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Does Running Lower Testosterone? What 30 Years of Research Shows

9 min read
#running#cardio#testosterone#endurance#exercise#cortisol

Running is one of the most popular forms of exercise on the planet. It supports cardiovascular health, mental wellbeing, and a healthy body composition. But a persistent concern circulates in fitness communities: does running lower testosterone? The honest answer, as with most things in exercise science, is that it depends on how much you run, how long you have been doing it, how well you fuel, and how well you recover. This article summarizes what the published research does and does not show. It is educational and not medical advice.

Key takeaways

  • In a 1984 JAMA study, 31 men running at least 64 km (40 miles) a week had lower total testosterone than 18 sedentary controls, but their levels stayed within the physiological range.[1]
  • In a 1988 comparison, 11 endurance-trained men (about 12 years of training, 6.6 days a week) averaged 4.99 ng/mL total testosterone versus 7.25 ng/mL in 11 untrained men.[2]
  • No exact weekly mileage threshold has been established, and researchers describe the pattern as not highly prevalent.[3,4]
  • Eating too little for your training load (low energy availability) is increasingly linked to lower testosterone in male endurance athletes.[5]
64+ km/week
Weekly distance in the 1984 JAMA study that found lower testosterone in runners
Levels stayed within the physiological range, and no firm threshold has been established (Wheeler et al., 1984)

Volume Matters, but There Is No Exact Threshold

Decades of research on endurance athletes and hormones point in a similar direction: some men with long histories of high-volume endurance training show lower resting testosterone than untrained men. In the 1984 JAMA study mentioned above, runners logging at least 64 kilometers per week had significantly lower total testosterone and prolactin than sedentary controls, while other hormones, including cortisol and luteinizing hormone (LH), were similar.[1] A 1988 study found the same direction of effect, with mean total and free testosterone significantly lower in endurance-trained men than in untrained men.[2]

Mean resting total testosterone (ng/mL), Hackney et al., 1988

Untrained men (n = 11)7.25 ng/mL
Endurance-trained men (n = 11)4.99 ng/mL

The findings are not uniform, and they do not tell us where a safe line sits. In a 1986 study of six highly trained marathoners running 125 to 200 km per week, plasma testosterone was similar to controls, even though the runners showed fewer and smaller LH pulses, a sign of altered signaling from the brain.[6] Reviews by Hackney and colleagues state that the time course and the amount of training needed to produce lower testosterone remain unresolved[3], and that the pattern seems limited to men who have trained persistently for years and is not highly prevalent.[4]

One more caveat: the studies above focus on well-trained endurance athletes. We did not find controlled data showing that recreational running at 20 to 40 kilometers per week lowers or raises testosterone. Figures like “56 kilometers per week” that circulate online are best treated as rough rules of thumb, not research-derived cutoffs.

The Cortisol Question: Plausible, Not Proven

A popular explanation is that endurance training raises the stress hormone cortisol, which then suppresses testosterone. The first half of that idea is well supported: in a controlled study of 12 active men, 30 minutes of exercise at 60 and 80 percent of VO2max raised circulating cortisol by roughly 40 and 83 percent, while exercise at 40 percent of VO2max did not raise it.[7] The second half is less certain. In both of the runner studies above, resting cortisol did not differ from controls, and the 1988 authors concluded that cortisol was not the cause of the lower testosterone they saw.[1,2] The mechanism is still debated and is postulated to involve the hypothalamic-pituitary-testicular axis.[3,8]

What We Do and Do Not Know About the Mechanism

Researchers have proposed that low energy availability and excessive training load can each disturb the signaling between the brain and the testes, and that the resulting low testosterone may be transient in some men and more persistent in others.[8]Online explanations such as “pregnenolone steal” are popular, but we did not find direct evidence for them in male runners, so we do not rely on them here.

This is not unique to running. Any pattern of heavy training without enough recovery can disturb hormones. Our full breakdown of overtraining syndrome and testosterone covers the warning signs and recovery strategies. For background on how stress physiology fits in, see stress, cortisol, and testosterone.

Endurance Runners vs. Sprinters: What Can We Say?

It is tempting to contrast marathoners with sprinters, with sprinters coming out ahead hormonally. The research does not support a clean story. In the sprint study we found, 96 men (endurance-trained, strength-trained, and untrained) performed five 10-second all-out sprints, and the researchers saw no significant changes in salivary testosterone or cortisol in any group. They suggested that the exercise volume may simply have been too low to provoke a response.[9] So while short sprint intervals are a time-efficient way to train, current research does not let us say they raise testosterone. For a broader look, see our article on HIIT versus weight training.

