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How Exercise Really Affects Your Testosterone, According to Doctors

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How Exercise Really Affects Your Testosterone, According to Doctors

Working out regularly has a profound effect on all aspects of your health, including your heart and mental health. Exercise may also play a role in your testosterone levels—but exactly how it does that is a little complex.

‘Testosterone levels are affected by exercise but ongoing work is needed to really understand what is happening,’ says Edward Cherullo, M.D., chair of urology at Rush University Medical Center in Chicago.

What we do know so far is that the relationship between exercise and testosterone depends on several factors. One is the type of workout you choose, says Brian McNeil, M.D., chief of urology at SUNY Downstate Health Sciences University. Over time, strength and resistance training have been shown to increase testosterone levels while cardio might not have as much of an effect.

It also depends on how intensely you’re working out and for how long, explains Anthony Hackney, Ph.D., D.Sc., a professor of exercise physiology and nutrition at the University of North Carolina, who’s studied exercise and testosterone for decades.

Testosterone, the main male sex hormone that’s produced by the testicles, is anabolic and does help you build muscle, Hackney says. (That’s one of its functions, anyway; it has many others.) But other hormones also contribute to muscle building and endurance.

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‘While testosterone is important, it’s not the only way the body decides to create an anabolic response,’ Hackney adds.

Exercise affects testosterone in other ways, too, Dr. McNeil adds. When you work out, you’ll improve your overall health and reduce your body fat, which he says can improve testosterone. Obesity is linked to low testosterone and other health problems.

‘All of these things put you in the best shape possible,’ he says. Here’s a closer look at how exercise affects your T levels.

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Does Working Out Affect Testosterone Levels?

Exercise does impact testosterone levels, but research suggests that the actual effect depends on several factors.

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‘Certain types of exercise done at certain volumes and intensity can lead to an elevation in testosterone, but you can also have certain types of exercise, certain volumes of intensity that can reduce testosterone,’ Hackney says. ‘So, there isn’t a universal, ‘Oh, I’m exercising, and I’m always going to see this testosterone response.”

Many studies looking at different types of exercises—including cardio, cycling, running, swimming, and weightlifting—and their effects on T levels have found different outcomes, explains Ahmed El-Zawahry, M.D., a urologist at the University of Toledo Medical Center.

‘If we are going to summarise the results of these studies in one easy statement, exercises do not significantly change testosterone level,’ he says.

Still, some exercises, especially weightlifting, can temporarily boost testosterone. But, Dr. El-Zawahry says the surge doesn’t last long.

Body composition and fitness level factor into how exercise affects your testosterone, too. A small 2016 study found that obese and overweight men saw a boost in their T levels when they increased their physical activity, more so than when they solely restricted calories.

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A 2018 study suggested that some male elite athletes had low testosterone concentrations, but the low T may be linked to higher cortisol levels in the blood from working out. The athletes studied are typically in good physical condition, with a lean body and no symptoms of low testosterone (which doctors say is often more important than your actual levels).

People with higher percentages of body fat and higher body weights are more likely to have low testosterone and experience symptoms, Dr. El-Zawahry adds.

‘You should exercise to keep your endurance, lean muscle, and low body fat, which will, in turn, keep you healthy,’ Dr. El-Zawahry says. This will reduce the risks of metabolic syndrome and reduce health issues associated with it—and those things keep testosterone at a healthy level, he adds.

man preparing for a lift

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Which Exercises Impact Testosterone Most?

Research suggests that strength exercises and high-intensity interval training (HIIT) can increase testosterone levels. Endurance-based exercises, like cardio, can potentially reduce testosterone.

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Even within resistance training, the ‘greater intensity and greater volume of work’ are more likely to elevate testosterone, Hackney says. For instance, if you’re lifting heavy weights with lots of sets over a 45-minute time period, you’ll see a bigger impact.

‘If they’re a casual resistance trainer, they’re probably not going to see any substantial mark in testosterone changes,’ he adds.

A 2016 study showed that starting resistance training with large muscle groups, like your chest and glutes, and progressing to small muscle groups, such as triceps and shoulders, produced the largest testosterone response. But no exercise is going to drive your T levels through the roof, and it won’t be a prolonged increase.

Testosterone levels usually increase transiently after weights and intense physical activity about 15 minutes to an hour after the workout, Dr. Cherullo said.

Mixing endurance and resistance training likely leads to a “zero-sum game,” when it comes to its effect on testosterone, Hackney says.

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Don’t worry so much about just focusing on resistance training because you think it raises your T. Dr. El-Zawahry says any exercise benefits your general health and helps you maintain a healthy body weight and T level.

While there’s research on the subject, Dr. McNeil says yoga and pilates, which incorporate aspects of strength training, likely have a positive impact on testosterone.

How Long Does the T Boost Last After Working Out?

The elevated testosterone that you see from working out is usually temporary—maybe an hour or so, Hackney says. Then, your T levels will return to normal.

