This study used targeted metabolomics approach to explore the effects of strength training on sterol metabolism in Paralympic snowboarders. Sixteen national para-snowboard athletes (12 male, 4 female) were assessed during summer strength training phase. Blood and urine samples were collected during adaptation, maximal strength, and rapid strength training phases. We found that serum 25(OH)D levels improved from deficiency to insufficiency after training. Triglyceride and low-density lipoprotein cholesterol (LDL-C) levels decreased significantly after maximal and rapid strength training. Compared to the adaptation stage, 13 and 12 urinary metabolites were identified in male and female athletes, respectively, during the maximal strength phase, while 9 and 8 metabolites showed differences during the rapid strength phase. A total of 13 and 6 differential metabolites were identified in male and female athletes, respectively, when comparing the rapid strength training phase to the maximal strength training phase. Following cycle strength training, the biosynthesis of steroid hormones as well as the metabolic pathways of androgens and estrogens was activated. After the summer strength training period, urinary differential metabolites in male athletes showed a significant association with LDL-C and serum vitamin D levels. In contrast, among female athletes, urinary dihydroprogesterone levels were significantly correlated with 25(OH)D concentrations. In general, strength training improves blood lipids and serum vitamin D levels, with the most pronounced improvement in vitamin D occurring during the maximal strength phase. Steroid hormone biosynthesis, androgen and estrogen metabolic pathways, and metabolism are affected by exercise training, including bile acid metabolism in males.
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