Author:
Dr. Muskan Nagora Bachelor of Medicine, Bachelor of Surgery - MBBS, Geetanjali University
Reviewed by:
Fathima Shamila Master of science in Biotechnology
Ann Maria Antony Queen’s University Belfast - MSc Molecular Biology and Biotechnology

Introduction

The human body controls multiple functions with the help of hormones, which are natural chemical messengers which regulate everything from energy and mood to metabolism and stress. Exercise triggers hormone changes that enhance performance, while other hormones work to maintain equilibrium. Knowing how physical activity affects cortisol, insulin, thyroid, and growth hormones can help us better support our health and fitness and recover effectively. The following article explains hormonal modifications and why they matter.

What are hormones?

Hormones are your body’s chemical messengers. They travel through the blood and carry important instructions to different parts of the body. Each hormone has a specific job and helps control certain functions. The body depends on hormones to maintain proper balance via their influence on emotions, stress, digestion, and growth.1

What is a hormonal imbalance?

The human body produces many hormones, which must remain in proper quantities to maintain optimal health. Hormonal imbalance occurs when hormone concentrations exceed or decrease below the usual range. The symptoms that appear depend on which hormone becomes unbalanced. A hormonal imbalance can affect all types of people regardless of age or sex.

Hormonal imbalances can happen to anyone and often show up through a wide range of unusual symptoms. Natural changes like pregnancy, menopause, or andropause can cause shifts in hormone levels, but imbalances can also result from issues with hormone-producing glands like the thyroid or adrenals. Conditions such as polycystic ovarian syndrome (PCOS), autoimmune diseases, chronic stress, poor diet, certain medications, long-term illnesses, or even inherited disorders can all play a role. Since hormones affect everything from mood and energy to metabolism and reproduction, even small disruptions can have noticeable effects on your life.1

Effect of exercise on different hormones 

Exercise provides various benefits for both the body and hormones. However, when hormone levels become imbalanced, it can negatively affect overall health. To understand this better, it is important first to explore the connection between physical activity and hormonal function.

Growth hormone and IGF-1

The pituitary gland, located in the brain, produces growth hormones (GH). It helps with metabolism and body growth. The body requires energy during exercise so, during brief high-intensity activities, the body depends on glucose, but it switches to fat storage during longer exercise sessions. Growth hormones function to deliver oxygen to muscles, together with fuel molecules. GH boosts fat burning, improves muscle strength, helps regulate body temperature, and reduces insulin resistance, all of which impact physical performance.2

GH levels begin increasing 10–20 minutes after exercise initiation before reaching their peak around the end or just after, and stay elevated for up to 2 hours. The amount of GH release increases when performing intense or resistance training. Different factors, such as age and gender, together with body type and workout type, determine the amount of GH that gets released.2

Aerobic exercise at moderate intensity causes growth hormone levels to increase progressively in the blood. In contrast, intense anaerobic workouts trigger a sharp and sudden rise in GH.3

GH doesn’t act alone. It causes the release of IGF-1 (insulin-like growth factor-1), a hormone primarily produced in the liver. IGF-1 helps with muscle repair and growth.2

IGF-1 supports growth and development, but it also tells us how tired or overtrained someone might be. When the body is under stress from not eating enough, overtraining, or both, IGF-1 levels drop, signalling fatigue and a lack of energy.2,3

While short-term exercise boosts IGF-1, chronic intense exercise, especially when combined with low energy intake, leads to reduced IGF-1 levels.2,3

Stress hormones: Catecholamines and Cortisol

When our body detects stress in any form, it activates an internal coping mechanism to respond. The primary hormones involved in this response are catecholamines (such as adrenaline and noradrenaline) and cortisol.

Catecholamines: fast-acting stress hormones

When our body encounters stress of any kind, whether it is physical or emotional, our body releases catecholamines, which include stress hormones like adrenaline and noradrenaline. These are produced by the nervous system and adrenal glands.2,3

Exercise is a form of physical stress. During intense workouts, the body activates the sympathoadrenal system, which boosts the release of these stress hormones. These hormones improve athletic performance by breaking down muscle and liver glycogen (stored form of glucose in the body), which provides the body with more energy. These hormones also help with fat breakdown (lipolysis).2,3

Cortisol: Sustained support for stress and energy

Cortisol is the main hormone released by the adrenal glands in response to stress. Cortisol plays a crucial role in regulating blood sugar and metabolism, especially during physical activity.2

When you exercise or experience stress, cortisol increases glucose (sugar) production to give your body a quick source of energy by breaking down proteins from muscles and converting them into glucose. It also helps retain body fluids, which protects joints during movement.2

Your body produces higher cortisol levels during periods of intense physical activity. Physical stress activates the HPA axis (hypothalamic-pituitary-adrenal axis), which is your body’s central stress response system.2

The stress response begins in the brain with the release of ACTH (adrenocorticotropic hormone), which signals the adrenal glands to produce cortisol.3

If you train too hard without enough rest, it can lead to overtraining syndrome (OTS), a condition where your performance drops and takes weeks or months to recover.2

Thyroid hormones

Your body operates smoothly partly because of the thyroid gland. Your thyroid gland produces two essential hormones, T4 (thyroxine) and T3 (triiodothyronine), which control metabolic processes and energy utilisation, as well as, assisting other hormones in maintaining proper organ and tissue function.2

