Abstract

Introduction: Physical inactivity has been identified as a major risk factor for global mortality, causing approximately 2 million deaths globally, whereas the physical activity of moderate intensity has significant benefits for health. Exposure to stress results in changes in the endocrine and autonomic nervous systems, as well as behavioral changes which allow an organism to adapt to environmental changes. This study aimed to assess changes in cortisol levels and body temperature in rats after forced swim tests.


Methods: Female Wistar rats were divided into two groups: a control group (n = 10; not subjected to a forced swim test) and an experimental group (n = 10; subjected to a forced swim test). The forced swim test (60-90 min) was given to the experimental group for 21 days. Body temperature was measured rectally every day, and blood was taken from the animals on the 1st, 7th, 14th, and 21st days of the experiment to determine cortisol levels using a Mouse/Rat Cortisol ELISA protocol.


Results: The results showed a statistically significant difference in the cortisol level between the groups on day 21 (p < 0.05). We found a significant reduction in the recurrent temperature after exposure to physical stress.


Conclusions: Regular aerobic activity at a submaximal level for 21 days can reduce the hormonal stress response in female Wistar rats.


INTRODUCTION

Understanding the effect of stress hormones will provide an idea of how stressors can influence homeostasis. For evaluation of stress hormones in experimental studies, the most frequently used subjects have been rats since they are very sensitive to stress 1. Besides, the degree of activation of the hypothalamic-pituitary-adrenal (HPA) axis is related to the intensity of stress. Animal model studies usually involve physical activities that simulate what human are exposed to, with the most frequently activities being treadmill running and swimming2.

Since animal respond to stress by increasing their glucocorticoid levels, there has been considerable interest in measuring these hormones because the intensity and duration of stress may lead to pathological changes. However, the positive effect of stress (eustress) and the negative effect (distress) have been equally discussed 3. Hormones are extremely powerful molecules in the human body. They are used for communication between tissues, with the ultimate goal of regulating body processes and behaviors. There are many different hormones in the human body and each has a specific function 4.

Cortisol level are regulated by the HPA axis from neuroendocrine feedback, a circuit could be activated by physiological stimuli such as stress, illness, depression, and Cushing’s syndrome, or by exercise5. According to the literature, aerobic exercise shows comparable therapeutic effects as a pharmacological treatment or psychological therapy in treating patients with depressive disorders 6. Measuring the HPA axis activity via the plasma cortisol level is a useful method for evaluating the effects of stress on animals because it is stimulated by the onset of perceived stress 7.

This study aimed to evaluate the effect of regular aerobic physical activity on cortisol levels of female white laboratory (Wistar) rats for 21 days.

MATERIALS – METHODS

Ethical statement

All experimental procedures were performed in accordance with the Manual for Care and Use of Laboratory Animals, and were approved by the Ethics Committee of the Macedonian Center for Bioethics at the University of St. Kiril and Metodij, in Skopje, North Macedonia (protocol number 2401-592, 2017). The biomedical research recommendations for animal use was issued by the Council of International Organizations for Medical Sciences. The anesthetics were applied following the EU Directive's standards, Directive 86/609/ EEC.

Experimental animals

This experimental study was conducted at the Faculty of Natural Sciences and Mathematics of the Institute of Biology in Skopje, North Macedonia. In this study, experimental animals included female white laboratory rats from the Wistar strain (n = 64) at the age of 4 - 5 months with a body mass of 220 ± 20 g. During the study, the animals were exposed to a standard food and water diet regimen (ad libitum) and were kept in a room under a constant light regime of 12 h (06:00 to 18:00) of light and 12 h of the dark at a thermoneutral temperature of 26°С. The total number of animals used in this study was 20, and they were divided into two groups of 10 animals randomly. The first group was the control group of rats (n = 10), which were not subjected to the forced swim tests, and the second group of rats (n = 10) were subjected to forced swim tests. The gender was specific with only female rats. Exclusion criteria were rats older than 5 months and rats with physical impairments.

