Influence of smoking status on acute biomarker responses to successive days of arduous military training

Introduction: Habitual smoking is highly prevalent in military populations despite its association with poorer training outcomes. Smoking imposes challenges on immune and endocrine systems which could alter how smokers acutely respond to, and recover from, intensive exercise, particularly over multiple days of training. Methods: Across a two-day period, thirty-five male British Army recruits (age 22 ±3 yr; mass 76.9 ±8.0 kg; height 1.78 ±0.06 m; 15 smokers) completed a 16.1 km loaded march (19.1 kg additional mass) on the first morning and a best-effort 3.2 km ‘log race’ (carrying a 60 kg log between six-to-eight people) on the subsequent morning. Blood samples were obtained upon waking and immediately post-exercise on both days and analysed for C-reactive protein (CRP), interleukin (IL)-6, testosterone/cortisol ratio and insulin-like growth factor (IGF)-1. Results: Independent of smoking group, the exercise bouts on both days evoked significant increases in IL-6 (p0.05). Conclusions: Military-specific tasks elicited immune-inflammatory and endocrine responses, with systemic CRP and IGF-1 indicating that the physiological stress generated during the first training day was still evident on the second day. Despite the well-established impacts of smoking on resting levels of the markers examined, responses to two days of arduous military-specific training did not differ by smoking status