardo RJ, Bortolazzo C, van Tooren JA, Hoyo EH. Deporte, educación y salud s/f.
4. Alfonso Mantilla JI. Neurociencia y entrenamiento en el deporte de alto rendimiento. RICCAFD 2019;8:15. https://doi.org/10.24310/riccafd.2019.v8i2.6238.
5. Zúñiga-Vergara P, Castro S. M. ¿Los niveles de Testosterona y Cortisol influyen en el rendimiento en el rugby? Una mirada al rugby sevens. Revista Archivos SOCHMEDEP 2022;67:37–53. https://doi.org/10.59856/Rev.SOCHMEDEP.Vol67-N1.23.
6. Anawalt BD, Matsumoto AM. Aging and androgens: Physiology and clinical implications. Rev Endocr Metab Disord 2022;23:1123–37. https://doi.org/10.1007/s11154-022-09765-2.
7. García-Arnés JA, García-Casares N. Doping and sports endocrinology: anabolic-androgenic steroids. Revista Clínica Española (English Edition) 2022;222:612–20. https://doi.org/10.1016/j.rceng.2022.09.003.
8. Rodríguez Alfaro JM, Álvarez Castillo A, Salas Boza A. Esteroides anabólicos: repercusiones médicas del uso indiscriminado con fines en la mejora del rendimiento atlético. Rev.méd.sinerg 2020;5:e531. https://doi.org/10.31434/rms.v5i7.531.
9. Jácome A. Descubrimiento de la testosterona. RevACE 2019;6:231–5. https://doi.org/10.53853/encr.6.3.538.
10. Gharahdaghi N, Phillips BE, Szewczyk NJ, Smith K, Wilkinson DJ, Atherton PJ. Links Between Testosterone, Oestrogen, and the Growth Hormone/Insulin-Like Growth Factor Axis and Resistance Exercise Muscle Adaptations. Front Physiol 2021;11:621226. https://doi.org/10.3389/fphys.2020.621226.
11. Jasuja R, Pencina KM, Peng L, Bhasin S. Accurate Measurement and Harmonized Reference Ranges for Total and Free Testosterone Levels. Endocrinology and Metabolism Clinics of North America 2022;51:63–75. https://doi.org/10.1016/j.ecl.2021.11.002.
12. Zitzmann M. Testosterone, mood, behaviour and quality of life. Andrology 2020;8:1598–605. https://doi.org/10.1111/andr.12867.
13. Kraemer WJ, Ratamess NA, Hymer WC, Nindl BC, Fragala MS. Growth Hormone(s), Testosterone, Insulin-Like Growth Factors, and Cortisol: Roles and Integration for Cellular Development and Growth With Exercise. Front Endocrinol 2020;11:33. https://doi.org/10.3389/fendo.2020.00033.
14. Chasland LC, Yeap BB, Maiorana AJ, Chan YX, Maslen BA, Cooke BR, et al. Testosterone and exercise: effects on fitness, body composition, and strength in middle-to-older aged men with low-normal serum testosterone levels. American Journal of Physiology-Heart and Circulatory Physiology 2021;320:H1985–98. https://doi.org/10.1152/ajpheart.00010.2021.
15. Delgado PF, Maya-Rosero E, Franco M, Montoya-Oviedo N, Guatibonza R, Mockus I. Testosterona y homicidio: aspectos neuroendocrinos de la agresión. Rev Fac Med 2020;68. https://doi.org/10.15446/revfacmed.v68n2.73237.
16. Brzezinski-Sinai NA, Brzezinski A. Schizophrenia and Sex Hormones: What Is the Link? Front Psychiatry 2020;11:693. https://doi.org/10.3389/fpsyt.2020.00693.
17. Guerrero Hines C, Chacón Campos NV, Pizarro Madrigal M. Actualización de menopausia y terapia de reemplazo hormonal. Rev.méd.sinerg 2023;8:e933. https://doi.org/10.31434/rms.v8i1.933.
18. Arenas Jiménez MD. Cuando el deporte deja de ser salud: dietas, suplementos y sustancias para aumentar el rendimiento y su relación con el riñón. Nefrología 2019;39:223–6. https://doi.org/10.1016/j.nefro.2018.10.004.
19. Bond P, Smit DL, De Ronde W. Anabolic–androgenic steroids: How do they work and what are the risks? Front Endocrinol 2022;13:1059473. https://doi.org/10.3389/fendo.2022.1059473.
20. Tidmas V, Halsted C, Cohen M, Bottoms L. The Participation of Trans Women in Competitive Fencing and Implications on Fairness: A Physiological Perspective Narrative Review. Sports 2023;11:133. https://doi.org/10.3390/sports11070133.
21. Hilton EN, Lundberg TR. Transgender Women in the Female Category of Sport: Perspectives on Testosterone Suppression and Performance Advantage. Sports Med 2021;51:199–214. https://doi.org/10.1007/s40279-020-01389-3.
22. Wiik A, Lundberg TR, Rullman E, Andersson DP, Holmberg M, Mandić M, et al. Muscle Strength, Size, and Composition Following 12 Months of Gender-affirming Treatment in Transgender Individuals. The Journal of Clinical Endocrinology & Metabolism 2020;105:e805–13. https://doi.org/10.1210/clinem/dgz247.
Published
Issue
Section
License
Copyright (c) 2024 Yanira Monserrath Herrera Telenchana, Lourdes Gioconda Tabares Rosero (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.