Experimental procedure

The experimental group of animals (n = 10) was exposed to forced swim tests for 21 days. For the remaining 7 days up to the end of the experiment, 5 rats from the experimental group continued to swim until day 21 while 5 rats were allowed to rest. The water temperature was measured before and after swimming. To determine the level of cortisol, the blood was collected from the tail of the rats on the 1st, 7th, and 14th days of the experiment. On day 21, the blood from the abdominal aorta was collected. The serum analyses were made using a Mouse/Rat Cortisol ELISA protocol. The duration of the entire experiment was 22 days.

Forced swimming test

Rats were exposed to a forced swim test, with the swimming program consisting of two phases: adaptation and training. In the first week (adaptation), the rats swam 60 - ­­90 min per day for 6 days (1 week). The training period commenced at the beginning of the second week of swimming, and its duration was progressively increased from 50 min to approximately 90 min per day. Rats were exposed to the swimming test between 08:30 and 12:00 AM. This intensity was maintained until the end of the training program, which lasted 6 days per week for a total of three weeks (21 days) from Monday-Saturday (on Sunday, there were no activities for the experimental rats).

Figure 1 . Wistar female rats exposed to the forced swim test .

Forced swimming stress was induced in the rats by forcing them to swim in a cylindrical swim tank which was filled with tepid water (± 34°С). All swimming protocols were recorded via a video camera and a photo camera (Figure 1). The length of the cylindrical swim tank was approximately 80 – 90 cm. The tank was filled with water to a depth of 50 – 60 cm, a depth which exceeded the length of the rats, including their tail (the length of the rats were approximately 40 cm). The width of the tank was 60 cm.

Body temperature was measured rectally using a digital thermometer before and after the forced swim test each day on days 5 – 10, 13 – 18, 20, and 21. Additionally, a description of statistics for temperature was made for each day. During the procedure for measuring body temperature before the swim test, the rats were immobilized with one hand, with their tails displaced, and the thermometer was penetrated into the rectum for approximately 10 s. The same procedure was applied after the swim test to measure their body temperature (Figure 2).

Figure 2 . Measurement of body temperature of the rats before (A) and after (B) the forced swim tests.

Collection and preparation of blood serum and plasma

The procedure for collecting blood was always performed in the morning and before the forced swim tests. Blood was taken from the rats' tail vein on days 1, 7 and 14, and then the rats were awakened; there was no need for anesthesia. In brief, a small nick over the lateral tail vein using a sterile scalpel blade was made approximately 2 - 3 mm from the tip of the tail. When the nick was deep enough, blood started welling up from the nick immediately. The blood was collected by allowing it to drop into a collection tube. The tail was gently stroked from the tail base toward the tail end to encourage blood flow. The amount of blood collected was 1.5 mL, and it was allowed to clot for 30 min at room temperature. The serum was separated by centrifugation at 3000 rpm for 15 min. After centrifugation, the amount of serum collected was 0.75 mL and it was subsequently stored at -20°С. To measure the concentration of cortisol, we used a Mouse/Rat Cortisol kit (Sigma-Aldrich, St. Louis, MO, USA), according to its manufacturer’s protocol (ELISA SIG-ALD SE120082). On day 21, all experimental rats were sacrificed, and blood was collected from the abdominal artery. Whole blood was collected into centrifuge tubes containing potassium-EDTA (as an anticoagulant) and centrifuged immediately for 3000 rpm for 15 min. After centrifugation, the amount of plasma collected was 5-6 mL, and the sample was subsequently stored at -20°С. The plasma samples were then subjected to the cortisol estimation similarly using the Mouse/Rat Cortisol ELISA.

Statistical analyses

Data were analyzed using the SPSS 22.0 software package for Windows (SPSS Inc., Chicago, IL, USA). Basic descriptive statistics were computed. The normality distribution of the data was determined using the skewness, kurtosis, and Kolmogorov-Smirnov method. One-Way Repeated-Measures ANOVA was used to analyze differences in variables, and the least significant difference (LSD) test was performed.

