Table 4. Summary of the main findings regarding biochemical/endocrine responses.
Study Format of play (SSG) Assessment timings Main findings
Alashti et al., 2021 2v2; 4v4 Blood samples pre and immediately post SSG GH: significant increase post in both groups (2v2, p < 0.001; 4v4, p < 0.003). IGF-1: significant increase post in both groups (p < 0.001). ANOVA showed group effect for GH (F = 9.113, p = 0.0014), IGF-1 (F = 11.34, p = 0.0005). Lactate increased significantly in both SSGs (p < 0.001), ~8-fold in 2v2 and ~7-fold in 4v4. Correlation: lactate positively correlated with IGF-1 in 4v4 (r = 0.722, p = 0.43) but not with GH.
Bekris et al., 2022 3v3 Blood samples PRE, POST, 24 h, 48 h, 72 h IL-6 peaked POST (3.52 ± 0.43 pg/mL) and returned to baseline by 24 h (F(1.04,11.50)=504.82, p < 0.001, η2=0.98). CK peaked at 24 h (536.58 ± 124.73 U/L) and remained elevated at 48 h and 72 h (F(1.76,19.32)=93.96, p < 0.001, η2=0.90). Cortisol peaked POST (14.62 ± 4.58 μg/dL), still elevated at 24 h, returned to baseline 48–72 h (F(1.00,11.00)=122.21, p < 0.001, η2=0.92). Testosterone peaked POST (6.00 ± 1.55 ng/mL), normalized within 24 h (F(1.69,18.62)=47.39, p < 0.001, η2=0.81). T/C ratio lowest POST (0.44 ± 0.16), returned to baseline by 24 h (F(1.73,19.05)=12.12, p < 0.001, η2=0.52).
Bonato et al., 2020 4v4 Salivary cortisol PRE, POST, and morning after (CAR) PRE: 1.79 ± 0.48 ng/mL → POST: 3.37 ± 1.42 ng/mL (p = 0.0003, ES = 1.4, very large). CAR: 4.21 ± 0.60 ng/mL (p < 0.0001, ES ≥ 2.0, very large). POST cortisol lower in SSG than HIIT (3.37 vs 5.63 ng/mL, p < 0.0001, ES ≥ 2.0).
Chmura et al., 2019 1v1, six × 30 s / 2 min rest (E1) vs six × 45 s / 3 min rest (E2), 10×15 m field Capillary blood at rest, immediately post, +15 min, +30 min Total Testosterone (TT): Significant effect of time (F(3,48)=15.26, p ≤ 0.0001). TT peaked immediately post (E1: 5.50 ± 1.58; E2: 4.66 ± 0.94 ng/mL) vs rest and declined at +30 min (E1: 3.86 ± 1.14; E2: 3.62 ± 0.73). Large effect sizes: immediate vs 30 min (d=1.16), rest vs 30 min (d=0.96). Free Testosterone (FT): Effect of time (F(3,48)=6.86, p=0.0006). FT peaked post (E1: 14.77 ± 6.41 pg/mL; E2: 13.82 ± 3.67) then declined by +30 min (E1: 10.94 ± 5.23; E2: 11.60 ± 2.45). Medium effect: post vs 30 min (d=0.66). Cortisol (C): Effect of time (F(3,48)=11.16, p ≤ 0.0001). Post values ↑ vs rest (E1: 189.76 ± 63.65 vs 147.39 ± 32.15 ng/mL; E2: 185.77 ± 46.68 vs 127.43 ± 38.56). In E1, C peaked at +15 min (251.40 ± 80.55 ng/mL), higher than rest and post (d=1.70 and d=0.85). Ratios (TT/C, FT/C): Significant time effects (TT/C F(3,48)=7.45, p=0.0003; FT/C F(3,48)=5.11, p=0.0038). Ratios decreased 15–30 min post vs rest (TT/C rest 0.035 ± 0.011 → 0.020 ± 0.014 at +15 min; FT/C rest 0.089 ± 0.033 → 0.058 ± 0.034 at +15 min).
Dello Iacono et al., 2016 3v3 handball, with vs without contact IL-6 pre and immediately post IL-6 increased 46.1% after C-SSG (p<0.05), but not after NC-SSG (+16.5%, p=0.12). Very strong correlation between number of contacts and IL-6 response (r=0.971, p<0.001).
Johnston et al., 2014 Rugby league, “offside” 6v6 SSG (2×8 min halves, 70×30 m), with vs without contact (16 × 10 s bouts/half) Whole blood CK PRE, POST, 12 h, 24 h CK increased in both games. Non-contact: peak POST (ES = 1.27), declined at 12 h (ES = 0.78) and 24 h (ES = 0.95). Contact: continued to rise at 12 h (ES = 1.25) and 24 h (ES = 1.64). At 24 h, contact CK increase (54 ± 32%) > non-contact (22 ± 13%), ES = 0.86, likelihood = likely (82%).
