Plasma levels of adrenaline, noradrenaline, dopamine, serotonin, and cortisol in sarcopenia: comparison with non-sarcopenic individuals and the impact of resistance exercise and nutrition interventions.
Chang K, Wu W, et al. • Journal of the International Society of Sports Nutrition • 2025
Sarcopenic individuals exhibit significantly lower serotonin, adrenaline, and noradrenaline compared to non-sarcopenic controls, with no significant difference in cortisol levels, and resistance exercise combined with nutritional interventions increased noradrenaline levels in sarcopenic patients.
Key Findings
Results
Sarcopenic individuals had significantly lower plasma serotonin levels compared to non-sarcopenic individuals.
Serotonin levels: 13.28 ng/mL in sarcopenic vs 19.21 ng/mL in non-sarcopenic participants (p = 0.002).
Generalized estimating equations adjusted for age and gender confirmed the association (β = -5.92, p = 0.002).
Study included 57 sarcopenic and 57 non-sarcopenic participants from the same cohort.
Plasma levels were assessed using enzyme-linked immunosorbent assay (ELISA).
Results
Sarcopenic individuals had significantly lower plasma adrenaline levels compared to non-sarcopenic individuals.
Adrenaline levels: 97.6 pg/mL in sarcopenic vs 110.9 pg/mL in non-sarcopenic participants (p < 0.001).
Generalized estimating equations adjusted for age and gender confirmed the association (β = -13.32, p < 0.001).
Plasma levels were assessed using ELISA.
Results
Sarcopenic individuals had significantly lower plasma noradrenaline levels compared to non-sarcopenic individuals.
Noradrenaline levels: 169.2 pg/mL in sarcopenic vs 302.5 pg/mL in non-sarcopenic participants (p < 0.001).
Generalized estimating equations adjusted for age and gender confirmed the association (β = -132.9, p < 0.001).
Plasma levels were assessed using ELISA.
Results
Dopamine levels showed a trend toward reduction in sarcopenic individuals but did not reach statistical significance.
Dopamine levels: 246.9 pg/mL in sarcopenic vs 270.6 pg/mL in non-sarcopenic participants (p = 0.053).
The result was described as 'a trend toward reduced dopamine.'
Plasma levels were assessed using ELISA.
Results
Cortisol levels were not significantly different between sarcopenic and non-sarcopenic individuals.
Cortisol levels: 48.2 ng/mL in sarcopenic vs 49.5 ng/mL in non-sarcopenic participants (p = 0.436).
Plasma levels were assessed using ELISA.
The study had hypothesized that sarcopenia may disrupt the hypothalamic-pituitary-adrenal axis, affecting hormone levels.
Results
A 12-week resistance exercise and nutritional supplementation intervention significantly increased plasma noradrenaline levels in sarcopenic individuals.
The intervention raised noradrenaline levels (β = 27.75, p = 0.001) in generalized estimating equations adjusted for age and gender.
The intervention consisted of resistance exercise combined with supplementation of branched-chain amino acids, calcium, and vitamin D3 over 12 weeks.
The intervention was evaluated as a post hoc analysis of a randomized controlled trial.
No statistically significant intervention effects on serotonin, adrenaline, dopamine, or cortisol were reported.
Methods
The study was a post hoc analysis of a randomized controlled trial comparing sarcopenic and non-sarcopenic participants with matched cohort composition.
57 sarcopenic and 57 non-sarcopenic participants were drawn from the same cohort.
Grip strength and body composition were measured to classify sarcopenia.
Plasma neurotransmitters and cortisol were assessed using ELISA.
Generalized estimating equations were used for statistical analysis, adjusted for age and gender.
Chang K, Wu W, Chen Y, Chen L, Lin Y, Han D. (2025). Plasma levels of adrenaline, noradrenaline, dopamine, serotonin, and cortisol in sarcopenia: comparison with non-sarcopenic individuals and the impact of resistance exercise and nutrition interventions.. Journal of the International Society of Sports Nutrition. https://doi.org/10.1080/15502783.2025.2586555