✓ Moderate, well-fueled running

  • •Supports cardiovascular fitness and mental wellbeing
  • •No controlled evidence in the studies reviewed of lowered testosterone
  • •Easier to match food intake to energy expenditure
  • •Leaves room for strength training and rest days
  • •Sustainable for most recreational runners

✗ Very high volume with under-eating

  • •Lower resting testosterone than untrained men in several studies
  • •Altered LH signaling reported in some high-mileage runners
  • •Low energy availability linked to lower testosterone and bone density
  • •Fatigue, low libido, and poor recovery may appear
  • •Often develops gradually over years of heavy training

Low Energy Availability and Male Runners

Relative energy deficiency in sport (RED-S, now often written REDs) was first described in female athletes and is now recognized in men too. The International Olympic Committee's 2023 consensus describes a syndrome of health and performance problems in female and male athletes who take in too little energy relative to what they expend, and notes growing data on its impact in males.[10]

A 2023 mini-review of male endurance athletes found that low energy availability occurs in this group and correlates with lower testosterone, lower bone density, and lower resting metabolic rate.[5] Hackney has proposed that exercise-related low testosterone in men can arise from low energy availability or from excessive training load, can be transient, and often resolves with appropriate intervention.[8] A clinical review likewise recommends nutritional intervention and training modification when low testosterone with symptoms (fatigue, sexual dysfunction, low bone density) is found in an athlete.[11]

This suggests that for some high-mileage runners, the issue may be less about running itself and more about whether food intake keeps pace with training. If you suspect this applies to you, a doctor or sports dietitian can help you work it out. Do not try to diagnose it yourself from symptoms alone.

Practical Takeaways: A Sensible Way to Think About Mileage

Because no research-derived threshold exists, it is more useful to watch signals than to chase a number. The signals that matter most are consistent: how you recover, how you sleep, how your energy and libido hold up, and whether you are eating enough for the work you are doing. Most recreational runners who sleep adequately, eat enough, and allow recovery between hard sessions are not in the population these studies describe.

If your mileage is climbing toward the levels seen in the studies above (64 kilometers per week and up), if you are training in a calorie deficit, or if you are noticing persistent fatigue, low libido, or reduced morning erections, speak with a doctor. They can test your hormones and look for other causes before you change your training.

How to Program Cardio Sensibly

Smart Cardio Programming for Hormone Health

Strategy 1

Keep most running easy

Low-intensity exercise (around 40 percent of VO2max in the study above) did not raise cortisol, while harder efforts did. Keeping the bulk of your weekly volume easy leaves room for a few harder sessions without stacking stress on stress.

Strategy 2

Add variety instead of more miles

If you want more cardiovascular work, consider cycling, swimming, or short sprint intervals. We cannot claim sprints raise testosterone, but they are a time-efficient way to train and can replace some easy mileage.

Strategy 3

Match food intake to training

Low energy availability is the factor most consistently linked to lower testosterone in male endurance athletes. If your weekly volume is high, make sure you are eating enough to match your expenditure.

Strategy 4

Keep strength training in the mix

Two to three strength sessions per week support muscle and bone health alongside running. Be realistic about hormones, though: a meta-analysis in men aged 60 and over found that resistance training did not significantly change basal testosterone.

Strategy 5

Monitor recovery markers and adjust

Track resting heart rate, sleep quality, energy, and libido. Persistent declines may mean you are overreaching. Reduce volume or add recovery days, and see a doctor if symptoms persist.

Resistance work still earns its place in a runner's week for muscle and bone health, even though a meta-analysis in men aged 60 and over found it did not significantly change basal testosterone.[12] A man who runs a moderate amount, lifts weights twice a week, trains with compound movements, eats enough, and sleeps well is following the habits most consistently associated with good overall health. If you enjoy running and want a lower-stress option, consider zone 2 cardio for part of your week. The real risk lies in a “more is better” culture where weekly mileage becomes a point of pride rather than a variable to manage.

The Bottom Line

Running does not categorically lower testosterone. Some men with long histories of high-volume endurance training show lower resting testosterone than untrained men, and low energy availability appears to play a role. No exact mileage threshold has been established, and the pattern is not common. Moderate running supports cardiovascular health and general wellbeing.