‘However, you may feel a good boost of energy with exercise because of a surge in cortisol level rather than testosterone,’ Dr. El-Zawahry says.

Remember, too, that your testosterone levels naturally fluctuate during the day. By exercising, you’ll likely maintain a healthy weight and improve your cardiovascular functioning, which has positive effects on your testosterone.

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However, working out alone won’t cause a long-term increase in testosterone levels, Dr. El-Zawahry says.

Will Exercising Affect Your Testosterone Test?

Your testosterone levels tend to be the highest in the morning and then gradually drop throughout the day, Dr. Cherullo said. That’s why doctors typically test your T in the morning.

If you typically run in the morning or take 5 a.m. HIIT classes, it likely won’t affect your test results, Dr. McNeil says. So don’t skip your workout—it’s good for your T levels and your overall health.

Headshot of Erica Sweeney

Erica Sweeney is a writer who mostly covers health, wellness and careers. She has written for The New York Times, HuffPost, Teen Vogue, Parade, Money, Business Insider and many more.

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Higher fitness levels linked to lower risk of depression, dementia – Harvard Health

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Higher fitness levels linked to lower risk of depression, dementia – Harvard Health
research review

People with high cardiorespiratory fitness were 36% less likely to experience depression and 39% less likely to develop dementia than those with low cardiorespiratory fitness. Even small improvements in fitness were linked to a lower risk. Experts believe that exercise’s ability to boost blood flow to the brain, reduce bodywide inflammation, and improve stress regulation may explain the connection.

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These 20-Minute Burpee Workouts Replaced His Entire Gym Routine – and Transformed His Physique

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These 20-Minute Burpee Workouts Replaced His Entire Gym Routine – and Transformed His Physique

While many swear by them, most people see burpees as a form of punishment – usually dished out drill sergeant-style by overzealous bootcamp PTs. Often the final blow in an already brutal workout, burpees are designed to test cardiovascular fitness, muscular endurance and mental grit. Love them or loathe them, they deliver every time.

For Max Edwards – aka Busy Dad Training on YouTube – they became a simple but highly effective way to stay fit and lean during lockdown. Once a committed powerlifter, spending upwards of 80 minutes a day in the gym, he was forced to overhaul his approach due to fatherhood, lockdown and a schedule that no longer allowed for long, structured lifting sessions.

‘Even though I was putting in hours and hours into the gym and even though my physique was pretty good, I wasn’t becoming truly excellent at any physical discipline,’ he explained in a YouTube video.

‘I loved the intentionality of training,’ says Edwards. ‘The fact that every session has a point, every rep in every set is helping you get towards a training goal, and I loved that there was a clear way of gauging progression – feeling like I was developing competence and moving towards mastery.’

Why He Walked Away From Powerlifting

Despite that structure, Edwards began to question whether powerlifting was sustainable long-term.

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‘My sessions were very taxing on my central nervous system. I was exhausted between sessions. It felt as if I needed at least nine hours of sleep each night just to function.’

He also noted that his appetite was consistently high.

But the biggest drawback was time.

‘I could not justify taking 80 minutes a day away from my family for what felt like a self-centred pursuit,’ he says.

A Simpler Approach That Stuck

‘Over the course of that year I fixed my relationship with alcohol and I developed, for the first time in my adult life, a relationship with physical training,’ says Edwards.

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With limited time and no access to equipment, he turned to burpees. Just two variations, four times a week, with each session lasting 20 minutes.

‘My approach in each workout was very simple. On a six-count training day I would do as many six-counts as I possibly could within 20 minutes. On a Navy Seal training day I would do as many Navy Seal burpees as I could within 20 minutes – then in the next workout I would simply try to beat the number I had managed previously.’

This style of training is known as AMRAP – as many reps (or rounds) as possible.

The Results

Edwards initially saw the routine as nothing more than a six-month stopgap to stay in shape. But that quickly changed.

‘I remember catching sight of myself in the mirror one morning and I was utterly baffled by the man I saw looking back at me.’

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He found himself in the best shape of his life. His energy levels improved, his resting heart rate dropped and his physique changed in ways that powerlifting hadn’t quite delivered.

‘It has been five years since I have set foot in a gym,’ he says. ‘That six-month training practice has become the defining training practice of my life – and for five years I have trained for no more than 80 minutes per week.’

The Burpee Workouts

1/ 6-Count Burpees

20-minute AMRAP, twice a week

How to do them:

  • Start standing, feet shoulder-width apart
  • Crouch down and place your hands on the floor (count 1)
  • Jump your feet back into a high plank (count 2)
  • Lower into the bottom of a push-up (count 3)
  • Push back up to plank (count 4)
  • Jump your feet forward to your hands (count 5)
  • Stand up straight (count 6)

20-minute AMRAP, twice a week

How to do them:

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  • Start standing, feet shoulder-width apart
  • Crouch down and place your hands on the floor
  • Jump your feet back into a high plank
  • Perform a push-up (chest to floor)
  • At the top, bring your right knee to your right elbow, then return
  • Perform another push-up
  • Bring your left knee to your left elbow, then return
  • Perform a third push-up
  • Jump your feet forward
  • Stand or jump to finish

Headshot of Kate Neudecker

Kate is a fitness writer for Men’s Health UK where she contributes regular workouts, training tips and nutrition guides. She has a post graduate diploma in Sports Performance Nutrition and before joining Men’s Health she was a nutritionist, fitness writer and personal trainer with over 5k hours coaching on the gym floor. Kate has a keen interest in volunteering for animal shelters and when she isn’t lifting weights in her garden, she can be found walking her rescue dog.