RESULTS

Temperature

Based on the temperature measurements obtained before and after the completion of the forced swim tests, the following results were obtained, which were statistically processed. As shown in Figure 3, the rectal temperature of the rats before the onset of physical stress was in the interval of normal values, but there was a noticeable decrease in the temperature after exposure to physical stress. According to the figure, there was a difference between the rectal temperature measured on the 21st day for the same rats. Moreover, as shown in Table 1, there were statistically significant differences in all comparisons.

Table 1.

Comparison of the mean values of temperature

Mean SD S.E Lower Upper t Sig.
Pair 1 S_day5 - F_day5 4.34 1.06 0.33 3.58 5.10 12.97 0.000
Pair 2 S_day6 - F_day6 3.51 0.85 0.27 2.90 4.12 13.09 0.000
Pair 3 S_day7 - F_day7 2.29 0.83 0.26 1.70 2.88 8.76 0.000
Pair 4 S_day8 - F_day8 3.37 0.95 0.30 2.69 4.05 11.26 0.000
Pair 5 S_day9 - F_day9 2.53 1.09 0.36 1.69 3.37 6.96 0.000
Pair 6 S_day10 - F_day10 3.47 0.70 0.23 2.93 4.01 14.82 0.000
Pair 7 S_day13 - F_day13 3.80 0.94 0.31 3.08 4.52 12.12 0.000
Pair 8 S_day14 - F_day14 3.94 0.88 0.39 2.85 5.03 10.05 0.001
Pair 9 S_day15 - F_day15 2.98 0.55 0.25 2.29 3.67 12.03 0.000
Pair 10 S_day16 - F_day16 3.14 0.92 0.41 1.99 4.29 7.60 0.002
Pair 11 S_day17 - F_day17 3.58 0.33 0.15 3.17 3.99 24.47 0.000
Pair 12 S_day18 - F_day18 3.24 0.75 0.33 2.31 4.17 9.70 0.001
Pair 1 S_day20 - F_day20 1.78 1.10 0.55 0.02 3.53 3.22 0.049
Pair 2 S_day21 - F_day21 4.40 1.38 0.69 2.21 6.59 6.38 0.008
Figure 3 . Comparison of the mean values of the temperature measured rectally before and after the forced swim test.

Cortisol

According to Table 2, the values ​​of skewness of the cortisol variable in the control group (Sk = −0.04) of rats that swam for 21 days (Sk = −0.55) and in rats that rested from the 14th to 21st day (Sk = −0.02) were within the limits of the recommended values (​from −1 to + 1), indicating that the distribution of the results was approximately symmetric. Mild negative asymmetry was observed for rats that swam until day 7 (Sk = −1.37).

Table 2.

Statistical data of cortisol levels among the groups

CORTISOL Mean Min Max SD CV s.e. Skew Kurtos
CONTROL 0.43 0.34 0.53 0.06 14.17 0.02 -0.04 -0.13
7 DAY SWIM 0.39 0.35 0.42 0.02 5.56 0.01 -1.37 3.04
REST FROM DAY 14 0.36 0.29 0.42 0.05 13.95 0.02 -0.02 -1.88
21 DAY SWIM 0.34 0.12 0.49 0.15 43.82 0.05 -0.55 -1.47

Based on the calculated coefficients of variability, the homogeneity at all collected timepoints was satisfactory. The lowest level of homogeneity was observed on the 7th day of swimming (CV = 5.56), whereas the highest level of dispersion of results was observed on the 21st day after swimming (CV = 43.82).

Based on the standard deviations (SD) at all timepoints, there was no statistically significant deviation of the results from the arithmetic mean. The standard error values indicated a minimum dispersion because there was no significance in relation, proportionally, to the corresponding standard deviation.

According to the results from the Kolmogorov−Smirnov method, as shown in Table 3, in all groups the results were normally distributed (p > 0.20). Although this was a small selective sample of subjects, the results of the analysis indicated that there was a normal distribution at all timepoints. Thus, we concluded that the degree of normality of the distributions of the applied variables satisfied the necessary methodological and statistical criteria for the application of correct and justified parametric statistical procedures for further processing of the data. Indeed, this created conditions for sufficient precise scientific determination, analysis, and comparison of data.

