Overtraining Syndrome: A Practical Guide

Sports Health

Volumn 4, Issue 2, 2012, Pages 128-138

  Kreher, Jeffrey B ^a   Schwartz, Jennifer B ^b  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

^b TUFTS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

evaluation; management; overreaching; overtraining; overtraining syndrome; pathophysiology; staleness; treatment; unexplained underperformance

Indexed keywords

EID: 84857673412     PISSN: 19417381     EISSN: 19410921     Source Type: Journal    
DOI: 10.1177/1941738111434406     Document Type: Review

References (53)

1. Angeli A,Minetto M,Dovio A, et al.The overtraining syndrome in athletes: a stress-related disorder.J Endocrinol Invest. 2004;27:603-612.
2. Armstrong LE,VanHeest JL.The unknown mechanism of the overtraining syndrome: clues from depression and psychoneuroimmunology.Sports Med. 2002;32:185-209.
3. Budgett R.Fatigue and underperformance in athletes: the overtraining syndrome.Br J Sports Med. 1998;32:107-110.
4. Budgett R,Hiscock N,Arida R, et al.The effects of the 5-HT2C agonist m-chlorphenylpiperazine on elite athletes with unexplained underperformance syndrome (overtraining).Br J Sports Med. 2010;44:280-283.
5. Budgett R,Newsholme E,Lehmann M, et al.Redefining the overtraining syndrome as the unexplained underperformance syndrome.Br J Sports Med. 2000;34:67-68.
6. Castell LM,Poortmans JR,Leclercq R, et al.Some aspects of the acute phase response after a marathon race, and the effects of glutamine supplementation.Eur J Appl Physiol. 1997;75:47-53.
7. Costill DL,Flynn MG,Kirwan JP, et al.Effects of repeated days of intensified training on muscle glycogen and swimming performance.Med Sci Sports Exerc. 1988;20:249-254.
8. Edwards KM,Burns VE,Ring C,Carroll D.Individual differences in the interleukin-6 response to maximal and submaximal exercise takes.J Sports Sci. 2006;24 (8): 855-862.
9. Fry RW,Grove JR,Morton AR, et al.Psychological and immunological correlates of acute overtraining.Br J Sports Med. 1994;28 (4): 241-246.
10. Fry RW,Morton AR,Keast D.Overtraining in athletes: an update.Sports Med. 1991;12 (1): 32-65.
11. Gabriel H,Kindermann W.The acute immune response to exercise: what does it mean?.Int J Sports Med. 1997;18 (1): S28-S45.
12. Gouarne C,Groussard C,Gratas-Delamarche A, et al.Overnight urinary cortisol and cortisone add new insights into adaptation to training.Med Sci Sports Exerc. 2005;37:1157-1167.
13. Gustafsson H,Holmberg H,Hassmen P.An elite endurance athlete's recovery from underperformance aided by a multidisciplinary sport science support team.Eur J Sport Sci. 2008;8 (5): 267-276.
14. Halson SL,Jeukendrup AE.Does overtraining exist? An analysis of overreaching and overtraining research.Sports Med. 2004;34 (14): 967-981.
15. Halson SL,Lancaster GI,Jeukendrup AE, et al.Immunological responses to overreaching in cyclists.Med Sci Sports Exerc. 2003;35 (5): 854-861.
16. Hiscock N,Pedersen BK.Exercise-induced immunosuppresion: plasma glutamine is not the link.J Appl Physiol. 2002;93:813-822.
17. Hohl R,Ferraresso RL,DeOliveira RB, et al.Development and characterization of an overtraining animal model.Med Sci Sports Exerc. 2009;41 (5): 1155-1163.
18. Hooper S,MacKinnon LT,Hanrahan S.Mood states as an indication of staleness and recovery.Int J Sport Psychol. 1997;28:1-12.
19. Hynynen A,Uusitalo A,Konttinen N, et al.Heart rate variability during night sleep and after awakening in overtrained athletes.Med Sci Sports Exerc. 2006;38 (2): 313-317.
