Influence of smoking status on acute biomarker responses to successive days of arduous military training

Andrew Siddall, Keith Stokes, Dylan Thompson, Rachel Izard, Julie Greeves, James Bilzon

Research output: Contribution to journalArticle

Abstract

Introduction: Habitual smoking is highly prevalent in military populations despite its association with poorer training outcomes. Smoking imposes challenges on immune and endocrine systems which could alter how smokers acutely respond to, and recover from intensive exercise, particularly over multiple days of training. Methods: Over a two-day period, thirty-five male British Army recruits (age 22 ±3 yr; mass 76.9 ±8.0 kg; height 1.78 ±0.06 m; 15 smokers) completed a 16.1 km loaded march (19.1 kg additional mass) on the first morning and a best-effort 3.2 km ‘log race’ (carrying a 60 kg log between six-to-eight people) on the subsequent morning. Blood samples were obtained upon waking and immediately post-exercise on both days and analysed for C-reactive protein (CRP), interleukin (IL)-6, testosterone/cortisol ratio and insulin-like growth factor (IGF)-1. Results: Independent of smoking group, the exercise bouts on both days evoked significant increases in IL-6 (p<0.001) and decreases in testosterone/cortisol ratio (p<0.05). CRP concentrations on Day 2 were significantly higher than both time-points on Day 1 (p<0.001) and a 9% decline in IGF-1 occurred over the two-day period, but was not significant (p=0.063). No significant differences were observed between smokers and non-smokers (p>0.05). Conclusions: Military-specific tasks elicited inflammatory and endocrine responses, with systemic CRP and IGF-1 indicating that the physiological stress generated during the first training day was still evident on the second day. Despite the well-established impacts of smoking on resting levels of the markers examined, responses to two days of arduous military-specific training did not differ by smoking status.
Original languageEnglish
Number of pages14
JournalBMJ Military Health
Early online date19 Jul 2020
DOIs
Publication statusE-pub ahead of print - 19 Jul 2020

Keywords

  • Immune-inflammatory response; endocrine response; exercise; military; smoking, tobacco; acute

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