Table 3.

R esults of the Kolmogorov−Smirnov method for cortisol

CORTISOL max D K-S
CONTROL 0.150 p > 0.20
7 DAY SWIM 0.223 p > 0.20
REST FROM DAY 14 0.229 p > 0.20
21 DAYS SWIM 0.210 p > 0.20

As shown by the values ​​in Table 4, there was no statistically significant influence of time since Wilks' Lambda = 0.348 and the degrees of freedom was F(3.6) = 63.221, which provided statistical significance at the level of Q = 0.079. The size of the partial effect of the determinants was at a high value of 0.652.

Table 4.

Results of one-factor analysis of variance of repeated measurements for cortisol

Effect Value F Hypothesis df Error df Sig. Partial Eta Squared
Time Pillai's Trace 0.652 3.744 3.000 6.000 0.079 0.652
Wilks' Lambda 0.348 3.744 3.000 6.000 0.079 0.652
Hotelling's Trace 1.872 3.744 3.000 6.000 0.079 0.652
Roy's Largest Root 1.872 3.744 3.000 6.000 0.079 0.652

To determine whether there were statistically significant differences among the investigated groups at the univariate level for the cortisol variable, post-hock tests (LSD test) were applied. Our analyses of the tests are shown in Table 5 and Figure 4. According to the arithmetic means and statistical significance level, any statistically significant differences were observed only between the control group and the group of rats that swam for 21 days (p < 0.05).

Table 5.

Cortisol results from post hock tests

(I) Time Mean Difference (I-J) Std. Error Sig.a 95% Confidence Interval for Difference
Lower Bound Upper Bound
1 2 0.034 0.020 0.124 -0.012 0.079
3 0.068 0.033 0.070 -0.007 0.143
4 0.091* 0.040 0.050 -0.001 0.184
2 1 -0.034 0.020 0.124 -0.079 0.012
3 0.034 0.019 0.110 -0.010 0.078
4 0.058 0.049 0.272 -0.055 0.170
3 1 -0.068 0.033 0.070 -0.143 0.007
2 -0.034 0.019 0.110 -0.078 0.010
4 0.023 0.060 0.709 -0.115 0.162
4 1 -0.091* 0.040 0.050 -0.184 0.001
2 -0.058 0.049 0.272 -0.170 0.055
3 -0.023 0.060 0.709 -0.162 0.115
Figure 4 . Comparison of cortisol levels among groups . Statistically significant differences between the control group and the group of rats that were exposed to the forced swim test for 21 days (p < 0.05).

The arithmetic means indicated that rats who swam for 21 days had lower serum cortisol values (0.34) ​​than the control group of rats (0.43). There were no statistically significant differences between the other groups.

According to the arithmetic means, the rats that swam for 7 days (0.39) and the rats that rested from day 14 until day 21 showed lower serum cortisol values (0.36) ​​relative to the control group.

D ISCUSSION

This study aimed to observe the in vivo influence of the forced swim tests during a 21 — day span on the stress hormone cortisol. Exposure to stress results in changes in the endocrine system and the autonomic nervous system, as well as behavioral changes that allow the organism to adapt to environmental changes 8.

According to literature, the normal rectal temperature in rats measured with a mercury thermometer ranges from 37.2 °С to 38.1 °С, with an average of 37.6 °С 9, 10. Based on our results, the rectal temperature of the rats in our study prior to initiation of physical stress (forced swimming) was within the limits of the normal values. Responses to stress are common in various mammalian species, including rodents, pigs, squirrels, baboons and chimpanzees 11. We found lower measured temperature values for the rats after exposure to physical stress in response to it. This resulted from the removal of heat from the body during physical exercise and the need for higher energy in the muscles during swimming, and these results are consistent with those of other authors 12.

