PURPOSE: Cross-country ski racing requires use of nearly all of the body's muscle mass. There is very limited information on the physiologic responses to exhaustive cross country ski-racing in the elite athletes. Marathon racing has been described in terms of the stress response(Nieman et al 1989). Therfore the purpose of the study was to examine the leukocyte and hormonal responses to a 50K World Cup SKI-race and compare them to studies where a lower % of total muscle mass is involved. METHODS: 10 elite male crosscountry skiers(age23–32 years, VO2max 81–92ml/kg/min)were recrutied. They followed usual pre-race routines. During the 50K race all the athletes drank 1.0–1–5 L of CHO-electrolyte sports drink. Venous blood samples were taken pre and immeditaly post race. Wilcoxon's signed rank test was used for statistical analysis. RESULTS: From pre race to post race numbers of leukocytes (3X), granulocytes (5X), lympohocytes, NK cells (1.5X), B-cells were significantly increased. Hemoglobin monocytes, CD3+, CD4+, and CD8+ cells were unchanged. Significant increases in EPI (10X, NE (5X), cort (2X), GH (22X), GLU (1.5X), and FFA (3X) were observed. Testosterone levels were unchanged while insulin concentration decreased. In comparsion to changes observed in marathon racing (an event of similar duration), the changes in this study were 2 or 3 times as great. CONCLUSIONS: There is an extremeky lagre stress of response to a 50K cross country ski race which is substantially greater than that observed in marathon running. We speculate that this is due to the greater % of total muscle mass involved in cross-country skiing.