Thyroid hormones help your body handle physical activity. They increase energy production, make the heart more responsive, and help burn fat and sugar for fuel so, they can impact athletic performance.2

The HPT axis (hypothalamic-pituitary-thyroid axis) functions as the controller of your thyroid gland. The brain releases TRH (thyrotropin-releasing hormone), which signals the pituitary gland to release TSH (thyroid-stimulating hormone). TSH then prompts the thyroid gland to produce the hormones T4 and T3.2

Most of the hormone exists as T4 until your body transforms it into T3 at its active sites. These hormones travel in the blood mostly attached to proteins, while only a tiny amount floats freely.2

Short workouts (under 20 minutes) at high intensity increase TSH and T4, while T3 levels may drop. This happens because less T4 is being converted into active T3 during hard work. During very long workouts (like 3 hours), T4 might go up during exercise and fall afterwards during recovery, while T3 tends to drop. Repeated low-intensity but demanding physical activity, especially in stressful situations like military training with sleep deprivation and without proper nutrition intake, can lead to low T4, T3, and TSH, indicating stress on the thyroid.2

Normal physical activity in children is beneficial and does not cause growth problems. Excessively intense physical activity, especially when prolonged, can delay puberty and limit the final height a female may reach. This effect is mainly due to reduced thyroid hormone levels and other stress-related hormonal changes.2

Under physical or emotional stress (like extreme exercise or calorie restriction), your body produces more cortisol, which can lower T3 and increase reverse T3, potentially causing a condition called low T3 syndrome. This causes your metabolism to slow down in order to preserve energy.2

Sex hormones

The brain releases FSH (follicle-stimulating hormone) and LH (luteinizing hormone) in women to signal the ovaries to create estrogen and progesterone. FSH helps eggs mature in the ovaries and boosts estrogen levels, while LH triggers ovulation and supports progesterone production. These hormones not only drive the menstrual cycle but also influence mood, metabolism and brain function. 

In males, FSH plays a role in sperm development, while LH signals the testes to produce testosterone. Testosterone is important for muscle and bone growth, as well as sexual function and energy levels.

Both estrogen in women and testosterone in men increase when individuals perform exercise. The increase is similar across different workout types, suggesting a general boost from physical activity.3

Insulin 

Insulin reduces blood sugar levels by helping glucose move into muscle and fat cells, where it can be used or stored. It also encourages the body to store glucose as glycogen, especially in muscles, which is important for athletes who rely on these energy stores. Insulin also plays a role in protecting muscle protein from breaking down.2

Physical activity boosts glucose uptake into muscles. Improvements have been seen in healthy people, the elderly, and those with insulin resistance. Even after a few days or weeks of stopping exercise, the benefits still linger.2

People who exercise regularly become more sensitive to insulin. That means their bodies need less insulin to manage blood sugar. Studies show that both young and older adults benefit, and older athletes can even reach similar insulin responses as younger individuals. This shows exercise can reverse some of the age-related decline in insulin sensitivity.2

Summary

Exercise has a powerful impact on our hormones. Whether it’s a quick workout or intense training, physical activity triggers hormonal changes that help our bodies adapt, perform, and recover. Stress hormones like adrenaline and cortisol give us energy during workouts, while growth hormone and IGF-1 support muscle repair and fat burning. Thyroid hormones keep our metabolism running smoothly, and insulin helps manage blood sugar and fuel our muscles. However, too much exercise, especially without enough rest or proper nutrition, can lead to hormonal imbalances, fatigue, or even overtraining. By understanding how our hormones respond to different types of exercise, we can make better choices for our health, fitness, and long-term well-being.

References

  1. Treasure NO, Johnkennedy N, Chinyere O, Amarachi IP, Chioma N. The Perspective of Hormonal Imbalance in Humans: A Review. 2022;
  2. Mennitti C, Farina G, Imperatore A, De Fonzo G, Gentile A, La Civita E, et al. How Does Physical Activity Modulate Hormone Responses? Biomolecules [Internet]. 2024 Nov 7 [cited 2025 Jun 19];14(11):1418. Available from: https://www.mdpi.com/2218-273X/14/11/1418
  3. Lencu C, Alexescu T, Lencu M, Georgescu C. Hormonal response to physical exercise. Endocr Abstr [Internet]. 2016 May 13 [cited 2025 Jun 19]; Available from: http://www.endocrine-abstracts.org/ea/0041/ea0041EP828.htm
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Klarity is a citizen-centric health data management platform that enables citizens to securely access, control and share their own health data. Klarity Health Library aims to provide clear and evidence-based health and wellness related informative articles. 
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my.klarity.health presents all health information in line with our terms and conditions. It is essential to understand that the medical information available on our platform is not intended to substitute the relationship between a patient and their physician or doctor, as well as any medical guidance they offer. Always consult with a healthcare professional before making any decisions based on the information found on our website.
Klarity is a citizen-centric health data management platform that enables citizens to securely access, control and share their own health data. Klarity Health Library aims to provide clear and evidence-based health and wellness related informative articles. 
Email:
Klarity / Managed Self Ltd
Alum House
5 Alum Chine Road
Westbourne Bournemouth BH4 8DT
VAT Number: 362 5758 74
Company Number: 10696687

Phone Number:

 +44 20 3239 9818
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