The DOI matches its Crossref record; 8 of the 8 references it cites were found in a registry or an index.
Recovery of Endocrine and Inflammatory Mediators Following an Extended Energy Deficit
Abstract
Context: Due to current operational requirements, elite soldiers deploy quickly after completing arduous training courses. Therefore, it is imperative that endocrine and inflammatory mediators have fully recovered. Objective: Our objective was to determine whether a short-term (2–6 wk) recovery period was sufficient to restore endocrine and inflammatory homeostasis after sustained energy deficit. Design: Before and immediately after the course, serum concentrations of inflammatory and endocrine markers were taken along with anthropometric measures prior to and immediately after the Army Ranger course. In addition, nine soldiers were assessed between 2 and 6 weeks after the course. Setting: This research occurred in a field setting during an intensive 8-week military training course characterized by high-energy expenditure, energy restriction, and sleep deprivation (U.S. Army Ranger School). Participants: Twenty-three male soldiers (23.0 ± 2.8 y; 177.6 ± 7.9 cm; 81.0 ± 9.6 kg, 16.8 ± 3.9% body fat) participated in this study. Interventions: There were no interventions used in this research. Outcome Measures and Results: Significant changes occurred in circulating total testosterone (−70%), brain-derived neurotrophic factor (−33%), total IGF-1 (−38.7%), free IGF-1 (−41%), IGF binding protein (IGFBP-6; −23.4%), sex-hormone binding globulin (+46%), thyroid stimulating hormone (+85%), IGFBP-1 (+534.4%), IGFBP-2 (+98.3%), IGFBP-3 (+14.7%), IL-4 (+135%), IL-6 (+217%), and IL-8 (+101%). Significant changes in body mass (−8%), bicep (−14%), forearm (−5%), thigh (−7%), and calf (−2%) circumferences, sum of skinfolds (−52%), and percentage body fat (−54%). All anthropometric, inflammatory, and hormonal values, except T3, were restored to baseline levels within 2–6 weeks after the course. Conclusions: Endocrine markers and anthropometric measures were degraded, and inflammatory mediators increased after an extended energy deficit. A short-term recovery of 2–6 weeks was sufficient to restore these mediators.
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“Of note, changes were rapidly reversible, with body weight and hormonal parameters returning to baseline within 2 to 6 weeks of course completion (33).”
From Dysregulation of the Hypothalamic-Pituitary-Testicular Axis due to Energy Deficit (2021) · cites this paper as [33]
In the citing paper
“Energy deficit, especially if occurring in a multistressor environment (23,33) not only suppresses the HPT axis but concomitantly activates the HPA axis.”
From Dysregulation of the Hypothalamic-Pituitary-Testicular Axis due to Energy Deficit (2021) · cites this paper as [33]
In the citing paper
“For example, in healthy men participating in the intensive 8-week US Army Ranger military training course, in conjunction with an 8% loss of body weight, serum testosterone decreased by ~70%, and this was accompanied by other endocrine markers of energy deficit, such as an increase in SHBG, cortisol, and in the proinflammatory cytokines IL-6 and IL-8, and decreases in free triiodothyronine and IGF”
From Dysregulation of the Hypothalamic-Pituitary-Testicular Axis due to Energy Deficit (2021) · cites this paper as [33]
In the citing paper
“Participants in a strenuous 8-week intensive military training course had complete recovery of HPT-axis function within 2 to 6 weeks (23,33).”
From Dysregulation of the Hypothalamic-Pituitary-Testicular Axis due to Energy Deficit (2021) · cites this paper as [33]
In the citing paper
“the male GH/IGF-1 axis promptly recovers with restauration of the energy deficit (23,33).”
From Dysregulation of the Hypothalamic-Pituitary-Testicular Axis due to Energy Deficit (2021) · cites this paper as [33]
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Cited by
Stellingwerff, T., Mountjoy, M., McCluskey, W. T., Ackerman, K. E., Verhagen, E., & Heikura, I. A. (2023) · British Journal of Sports Medicine · doi:10.1136/bjsports-2023-106914 · Cited by 119
Howard, E. E., Margolis, L. M., Berryman, C. E., Lieberman, H. R., Karl, J. P., Young, A. J., Montano, M. A., Evans, W. J., Rodriguez, N. R., Johannsen, N. M., et al. (2020) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00157.2020 · Cited by 28
Dysregulation of the Hypothalamic-Pituitary-Testicular Axis due to Energy Deficit
Grossmann, M., & Wittert, G. A. (2021) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgab517 · Cited by 24
The gonadotrophic response of Royal Marines during an operational deployment in Afghanistan
Hill, N. E., Woods, D. R., Delves, S. K., Murphy, K. G., Davison, A. S., Brett, S. J., Quinton, R., Turner, S., Stacey, M., Allsopp, A. J., et al. (2015) · Andrology · doi:10.1111/andr.308 · Cited by 9
Metadata
- Authors
- Henning, P. C., Scofield, D. E., Spiering, B. A., Staab, J. S., Matheny, R. W., Smith, M. A., Bhasin, S., & Nindl, B. C.
- Affiliations
- Military Performance Division (P.C.H., D.E.S., B.A.S., J.S.S., R.W.M., B.C.N.), U.S. Army Research Institute of Environmental Medicine, Natick, Massachusetts 01760
- Madigan Healthcare System (M.A.S.), Joint Base Lewis-McChord, Washington 98431
- Sections of Endocrinology (S.B.), Diabetes, and Nutrition, Boston University School of Medicine, Boston University, Boston, Massachusetts 02118
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 2014-03-01
- Volume
- 99
- Issue
- 3
- Pages
- 956-964
- ISSN
- 0021-972X
- 1945-7197
- Cited by
- 86
- References
- 8
- Language
- en
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