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NCT Number: NCT07092969

Comparison of the Effects of Aerobic-Anaerobic Exercises on Hormonal and Immune Biomarkers

This study aims to compare the effects of aerobic and anaerobic exercise on hormonal, immunological, and metabolic biomarkers in young individuals using blood and saliva samples. It will also assess participants' physical activity levels, depression levels, and general lifestyle habits to explore their relationship with biomarker profiles. Biomarkers such as testosterone, progesterone, cortisol, IgA, alpha-amylase, insulin, lactate, and various inflammatory cytokines will be measured using ELISA. The study seeks to evaluate the physiological and psychosocial effects of different types of exercise in a holistic manner.

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Key information

Age range

18 year–25 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

Exercise is a complex stimulus that induces multifaceted effects on an individual's physiological and psychological systems. Aerobic and anaerobic types of exercise differ in terms of their energy production pathways and metabolic responses in the body. Aerobic exercises are long-duration, oxygen-dependent activities, while anaerobic exercises are short-duration, high-intensity activities that activate oxygen-independent energy systems.

These types of exercise cause various hormonal, immunological, and metabolic changes in the body. After exercise, significant changes are observed in biomarkers such as stress hormones (cortisol, progesterone), anabolic hormones (testosterone), immune system markers (IgA, TNF-α, IL-6, IL-10, IL-1β, IL-1RA, IL-4), and metabolic parameters (amylase, insulin, lactate). The fact that these parameters can be measured from both blood and saliva samples has increased the use of non-invasive methods in exercise physiology studies.

The level of physical activity is directly related not only to biological systems but also to an individual's psychological health and lifestyle habits. Research shows that regular physical activity reduces levels of depression and improves quality of life. The positive effects of exercise on the immune system become more significant when considered in conjunction with an individual's general lifestyle habits (nutrition, sleep, stress levels, substance use, etc.). It is particularly known that individuals with depression have high cortisol levels and suppressed IgA levels. Therefore, depression levels and lifestyle habits are important variables that affect the physiological responses to exercise.

This study will compare the effects of aerobic and anaerobic exercise on hormonal, immunological, and metabolic biomarkers measured via blood and saliva samples in young individuals. Additionally, the participants' physical activity levels, depression levels, and general lifestyle habits will be evaluated to explore the relationship between these variables and biomarker profiles. Measurements will include levels of testosterone, progesterone, cortisol, IgA, alpha-amylase, insulin, lactate, and various inflammatory cytokines, assessed using the ELISA method. In this way, the biological effects of different types of exercise will be evaluated from both physiological and psychosocial perspectives.

The main aim of this study is to comparatively examine the effects of aerobic and anaerobic exercises on hormonal, immunological, and metabolic biomarkers measured through blood and saliva samples in young individuals. Additionally, the relationship between the participants' physical activity level, depression level, and general lifestyle habits (nutrition, sleep patterns, substance use, etc.) with these biomarkers will be investigated, as well as the potential modulatory effects on the physiological responses to exercise.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Being a university student,
  • Being between the ages of 18 and 25.

Exclusion criteria

  • Having orthopedic problems that prevent exercise,
  • Having cognitive or mental health problems that prevent participation in exercise,
  • Having chronic systemic diseases such as cardiac, pulmonary, or nephrological.

Treatment and study plan

Treadmill Exercise

Device

Participants in this group will perform an aerobic exercise using the Bruce Protocol on a treadmill. The test involves walking or running with gradually increasing speed and incline in predefined stages to assess cardiovascular endurance. Heart rate, blood pressure, and fatigue levels will be recorded at each stage. The session will conclude with a low-intensity cool-down phase.

Bicycle Exercise

Device

The Wingate Anaerobic Test will be conducted using an ergometer bike. After a standardized warm-up, participants will pedal all-out for 30 seconds against a preset resistance, aiming to evaluate their anaerobic performance. Physiological parameters including power output, heart rate, and oxygen saturation will be monitored throughout the test.

Primary outcomes

  1. Change in Salivary Testosterone Level

    Time frame: Time Frame: Baseline and immediately post-exercise Unit of Measure: pg/mL

    Measurement of testosterone concentration in saliva pre- and post-exercise.

  2. Change in Salivary Cortisol Level

    Time frame: Time Frame: Baseline (pre-exercise) and immediately post-exercise (within 1 hour) Unit of Measure: ng/mL

    Measurement of cortisol concentration in saliva before and after aerobic and anaerobic exercise protocols.

  3. Change in Salivary Progesterone Level

    Time frame: Time Frame: Baseline and immediately post-exercise Unit of Measure: pg/mL

    Salivary progesterone levels before and after exercise.

  4. Change in Salivary Alpha-Amylase Activity

    Time frame: Time Frame: Baseline and post-exercise Unit of Measure: U/mL

    Enzymatic activity of salivary alpha-amylase as a stress marker.

  5. Change in Blood Lactate Level

    Time frame: Time Frame: Baseline and post-exercise Unit of Measure: µIU/mL

    Lactate concentration in blood samples collected before and after exercise.

  6. Change in Serum Cytokine Levels (e.g., IL-6, TNF-α)

    Time frame: Time Frame: Baseline and immediately post-exercise Unit of Measure: pg/mL

    Evaluation of pro- and anti-inflammatory cytokines in serum.

  7. Change in Salivary Immunoglobulin A (IgA)

    Time frame: Time Frame: Baseline and post-exercise Unit of Measure: µg/mL

    Level of IgA in saliva as a marker of mucosal immune response.

Secondary outcomes

  1. Change in Depression Score (Beck Depression Inventory-II)

    Time frame: Time Frame: Baseline (pre-intervention) and post-intervention (within 1 hour after final session) Unit of Measure: Score (range: 0-63) Method of Measurement: Self-reported questionnaire

    Assessment of participants' depressive symptoms using the validated Beck Depression Inventory-II (BDI-II).

  2. Change in Physical Activity Level (IPAQ-Short Form)

    Time frame: Time Frame: Baseline and post-intervention Unit of Measure: MET-minutes/week

    Evaluation of participants' physical activity levels using the International Physical Activity Questionnaire - Short Form (IPAQ-SF), which estimates physical activity over the last 7 days in MET-minutes/week.

Study contacts

Contact information is provided by the study sponsor or research team.

Abdurrahim Yıldız, Doc.Dr.

CONTACT

[email protected]

+90 507 751 63 63

Sponsors and collaborators

Lead sponsor

Sakarya Applied Sciences University

Other

Registry information

Official study title

Comparison of the Effects of Aerobic and Anaerobic Exercises on Hormonal and Immune Biomarkers Measured by Blood and Saliva in Young Individuals

Acronym: Biomarkers

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Jul 30, 2025
Registry last updated
Jul 30, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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