Resistance exercise effects on plasma cortisol, testosterone and creatine kinase activity in anabolic-androgenic steroid users.

Anabolic-androgenic steroids (AS) users have been reported to have an improved ability to withstand exhaustive resistance workouts and to recover more rapidly. The purpose of this investigation was to study the effects of AS usage on the cortisol (C), testosterone (T) and creatine kinase (CK) response to a resistance training session. Eleven trained body builders and power lifters (5.0 +/- 1.6 training years, mean +/- SD), 5 AS users (SU) and 6 nonusers (NU), completed a standardized resistance training session consisting of 10 sets of back squats at preset percentages of the subject's 1 RM max. Blood samples were obtained at rest, immediately post exercise and 24 hours after the exercise session. SU had significantly lower T at rest. Neither group exhibited a significant change in T at 1 min or at 24 h post exercise. Both the NU and SU exhibited a significant increase in CK at 1 min post exercise (129 +/- 23.3 U.l-1, 81 +/- 15.3 U.l-1, respectively), with the NU response significantly greater than the SU. After 24 h, CK for NU was significantly elevated (171.9 +/- 54.5 U.l-1) above resting level. In contrast, CK for SU had returned to resting level. NU had a significant increase in cortisol (C) (p less than 0.05) at 1 min post exercise (156.8 +/- 10.9 nmol.l-1), while the SU cortisol was not significantly changed. By 24 h C for the NU returned to resting level. The results of this investigation support the concept that AS users have a diminished CK response and an altered stress response to a single bout of resistance exercise.