Karadağ et al., 2024 2v2, 4v4, 8v8 Blood lactate pre, immediately post, 30 min post | RPE (Borg 6–20) post-training Intragroup: Lactate significantly ↑ post vs pre (p<0.05), ↓ at 30 min vs post (p<0.05), but remained above pre (p<0.05). 2v2: 1.35 ± 0.26 → 11.65 ± 2.73 → 3.1 ± 1.03 mmol/L. 4v4: 1.47 ± 0.27 → 7.72 ± 1.89 → 2.38 ± 0.49. 8v8: 1.44 ± 0.25 → 6.22 ± 2.38 → 2.09 ± 0.50. Intergroup: Post and 30-min values lower in 2v2 vs 4v4 & 8v8 (p<0.05). RPE significantly higher in 2v2 (17.0 ± 0.81) vs 8v8 (14.56 ± 0.96) and 4v4 (16.0 ± 0.53) vs 8v8 (p<0.05). No difference between 2v2 and 4v4 (p>0.05).
Kryściak et al., 2023 1v1, 6×30 s vs 6×45 s Blood lactate, pH, HCO3-, base excess (BE) at T0, T1–T6, T7, T8 Lactate: ↑ significantly across bouts (F(8,144)=162.72, p≤0.0001, η2=0.90), peaked T6 ~17 mmol/L, remained >pre at T8 (6.2 mmol/L). No group effect (F(1,18)=0.01, p=0.923). pH: ↓ progressively (F(8,144)=101.9, p≤0.0001, η2=0.85), returned to baseline by 30 min. HCO3-: Group effect (F(1,18)=8.84, p=0.008, η2=0.33). Lower in 30 s SSGs from T2–T8 (e.g., T6: 12.3 vs 15.2 mmol/L, p=0.0007, d=2.41). BE: ↓ significantly across time (F(8,144)=292.77, p≤0.0001, η2=0.94), more negative in 30 s SSGs at T6 and T7 (-16.7 vs -13.9 mmol/L, p=0.046–0.010).
Mascarin et al., 2018 4v4, 4×4 min CK and LDH, Testosterone & cortisol, pre, 10 min, 24 h, 48 h, 72 h CK unchanged 10 min (+2.7%, trivial), ↓ progressively: 24 h -19.6% (likely), 48 h -36.3% (likely), 72 h -53.2% (very likely). LDH ↑ 10 min +19.2% (likely), ↓ by 24–72 h (-7.7% to -13.5%); T and C unchanged at 10 min (<0.4%, trivial). Both ↓ at 24 h (T -32.7%, C -32.6%, very likely), ↓ at 48 h (T -8.9%, C -14.5%, likely), returned to baseline at 72 h. T/C ratio unchanged.
Mitrotasios et al., 2021 4v4 + 2 GK, 6×4 min, 3-min passive rest, 30×20 m pitch, U20 elite males Blood pre vs immediately post Lipids: No significant changes: T-C (171.9 → 162.5 mg/dL, p=0.20), HDL-C (63.1 → 64.1, p=0.28), LDL-C (92.0 → 86.3, p=0.46), TG (83.6 → 60.8, p=0.11). Enzymes: CK ↑ 22.9% (273.1 → 335.6 U/L, Z=-2.38, p=0.02, r=0.84), CK-MB ↑ 21.8% (10.9 → 13.3 U/L, Z=-2.54, p=0.01, r=0.90), LDH ↑ 9.6% (257.1 → 281.8 U/L, Z=-2.10, p=0.04, r=0.74). No significant changes in γ-GT, ALT, AST (p=0.25–0.75). Hormones: Cortisol ↑ 65.1% (9.2 → 15.2 μg/dL, Z=-2.53, p=0.01, r=0.89). Testosterone ↓ -23.4% (432.4 → 331.4 ng/dL, Z=-2.52, p=0.01, r=0.89).
Papanikolaou et al., 2021 4v4 vs 8v8 CK baseline, 24h, 48h, 72h CK ↑ 24–72h in 4v4 (p=0.001–0.000). CK ↑ only 24h in 8v8 (p=0.011). Higher CK in 4v4 vs 8v8 at 48h (p=0.004) and 72h (p=0.009). Indicates more muscle damage in high-density SSG.
Sansone et al., 2019 3v3, offense/defense × long/short Salivary cortisol (C) & testosterone (T) pre vs post Cortisol: Significant ↑ overall (pre 7.2 ± 0.7 ng/ml → post 11.4 ± 0.8 ng/ml, p=0.001, η2=0.702). No interaction effects. Testosterone: Increased after defense-long (159.3 ± 94.7 → 251.8 ± 104.3 pg/ml, p=0.037, r=0.47). Decreased after offense-short (260.5 ± 155.9 → 192.2 ± 152.9 pg/ml, p=0.028, r=0.49). Stable in other conditions.
