Grounding and Testosterone: Does Walking Barefoot Actually Help?
In the biohacking world, few practices generate as much debate as grounding (also called earthing). Proponents claim that making direct skin contact with the Earth's surface can reduce inflammation, normalize cortisol rhythms and improve sleep, and by extension support testosterone. Critics dismiss it as pseudoscience dressed up in physics terminology.
The honest picture is that the research base is small, and no study has measured testosterone in grounded people. This article walks through what has been published, what its limits are, and whether a low-risk trial makes sense for you.
This article is educational and is not medical advice. Grounding is not a treatment for any condition. If you have symptoms such as persistent fatigue, poor sleep or low libido, speak with a doctor.
Key takeaways
- We found no study measuring the effect of grounding on testosterone.
- A 2004 pilot of 12 people with sleep, pain and stress complaints reported significantly lower night-time cortisol after 8 weeks of sleeping on a grounded pad, with no control group.[1]
- A 10-person study found 2 hours of grounding reduced red blood cell clumping, which says nothing about hormones.[2]
- Limiting sleep to 5 hours a night for a week lowered daytime testosterone by 10% to 15% in 10 young men, so sleep is a better lever than grounding.[3]
What Is Grounding?
Grounding refers to making direct electrical contact between your body and the Earth's surface, by walking barefoot on grass, soil, sand or unpainted concrete, or by using conductive pads or patches connected to the ground. The hypothesis is that free electrons from the Earth act as antioxidants and calm inflammation. A review of the inflammation research by grounding researchers describes this as a hypothesis that needs further study, and notes that grounding is associated with differences in white blood cells, cytokines and other inflammatory factors.[4]
Conductive Surfaces
Grass, soil, sand and unpainted concrete conduct electricity. Asphalt, wood, rubber and plastic do not, so rubber-soled shoes block the connection.
The Cortisol Pilot Study
The most cited study for the cortisol claim was published in 2004 in the Journal of Alternative and Complementary Medicine. Twelve people with complaints of sleep dysfunction, pain and stress slept grounded for 8 weeks using a conductive mattress pad. Saliva cortisol was measured at 4-hour intervals over 24 hours at baseline and again at week 6. The authors reported significantly reduced night-time cortisol, a trend toward a more normal 24-hour profile, and reduced symptoms of sleep problems, pain and stress in nearly all subjects, with changes most apparent in females.[1]
The limitations are significant. It was a pilot study with only 12 participants, there was no control group, and the symptom reports are subjective and open to placebo and expectation effects. We did not find an independent, larger replication.
The Cortisol-Testosterone Connection
The reason people connect grounding to testosterone is the idea that chronic stress and high cortisol can suppress testosterone. There is biological support for this: a review of stress and male reproductive function reports that stress-induced increases in glucocorticoids inhibit testosterone-biosynthetic enzyme activity in Leydig cells, leading to lower testosterone secretion, though much of that work was done in rodents.[5] See our article on cortisol and testosterone for more.
The grounding argument is therefore a chain: grounding may change cortisol, cortisol may affect testosterone, so grounding may affect testosterone. Each link is uncertain, and the full chain has never been tested in a single study.
Inflammation and Blood Viscosity
In a study of 10 healthy adults, 2 hours of grounding via conductive patches on the hands and feet increased the surface charge of red blood cells and significantly reduced their clumping.[2] The authors suggested this could mean lower blood viscosity, but this was a laboratory measure in a very small sample and does not show a health outcome, let alone any effect on hormones. Reviews of the grounding literature describe a wider set of reported effects on inflammation, pain, stress and sleep, but they are written by authors who also advocate the practice, and several of the cited studies share the same authors.[4][6]
Sleep: The More Plausible Link
If grounding helps you sleep, that is the most plausible route to any hormonal benefit, because sleep has real evidence behind it. In a study of 10 young healthy men, sleeping 5 hours a night for 8 nights lowered daytime testosterone by 10% to 15%.[3] That finding is about sleep restriction, not grounding, and the grounding sleep data are limited to the small, uncontrolled pilot above.[1] For approaches with stronger evidence, see our guide to sleep and testosterone.
Limitations
- Tiny samples. The studies discussed here involved 10 to 12 people.[1][2]
- Blinding is hard. People know whether they are barefoot or on a grounded pad, so placebo effects are a concern for subjective outcomes like sleep and pain.
- Limited independent replication. Several of the key papers share authors, and we did not find large independent trials.
- Confounding. Walking barefoot outdoors also means sunlight, movement and time in nature, each of which can affect stress and sleep on its own.
✓ What Has Been Reported
- •Lower night-time cortisol in a 12-person pilot
- •Less red blood cell clumping after 2 hours in 10 people
- •Self-reported improvements in sleep and pain
✗ What Remains Unproven
- •Any effect on testosterone
- •Large randomized, blinded or independent trials
- •Effects separate from sunlight, nature and activity
If You Want to Try It
Barefoot time outdoors is cheap and generally low-risk, and the outdoor time, light and movement may help in their own right. There is no evidence-based dose. Treat the steps below as a casual way to try it, not a protocol with proven results.
Spend time outdoors in the morning
Walk barefoot on grass, soil or sand for a while after waking, ideally combined with daylight, which supports your sleep-wake rhythm.
Stay safe
Watch for glass, sharp objects and hot surfaces. If you have diabetes, neuropathy or reduced foot sensation, ask your doctor before going barefoot.
Be cautious with grounding devices
Grounding mats plug into an outlet ground. Use only certified products installed correctly, and ask an electrician if unsure. The research on these devices is limited.
Track how you feel
Note your sleep, energy and stress for a few weeks. Keep it if you enjoy it, and do not use it in place of medical advice.
Better-Supported Levers
Sleep, resistance training, a healthy body weight and stress management have far stronger evidence. See exercises for testosterone, and for another unconventional practice, cold showers and testosterone or red light therapy.
Tracking Your Full Routine
Whatever you decide about grounding, sleep, stress and activity are worth tracking. Thrive helps you log those habits in one place. Try Thrive free. Thrive is a wellness app, not a medical device, and does not diagnose or treat any condition. If you have symptoms of low testosterone, talk to a doctor.
References
- Ghaly M, Teplitz D. The biologic effects of grounding the human body during sleep as measured by cortisol levels and subjective reporting of sleep, pain, and stress. Journal of Alternative and Complementary Medicine. 2004. doi.org/10.1089/acm.2004.10.767
- Chevalier G, Sinatra ST, Oschman JL, Delany RM. Earthing (grounding) the human body reduces blood viscosity, a major factor in cardiovascular disease. Journal of Alternative and Complementary Medicine. 2013. doi.org/10.1089/acm.2011.0820
- Leproult R, Van Cauter E. Effect of 1 week of sleep restriction on testosterone levels in young healthy men. JAMA. 2011. doi.org/10.1001/jama.2011.710
- Oschman JL, Chevalier G, Brown R. The effects of grounding (earthing) on inflammation, the immune response, wound healing, and prevention and treatment of chronic inflammatory and autoimmune diseases. Journal of Inflammation Research. 2015. doi.org/10.2147/JIR.S69656
- Hardy MP, Gao HB, Dong Q, et al.. Stress hormone and male reproductive function. Cell and Tissue Research. 2005. doi.org/10.1007/s00441-005-0006-2
- Menigoz W, Latz TT, Ely RA, Kamei C, Melvin G, Sinatra D. Integrative and lifestyle medicine strategies should include Earthing (grounding): review of research evidence and clinical observations. Explore. 2020. doi.org/10.1016/j.explore.2019.10.005