Overtraining Syndrome in the Athlete: Current Clinical Practice

  title={Overtraining Syndrome in the Athlete: Current Clinical Practice},
  author={David G. Carfagno and Joshua C Hendrix},
  journal={Current Sports Medicine Reports},
Competitive athletes are pushed routinely to the limits of their physical abilities. When tempered with periods of rest and recovery, a highly demanding training schedule can have tremendous benefits. However when an athlete is pushed too far, overtraining syndrome (OTS) can develop and result in career-ending damage. Overreaching and overtraining are part of the same spectrum that can lead to OTS. The pressure to perform placed on elite athletes is a real danger. Athletes and coaches… 

Figures from this paper

Importance of fatiguing, overtraining and chronic fatigue in athletes

Each training that requires achieving a higher heart rate limit and/or increased concentration in time may cause fatigue, considered to be a natural defence mechanism of a body. In the case of

Recommendations for Advancing the Resistance Exercise Overtraining Research

Short-term periods of increased resistance exercise training are often used by athletes to enhance performance, and can induce functional overreaching (FOR), resulting in improved physical

Sindrom pretreniranosti u trkača

Overtraining syndrome is a condition of prolonged fatigue and decreased athletic performance caused by excessive training overload without adequate rest and recovery. Outcome can be psychological and

The Clinical Evaluation between Overtraining Syndrome and Exercise-related Immunity

The present study was performed to analyze and review the physical and immune responses to over- training syndrome in humans and will be helpful for athletes and individuals who are at the risk of overtraining syndrome.

Disturbances in Brain Physiology Due to Season Play: A Multi-Sport Study of Male and Female University Athletes

The brain shows substantial but reversible neurophysiological changes due to season play in the absence of overtraining symptoms, with effects that are sex-dependent but otherwise insensitive to demographic variations.

Cardiopulmonary Exercise Test Parameters in Athletic Population: A Review

Applications of CPET in athletes with special attention on physiological parameters such as VO2max, ventilatory thresholds, oxygen pulse, and ventilatories equivalent for oxygen and exercise economy in the assessment of athletic performance are discussed.

A Review of the Relationship between Heart Rate Monitoring, Training Load, and Injury in Field-Based Team Sport Athletes

Outdoor, field-based team sports have been a staple of American and international cultures throughout recorded history and are currently played by millions of athletes around the globe. In modern

Mental Health Concerns in Athletes

Elite athletes perform at a very high level and often spend hours and years training, participating in their sport and working with coaches and teammates. In addition to being susceptible to injuries

Multiaspective diagnostics of training loads as well as biomechanical parameters and blood indices among leadingelite race walkers preparing for participation in the olympics

Research problem: In the narrative review in the introductory chapter of this study, it was shown that there are no scientific methods or tools for researching the Functional Overreaching (FOR) state



Preventing overtraining in athletes in high‐intensity sports and stress/recovery monitoring

  • M. Kellmann
  • Education
    Scandinavian journal of medicine & science in sports
  • 2010
The importance of recovery for elite athletes is highlighted and an overview of monitoring instruments is provided to assist with research that addresses the avoidance of overtraining, maximizes recovery, and successfully negotiates the fine line between high and excessive training loads.

Prevention, diagnosis, and treatment of the overtraining syndrome: joint consensus statement of the European College of Sport Science and the American College of Sports Medicine.

The recent status of possible markers for the detection of overtraining syndrome is provided and it is generally thought that symptoms of OTS, such as fatigue, performance decline, and mood disturbances, are more severe than those of NFOR.

Overtraining Syndrome

OTS appears to be a maladapted response to excessive exercise without adequate rest, resulting in perturbations of multiple body systems (neurologic, endocrinologic, immunologic) coupled with mood changes.

A multidisciplinary approach to overreaching detection in endurance trained athletes.

It was shown that monitoring various variables is required to prevent the transition between NT and OR, and that an OR index, which combines heart rate and blood lactate concentration changes after a strenuous training period, could be helpful to routinely detect OR.

Elucidating the Unexplained Underperformance Syndrome in Endurance Athletes

It is proposed that time-dependent sensitisation could provide a model through which the aetiology of UPS may be explained and strategies to attenuate the IL-6 response to exercise that may also reduce an athlete’s susceptibility to UPS.

Overtraining, Exercise, and Adrenal Insufficiency.

The purpose of this review is to describe the relationship between overtraining, chronic fatigue, and adrenal insufficiency and to address the overlap in these conditions, as well as examine critical research on the relationships between the dysfunction of the adrenal axis in over trained and stressed athletes.

Blood lactate response to overtraining in male endurance athletes

The main difference between the two conditions is the decrease of [La−]b,peak during overtraining, which is proposed as a marker of overtraining for long duration events, and repeating its measurement after a sufficient period of rest to make the distinction with overreaching.

[Neuroendocrine and nutritional aspects of overtraining].

Recent hypothesis related to cytokine release, to central fatigue, to depletion of muscle and liver glycogen, and to a reduction in glutamine availability during physical activity are being raised.

Cytokine hypothesis of overtraining: a physiological adaptation to excessive stress?

  • L. Smith
  • Biology
    Medicine and science in sports and exercise
  • 2000
This paper will attempt to provide a unifying paradigm that will integrate previous research under the rubric of the cytokine hypothesis of overtraining, and argue that high volume/intensity training, with insufficient rest, will produce muscle and/or skeletal and/ or joint trauma.

Aspectos neuroendócrinos e nutricionais em atletas com overtraining

Recent hypothesis related to cytokine release, to central fatigue, to depletion of muscle and liver glycogen, and to a reduction in glutamine availability during physical activity are being raised.