Sparkes et al., 2018 4v4 + GK, as above Blood lactate, CK, Salivary testosterone (T), cortisol (C) at baseline, 0h, +2h, +24h Lactate: ↑ at 0h (+1.3 mmol·L-1, ±0.5, large), ↓ at +2h (-0.5, ±0.2, small), back to baseline at +24h (+0.1, trivial). CK: ↑ at 0h (+97 U·L-1, ±28, small), ↑ at +2h (+118, ±24, moderate), ↑ at +24h (+94, ±49, small). CK remained elevated for 24h. T: ↑ at 0h (+20 pg·ml-1, ±29, small), ↓ at +2h (-61, ±21, moderate), baseline at +24h (+2, trivial). C: ↓ at 0h (-0.09 μg·dl-1, ±0.16, small), ↓ at +2h (-0.39, ±0.12, large), ↓ at +24h (-0.12, ±0.11, small)
Sparkes et al., 2020a 4v4 + GK, as above CK, Salivary testosterone, cortisol at pre, 0h, 24h Session 1: CK ↑ at 0h (+123 U·L-1, ±63, small), remained ↑ 24h (+113, ±67, small). Session 2: CK ↑ at 0h (+154, ±72, moderate), remained ↑ 24h (+173, ±63, moderate). Indicates additive effect of congested schedules on muscle damage. Session 1: T ↑ 0h (+36 pg·ml-1, ±32, small), ↓ 24h (-42, ±30, small). C ↓ 0h (-0.14 μg·dl-1, ±0.09, small), ↓ 24h (-0.10, ±0.11, small). Session 2: T ↑ 0h (+41, ±38, small), ↓ 24h (-76, ±37, moderate). C ↓ 0h (-0.16, ±0.12, small), ↓ 24h (-0.23, ±0.14, moderate). Confirms hormonal suppression with congested SSGs.
Sparkes et al., 2020b 4v4 + GK, same as above Salivary testosterone (T), cortisol (C), T/C ratio pre, 0h, +2h, +24h T: RES+SSG ↑ at 0h (+17.0 ± 25.3 pg/ml, ns) vs SSG+RES (-4.4 ± 32.5). Protocol difference at 0h = +21.4 ± 26.7 pg/ml (p=0.010, d=0.73, moderate). Both protocols ↓ at +2h (-48.0 ± 35.9 pg/ml SSG+RES, p=0.001; -33.2 ± 34.3 RES+SSG, p=0.019). At +24h, no difference. C: Both protocols ↓ at +2h (SSG+RES -0.310 ± 0.192 μg/dl, p<0.001; RES+SSG -0.251 ± 0.178, p=0.001), recovered +24h. No protocol differences. T/C ratio: Increased at +2h in both (SSG+RES +322 AU, p<0.001; RES+SSG +262 AU, p=0.006). No protocol difference.
Sparkes et al., 2022 4v4 + GK, same as above Salivary T, C, T/C pre vs post, across 2 weeks Pre reliability: ICC very high (T 0.98, C 0.94, T/C 0.93). Pre→post reliability: ICC very high (T 0.93, C 0.99, T/C 0.85). Typical changes: T stable (+3.5, +3.1 pg/ml), C ↓ small (-0.038, -0.018 μg/dl), T/C ↑ (+137, +75 AU).
Trecroci et al., 2021 Match play +48 h SST vs AR Blood at -72 h, 0 h, +72 h: CK, CRP, IL-6, UA, sCr, cortisol, WBC, neutrophils, lymphocytes, monocytes CK: Significant interaction (F(1,16)=4.096, p=0.04, η2p=0.369). AR ↓ CK more (680 ±343 → 209 ±98 U/L, p<0.0001, ES=1.9) vs SST (570 ±232 → 284 ±98, p=0.06, ES=1.6). Other markers: Time effects (all ↑ 0h then ↓ +72h, p<0.01), but no SST vs AR differences (p>0.05). E.g., cortisol ↑ pre→0h (6.41 ±1.84 → 14.0 ±6.4 μg/dl), returned +72h (5.52 ±1.29). IL-6 ↑ pre<1.84 → 3.74 ±2.3 pg/ml 0h, back <1.84 at +72h. UA ↑ 4.8 → 5.9 mg/dl 0h, back 5.0 +72h.
CK: creatine kinase; CK-MB: creatine kinase muscle-brain isoenzyme; LDH: lactate dehydrogenase; γ-GT: gamma-glutamyl transferase; ALT: alanine aminotransferase; AST: aspartate aminotransferase; UA: uric acid; sCr: serum creatinine; WBC: white blood cell count; Neu: neutrophils; Ly: lymphocytes; Mo: monocytes; La-: blood lactate; pH: blood acidity; HCO3-: bicarbonate; BE: base excess; CRP: C-reactive protein; IL-6: interleukin-6; T: testosterone; TT: total testosterone; FT: free testosterone; C: cortisol; T/C: testosterone-to-cortisol ratio; TT/C: total-testosterone-to-cortisol ratio; FT/C: free-testosterone-to-cortisol ratio; CAR: cortisol awakening response; GH: growth hormone; IGF-1: insulin-like growth factor-1; CI: confidence interval; CV: coefficient of variation; ICC: intraclass correlation coefficient; ES: effect size; d: Cohen’s d; g: Hedges’ g; η2/ηp2: eta-squared/partial eta-squared; AU: arbitrary units.