Cortisol

Cortisol is a type of corticosteroid, or steroid hormone, in the body. It is produced from cholesterol in the adrenal glands, which are located on the top of both kidneys. Cortisol is called the "stress hormone" because it is usually released in the body during times of distress. Lifestyle factors such as poor diet, alcohol use, smoking, erratic sleep patterns, and depression can cause elevated cortisol levels. Many cells in the body have cortisol receptors; therefore, cortisol can affect the body in different ways. High levels and low levels both have different effects on the body. Cortisol can both protect and harm one's health, but it is essential to the body for maintaining homeostasis, or balance.

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Overview

Cortisol is released in the body when a person feels stress, wakes up, or exercises. When people encounter a fearful or stressful situation, such as nearly getting into a car accident, the body goes into fight-or-flight mode. The hypothalamus in the brain reacts and sends nerve and hormonal signals to the adrenal glands. The glands then release hormones such as cortisol and adrenaline.

Adrenaline makes the heart beat faster, elevates blood pressure, and increases energy. Cortisol narrows the arteries, which assists in making the heart pump faster. Cortisol increases glucose, or sugar, in the bloodstream and reduces insulin production to ensure the body uses this extra glucose and does not store it. It does this by enhancing the brain's use of glucose and producing substances that are in charge of repairing tissues.

Cortisol also helps to balance the negative impact a stressful situation has on the body. It works to suppress the digestive and reproductive systems and to improve immune system response. It sends signals to the part of the brain that controls fear, mood, and motivation. Once the stressful situation is resolved, the cortisol and adrenaline levels in the body return to normal.

The role of cortisol in the body is varied. While it can cause negative consequences, it also has positive effects. Some of these include regulating blood sugar levels and metabolism, reducing inflammation, and assisting with memory. It can help to balance the salt and water levels in the body and control blood pressure. In pregnant women, cortisol can protect the health of the fetus.

High and low cortisol levels can cause harm to the body in some circumstances. Elevated levels can affect a person's weight, immune system function, and put the person at risk for certain chronic diseases. In older adults, high cortisol levels are linked to cognitive decline. High levels also are associated with heart disease, depression, and anxiety. Tumors on the pituitary or adrenal glands can spike cortisol levels and lead to a condition known as Cushing's syndrome. This condition makes people gain weight rapidly—particularly in the face and core of the body. It also causes skin issues, high blood pressure, and behavioral changes.

Low levels of cortisol can lead to the rare autoimmune disease known as Addison's disease. The condition can damage the adrenal glands. Symptoms include fatigue, weight loss, muscle deterioration, mood and behavior changes, and skin issues.

Lowering stress can decrease cortisol levels. Antianxiety medications can treat anxiety and in turn lessen stress. People also can combat stress by participating in social activities, physical activity, or meditation.

Bibliography

Aronson, Dina. "Cortisol—Its Role in Stress, Inflammation, and Indications for Diet Therapy." Today's Dietitian, vol. 11, no. 11, 2009, p. 38.

Bergland, Christopher. "Cortisol: Why 'The Stress Hormone' Is Public Enemy No. 1." Psychology Today, 22 Jan. 2013, www.psychologytoday.com/blog/the-athletes-way/201301/cortisol-why-the-stress-hormone-is-public-enemy-no-1. Accessed 24 Jan. 2025.

"Chronic Stress Puts Your Health at Risk." Mayo Clinic, 1 Aug. 2023, www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/stress/art-20046037. Accessed 24 Jan. 2025.

Dhaliwal, Sandeep K., et al. "Cortisol Blood Test." MedlinePlus, 12 May 2023, medlineplus.gov/ency/article/003693.htm. Accessed 24 Jan. 2025.

Bhandari, Smitha, et al. "Cortisol Controls Stress, but What Else?" WebMD, 15 May 2023, www.webmd.com/mental-health/mental-health-types-illness. Accessed 24 Jan. 2025.

Randall, Michael. "The Physiology of Stress: Cortisol and the Hypothalamic-Pituitary-Adrenal Axis." Dartmouth Undergraduate Journal of Science, 3 Feb. 2011, sites.dartmouth.edu/dujs/2011/02/03/the-physiology-of-stress-cortisol-and-the-hypothalamic-pituitary-adrenal-axis/. Accessed 24 Jan. 2025.