If you are a recreational runner, the research summarized here gives you little reason to worry, as long as you fuel and recover well. If you are training for marathons or ultra events, pay close attention to nutrition, sleep, and recovery, and talk to a doctor if you notice symptoms. You might also try rucking or sprint intervals and resistance training to diversify your training rather than simply adding more miles.

References

  1. Wheeler GD, Wall SR, Belcastro AN, Cumming DC. Reduced serum testosterone and prolactin levels in male distance runners. JAMA. 1984. pubmed.ncbi.nlm.nih.gov/6429357/
  2. Hackney AC, Sinning WE, Bruot BC. Reproductive hormonal profiles of endurance-trained and untrained males. Medicine & Science in Sports & Exercise. 1988. doi.org/10.1249/00005768-198802000-00009
  3. Hackney AC, Moore AW, Brownlee KK. Testosterone and endurance exercise: development of the "exercise-hypogonadal male condition". Acta Physiologica Hungarica. 2005. doi.org/10.1556/APhysiol.92.2005.2.3
  4. Hackney AC. Effects of endurance exercise on the reproductive system of men: the "exercise-hypogonadal male condition". Journal of Endocrinological Investigation. 2008. doi.org/10.1007/BF03346444
  5. Cupka M, Sedliak M. Hungry runners: low energy availability in male endurance athletes and its impact on performance and testosterone (mini-review). European Journal of Translational Myology. 2023. doi.org/10.4081/ejtm.2023.11104
  6. MacConnie SE, Barkan A, Lampman RM, Schork MA, Beitins IZ. Decreased hypothalamic gonadotropin-releasing hormone secretion in male marathon runners. New England Journal of Medicine. 1986. doi.org/10.1056/NEJM198608143150702
  7. Hill EE, Zack E, Battaglini C, et al.. Exercise and circulating cortisol levels: the intensity threshold effect. Journal of Endocrinological Investigation. 2008. doi.org/10.1007/BF03345606
  8. Hackney AC. Hypogonadism in exercising males: dysfunction or adaptive-regulatory adjustment?. Frontiers in Endocrinology. 2020. doi.org/10.3389/fendo.2020.00011
  9. Zurek G, Danek N, Zurek A, Nowak-Kornicka J, et al.. Effects of dominance and sprint interval exercise on testosterone and cortisol levels in strength-, endurance-, and non-training men. Biology. 2022. doi.org/10.3390/biology11070961
  10. Mountjoy M, Ackerman KE, Bailey DM, et al.. 2023 International Olympic Committee's (IOC) consensus statement on Relative Energy Deficiency in Sport (REDs). British Journal of Sports Medicine. 2023. doi.org/10.1136/bjsports-2023-106994
  11. Hooper DR, Tenforde AS, Hackney AC. Treating exercise-associated low testosterone and its related symptoms. The Physician and Sportsmedicine. 2018. doi.org/10.1080/00913847.2018.1507234
  12. Hayes LD, Elliott BT. Short-term exercise training inconsistently influences basal testosterone in older men: a systematic review and meta-analysis. Frontiers in Physiology. 2018. doi.org/10.3389/fphys.2018.01878

How Thrive Helps

Thrive is a wellness app that helps you track your training volume, recovery, sleep, and daily habits in one place so you can spot patterns over time. It is a habit tracker and educational tool, not a medical device, and it cannot diagnose or treat any condition. Try Thrive free and build a routine that balances fitness with recovery.

Frequently Asked Questions

Research has not identified an exact weekly distance. In a 1984 JAMA study, men who ran at least 64 kilometers (about 40 miles) per week had lower total testosterone than sedentary men, although their values stayed within the physiological range. Reviews describe the training threshold as unresolved and note that the pattern appears mainly in men who have trained heavily for years. Low energy intake relative to training also appears to matter. If you notice persistent fatigue, low libido, or declining recovery, talk to a doctor rather than guessing at a number.
The evidence is mixed. In one study of 96 men, five all-out 10-second sprints did not produce significant changes in salivary testosterone or cortisol in endurance-trained, strength-trained, or untrained men, which the authors suggested may reflect too low an exercise volume. Sprint intervals remain a time-efficient way to train cardiovascular fitness, but current research does not allow us to say they raise testosterone.
For most recreational runners, nothing in the research reviewed here suggests stopping. The lower testosterone values were reported mainly in men with long histories of high-volume endurance training. Eating enough to match your training, sleeping well, and building in recovery days are sensible habits at any mileage. If you have symptoms such as persistent fatigue, low libido, or loss of morning erections, see a doctor, who can test your hormones and rule out other causes.

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