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Thyroid hormones, cytokines, physical training and metabolic control
J M Steinacker1, M Brkic, C Simsch
1Sektion Sport- und Rehabilitationsmedizin, Medizinische Klinik, Universität Ulm, Ulm, Germany. juergen.steinacker@medizin.uni-ulm.de
Summary
Prolonged athletic overtraining disrupts metabolic control, leading to hormonal imbalances and fatigue. Thyroid stimulating hormone (TSH) may indicate an athlete's metabolic status during training.
Area of Science:
- Exercise Physiology
- Endocrinology
- Metabolic Regulation
Background:
- Peripheral cellular mechanisms prioritize energy supply during acute exercise.
- Prolonged training leads to glycogen depletion, altered cytokine expression, and reduced insulin and lipolysis.
- Adipose tissue energy loss is marked by decreased leptin, impacting hypothalamic neurons.
Purpose of the Study:
- To investigate the metabolic and hormonal adaptations during prolonged athletic overtraining.
- To identify potential indicators of metabolic control in athletes.
- To understand the role of the hypothalamus-pituitary axis in the overtraining syndrome.
Main Methods:
- Analysis of metabolic error signals including leptin, insulin, and interleukin-6 (IL-6).
- Assessment of hypothalamic-pituitary hormonal responses and sympathoadrenergic stimulation.
- Correlation of thyroid stimulating hormone (TSH) with metabolic hormones and training status.
Main Results:
- Overtraining causes downregulation of hypothalamic hormonal and sympathoadrenergic responses.
- Metabolic disturbances contribute to catabolism, fatigue, and myopathy.
- Thyroid hormones are integral to metabolic control and the training response.
Conclusions:
- The hypothalamus integrates metabolic, hormonal, and sensory signals to regulate the athlete's functional status.
- Overtraining leads to a catabolic state characterized by reduced performance and specific muscle fiber changes.
- Thyroid stimulating hormone (TSH) can serve as a marker for metabolic control in athletes undergoing intense training.