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Six ways your smartwatch is lying to you, according to science

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Six ways your smartwatch is lying to you, according to science

You check your smartwatch after a run. Your fitness score has dropped. You’ve burnt hardly any calories. Your recovery score is really low. It’s telling you to take the next 72 hours off exercise.

The worst bit? The whole run felt amazing.

So why is your watch telling you the opposite?

Ultimately, it’s because smartwatches and other fitness trackers aren’t always accurate.

Smartwatches can shape how you exercise

Using wearable fitness technology, such as smartwatches, has been one of the top fitness trends for close to a decade. Millions of people around the world use them daily.

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These devices shape how people think about health and exercise. For example, they provide data about how many calories you’ve burnt, how fit you are, how recovered you are after exercise, and whether you’re ready to exercise again.

But your smartwatch doesn’t measure most of these metrics directly. Instead, many common metrics are estimates. In other words, they’re not as accurate as you might think.

1. Calories burned

Calorie tracking is one of the most popular features on smartwatches. However, the accuracy leaves a lot to be desired.

Wearable devices can under- or overestimate energy expenditure (often expressed as calories burned) by more than 20 per cent. These errors also vary between activities. For example, strength training, cycling and high-intensity interval training can lead to even larger errors.

This matters because people often use these numbers to guide how much they eat.

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For example, if your watch overestimates calories burned, you might think you need to eat more food than you really need, which could result in weight gain. Conversely, if your watch underestimates calories burned, it could lead you to under-eat, negatively impacting your exercise performance.

2. Step counts

Step counts are a great way to measure general physical activity, but wearables don’t capture them perfectly.

Smartwatches can under-count steps by about 10 per cent under normal exercise conditions. Activities such as pushing a pram, carrying weights, or walking with limited arm swing likely make step counts less accurate, as smartwatches rely on arm movement to register steps.

For most people, this isn’t a major problem, and step counts are still useful for tracking general activity levels. But view them as a guide, rather than a precise measure.

3. Heart rate

Smartwatches estimate your heart rate using sensors that measure changes in blood flow through the veins in your wrist.

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This method is accurate at rest or low intensities, but gets less accurate as you increase exercise intensity.

Arm movement, sweat, skin tone and how tightly you wear the watch can also impact the heart rate measure it spits out. This means the accuracy can vary between people.

This can be problematic for people who use heart rate zones to guide their training, as small errors can lead to training at the wrong intensity.

4. Sleep tracking

Almost every smartwatch on the market gives you a “sleep score” and breaks your night into stages of light, deep and REM sleep.

The gold standard for measuring sleep is polysomnography. This is a lab-based test that records brain activity. But smartwatches estimate sleep using movement and heart rate.

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This means they can detect when you’re asleep or awake reasonably well. But they are much less accurate at identifying sleep stages.

So even if your watch says you had “poor deep sleep”, this may not be the case.

5. Recovery scores

Most smartwatches track heart rate variability and use this, with your sleep score, to create a “readiness” or “recovery” score.

Heart rate variability reflects how your body responds to stress. In the lab it is measured using an electrocardiogram. But smartwatches estimate it using wrist-based sensors, which are much more prone to measurement errors.

This means most recovery metrics are based on two inaccurate measures (heart rate variability and sleep quality). This results in a metric that may not meaningfully reflect your recovery.

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As a result, if your watch says you’re not recovered, you might skip training — even if you feel good (and are actually good to go).

6. VO₂max

Most devices estimate your VO₂max — which indicates your maximal fitness. It’s the maximum amount of oxygen your body can use during exercise.

The best way to measure VO₂max involves wearing a mask to analyse the amount of oxygen you breathe in and out, to determine how much oxygen you’re using to create energy.

But your watch cannot measure oxygen use. It estimates it based on your heart rate and movement.

But smartwatches tend to overestimate VO₂max in less active people and underestimate VO₂max in fitter ones.

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This means the number on your watch may not reflect your true fitness.

What should you do?

While the data from your smartwatch is prone to errors, that doesn’t mean it is completely worthless. 

These devices still offer a way to help you track general trends over time, but you should not pay attention to daily fluctuations or specific numbers.

It’s also important you pay attention to how you feel, how you perform and how you recover. This is likely to give you even more insight than what your smartwatch says.

Hunter Bennett is a lecturer in exercise science at Adelaide University. This piece first appeared on The Conversation.

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