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.

@article{Meeusen2013PreventionDA,
  title={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.},
  author={Romain Meeusen and Martine Duclos and Carl Clinton Foster and Andrew C. Fry and Michael Gleeson and David C. Nieman and John S. Raglin and Gerard J Rietjens and J{\"u}rgen M Steinacker and Axel Urhausen},
  journal={Medicine and science in sports and exercise},
  year={2013},
  volume={45 1},
  pages={
          186-205
        }
}
Successful training not only must involve overload but also must avoid the combination of excessive overload plus inadequate recovery. Athletes can experience short-term performance decrement without severe psychological or lasting other negative symptoms. This functional overreaching will eventually lead to an improvement in performance after recovery. When athletes do not sufficiently respect the balance between training and recovery, nonfunctional overreaching (NFOR) can occur. The… 

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References

SHOWING 1-10 OF 243 REFERENCES

Overtraining in Elite Athletes

TLDR
Overtraining is an imbalance between training and recovery that can be explained as a stress response and no sensitive and specific tests are available to prevent or diagnose overtraining.

Markers of excessive exercise.

  • D. McKenzie
  • Medicine
    Canadian journal of applied physiology = Revue canadienne de physiologie appliquee
  • 1999
TLDR
There is no single biological marker that is diagnostic of an overtrained state; however, several parameters deserve further study and the time to volitional fatigue on a cycle ergometer at an intensity of 110% of the individual anaerobic threshold represents a possible laboratory test.

Overtraining in Athletes

TLDR
An in-depth knowledge of periodisation of training theory may be necessary to promote optimal performance improvements, prevent overtraining, and develop a system for incorporating a screening system into the training programme.

Hormonal responses in athletes: the use of a two bout exercise protocol to detect subtle differences in (over)training status

TLDR
The results of the case presentation of an overtrained athlete provide evidence of an altered and dysfunctional hypothalamic–pituitary axis response to two bouts of maximal exercise that can be used to develop markers for diagnosis of OTS and to address the pathologic mechanism operative in the syndrome.

Overtraining and Recovery

TLDR
The TQR method to facilitate monitoring of the recovery process is suggested and a conceptual model that incorporates all of the important parameters for performance gain (adaptation) and loss (mal Adaptation) is proposed.

Hormonal responses to acute exercise, training and overtraining a review with emphasis on the horse

TLDR
A summary of previous literature examining the response of the hypothalamic‐pituitary‐adrenal (HPA) axis and the growth hormone‐insulin‐like growth factor‐I (GH‐IGF‐I) axis to acute and chronic exercise as well as overtraining in humans and horses is provided.

Overtraining in endurance athletes: a brief review.

TLDR
Recommendations for training monitoring can be made, but their relevance in the practice must still be clarified; changes in blood chemistry variables, hormone levels, and nocturnal urinary catecholamine excretion are required.

Monitoring training in athletes with reference to overtraining syndrome.

  • C. Foster
  • Education
    Medicine and science in sports and exercise
  • 1998
TLDR
It was observed that a high percentage of illnesses could be accounted for when individual athletes exceeded individually identifiable training thresholds, mostly related to the strain of training.

Blood Hormones as Markers of Training Stress and Overtraining

TLDR
An intraindividually decreased maximum rise of pituitary hormones (corticotrophin, growth hormone, cortisol and insulin has been found after a standardised exhaustive exercise test performed with an intensity of 10% above the individual anaerobic threshold, suggesting an impaired hypothalamic regulation.
...