Evidence map›Paper›PMID 19092301›Full record

ReviewJournal of endocrinological investigation2008

Effects of endurance exercise on the reproductive system of men: the "exercise-hypogonadal male condition".

A C Hackney

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of endocrinological investigation, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 128 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Stress-associated testosterone suppression: central adaptation or hypogonadism?The Journal of clinical endocrinology and metabolism · 2026
    Review
  8. Review
  9. Article
  10. Stages and Characteristics of Adolescent Growth and Development.Advances in experimental medicine and biology · 2026
    Review
  11. Article
  12. A prospective study of male physical activity and fecundability.Human reproduction (Oxford, England) · 2025
    Article
  13. Review
  14. Review
  15. Review
  16. Review
  17. Article
  18. Observational
  19. Correlations between Basal Trace Minerals and Hormones in Middle and Long-Distance High-Level Male Runners.International journal of environmental research and public health · 2020
    Article
  20. Vitamin D, sport and health: a still unresolved clinical issue.Journal of endocrinological investigation · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

A C HackneyEndocrine Section, Applied Physiology Laboratory, Department of Exercise and Sport Science, School of Public Health, University of North Carolina, Chapel Hill, North Carolina, USA. ach@email.unc.edu
University of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An increasing number of investigative research studies point to participation in endurance exercise training as having significant detrimental effects upon reproductive hormonal profiles in men. Specifically, men chronically exposed to this type of exercise training exhibit persistently reduced basal (resting-state) free and total testosterone concentrations without concurrent LH elevations. Men displaying these symptoms have been deemed to exhibit the "exercise-hypogonadal male condition". The exact physiological mechanism inducing the reduction of testosterone in these men is currently unclear, but is postulated to be a dysfunction (or perhaps a readjustment) within the hypothalamic-pituitary-testicular regulatory axis. The potential exists for the reduced testosterone concentrations within exercise-hypogonadal men to be disruptive and detrimental to some anabolic-androgenic testosterone- dependent physiological processes. Findings on this point are limited, but do suggest spermatogenesis problems may exist in some cases. Alternatively, reductions in circulating testosterone concentrations could have cardiovascular protective effects and thus be beneficial to the health of these men. Present evidence suggests the exercise-hypogonadal condition is limited to men who have been persistently involved in chronic endurance exercise training for an extended period time (i.e., years), and it is not a highly prevalent occurrence (although, a thorough epidemiological investigation on the topic is lacking in the literature). Many questions regarding the male reproductive endocrine adaptive process to exercise training still remain unanswered, necessitating the need for much further investigation on the topic, especially with respect to the exercise-hypogonadal condition.

Indexed as

Cumulative Trauma DisordersExerciseHumansHypogonadismHypothalamo-Hypophyseal SystemMalePhysical EnduranceTestisTestosteroneTestosterone

Identifiers

PMID19092301
OpenAlexW2026906748

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.