According to our statistical analysis of the concentrations obtained in the serum test, there was a significant difference in the control and blood taken on day 14, and the control and serum collected on day 21 of swimming. Statistically significant differences were determined only between the control group and the group that swam for 21 days, and these data are consistent with other studies 13. A prior study had subjected Wistar male rats to treadmill running for 21 days for 60 min/day; the level of cortisol was found to be lower when compared to that of the control group14. Therefore, we can see the importance of duration of aerobic activity (from 60 min per day), and our results confirm other data regarding the duration of aerobic activity and the positive impact of the level of cortisol.

Recent authors have reported contradictory results regarding the cortisol levels after 21 days of physical activity, even though the methodology was approximately the same. Only the duration of aerobic activity was different; thus, this may be one important factor for the contradictory results 15. If we look at studies conducted in humans, there is evidence that participants with higher levels of aerobic fitness show lower levels of cortisol after physical and mental stress 16, implying that people who are well-fit will exhibit stronger reactivity and faster recuperation when faced with stressful events 17. However, this is not certain because according to evidence, over-trained athletes can also experience fatigue, mood problems, and depression 18.

Pain perception is another factor that should be considered in people, and many studies have been conducted regarding pain threshold. It is well-know that exercise and stress can both influence pain perception19. According to another study, one group of rats was exposed to exhaustion exercises, and the results showed that rats who had a higher aerobic capacity experienced a higher pain threshold20. These results confirm that physical activity ha a positive effect on reducing musculoskeletal pain by increasing the pain threshold.

Regarding the relation between cortisol levels, physical activity, and the aging process, some authors have conducted a review of studies to analyze the influence of chronic exercise on serum cortisol in older people. According to their results, those authors concluded that chronic exercise has an influence on serum cortisol levels in older people 21. Intensive exercise affects brain bioenergetics, inflammation and neurogenesis; moreover, intense exercise above the lactate threshold may benefit the aging brain6.

Regarding our data that showed lower cortisol levels in female rats 21 days after swimming, the results are consistent with those from another study that showed lower levels of stress hormone in female rats who were exposed to exercise for 21 days for approximately 1 hour/day22. The results confirm that regular physical exercise can provide benefits without causing stress. Furthermore, exercise can improve hippocampal memory mediators 23; swimming as an exercise can have a positive effect on cortisol and adrenaline levels24, 25.

According to the literature, early life stress may be an essential risk factor for HPA axis disturbance26, and this can lead to depressive and anxiety disorders in adults27. This reveals the importance of physical activity in early life with many benefits such as preventing brain disorders28.

Additionally, the biochemical aspects of rats can produce changes after physical activity. A recent study concluded that 21 days of exercise without rest would have effects on biochemical factors in the brain and on memory function 29. Moreover, exercise alters both bone modeling and energy balance 22.

The main limitations of our study are the small sample size and the gender specificity, as we only included female Wistar rats. Due to these two limitations, our results are not applicable for both genders and the small sample size could impact the statistical analyse, particularly statistical significance.

CONCLUSION

We observed a significant reduction in body temperature of female Wistar rats after exposure to physical stress (forced swimming) in response to the body's stress and adaptation to the environment. Additionally, after the forced swimming for 21 days, the level of cortisol decreased for 60 − 90 min, as compared to that of the control group. Our study was gender-specific. These results will help develop non-pharmacological therapy for neuropathic and musculoskeletal pain and enhance our understanding of the effects of exercise in our daily lives.

Abbreviations

LSD: least significant difference test

HPA: hypothalamic pituitary adrenal axis

SD: standard deviation

Acknowledgments

We would like to thank Faculty of Natural Sciences and Mathematics, Institute of Biology, Skopje, North Macedonia for helping to conduct the experiment.

Author’s contributions

All authors contributed equally in the preparation of the manuscript. AIG, IG, VZ oversee this project, had full access and responsibility of the data. Study Design: AIG, IG, VZ. Instruction on the use of instruments for the outcome measures used in this study: IG, VZ. Analysis and interpretation of data: IG, SG. Manuscript preparation: AIG, AA, VZ. Statistical Analysis: SG. All authors approved the final manuscript.

Funding

None

Availability of data and materials

Data and materials used and/or analyzed during the current study are available from the corresponding author on reasonable request.

Ethics approval and consent to participate

Not applicable.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

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