20. Kentta G,Hassmen P.Overtraining and recovery: a conceptual model.Sports Med. 1998;26 (1): 1-16.
21. Koutedakis Y,Sharp NC.Seasonal variations of injury and overtraining in elite athletes.Clin J Sport Med. 1998;8 (1): 18-21.
22. Lehmann M,Foster C,Keul J.Overtraining in endurance athletes: a brief review.Med Sci Sports Exerc. 1993;25 (7): 854-862.
23. Mackinnon LT.Chronic exercise training effects on immune function.Med Sci Sports Exerc. 2000;32 (7): S369-S376.
24. Mackinnon LT,Hooper SL.Mucosal (secretory) immune system responses to exercise of varying intensity and during overtraining.Int J Sports Med. 1994;15 (3): S179-S183.
25. Mackinnon LT,Hooper SL.Plasma glutamine and upper respiratory tract infection during intensified training in swimmers.Med Sci Sports Exerc. 1996;28 (3): 285-290.
26. Margonis K,Fatouros IG,Jamurtas AZ, et al.Oxidative stress biomarkers responses to physical overtraining: implications for diagnosis.Free Radic Biol Med. 2007;43 (6): 901-910.
27. Matos NF,Winsley RJ,Williams CA.Prevalence of non-functional overreaching/overtraining in young English athletes.Med Sci Sports Exerc. 2011;43 (7): 1287-1294.
28. Meehan HL,Bull SJ,Wood DM, et al.The overtraining syndrome: a multicontextual assessment.Sports Psychol. 2004;18:154-171.
29. Meeusen R,Duclos M,Gleeson M, et al.The overtraining syndrome: facts and fiction.Eur J Sport Sci. 2006;6 (4): 263.
30. Meeusen R,Duclos M,Gleeson M, et al.Prevention, diagnosis and treatment of the overtraining syndrome: ECSS Position Statement.Task Force. Eur J Sport Sci. 2006;6 (1): 1-14.
31. Meeusen R,Nederhof E,Buyse L, et al.Diagnosing overtraining in athletes using the two-bout exercise protocol.Br J Sports Med. 2010;44:642-648.
32. Meeusen R,Piacentini MF,Busschaert B, et al.Hormonal response in athletes: the use of a two bout exercise protocol to detect subtle differences in (over)training status.Eur J Appl Physiol. 2004;91:140-146.
33. Morgan WP,Brown DR,Raglin JS, et al.Psychological monitoring of overtraining and staleness.Br J Sports Med. 1987;21:107-114.
34. Morgan WP,Costill DL,Flynn MG, et al.Mood disturbance following increased training in swimmers.Med Sci Sports Exerc. 1988;20 (4): 408-414.
35. Morgan WP,O'Connor P,Sparling P, et al.Psychological characterizations of the elite female distance runner.Int J Sports Med. 1987;8:124-131.
36. Nederhof E,Lemmeink K,Visscher C, et al.Psychomotor speed, possibly a new marker for overtraining syndrome.Sports Med. 2006;36:817-828.
37. O'Connor PJ,Morgan WP,Raglin JS, et al.Mood state and salivary cortisol levels following overtraining in female swimmers.Psychoneuroendocrinology. 1989;14 (4): 303-310.
38. Pearce PZ.A practical approach to the overtraining syndrome.Curr Sports Med Rep. 2002;1:179-183.
39. Petibois C,Cazoral G,Deleris G.FT-IR spectroscopy utilization to sportsmen fatigability evaluation and control.Med Sci Sports Exerc. 2000;32 (10): 1803-1808.
40. Petibois C,Cazoral G,Poortmans JR, et al.Biochemical aspects of overtraining in endurance sports: the metabolism alteration process syndrome.Sports Med. 2003;33:83-94.
41. Pichot V,Roche F,Gaspoz FE.Relation between heart rate variability and training load in middle-distance runners.Med Sci Sports Exerc. 2000;32:1729-1736.
42. Raglin J,Sawamura S,Alexiou S, et al.Training practice and staleness in 13-18-year-old swimmers: a cross-cultural study.Pediatr Exerc Sci. 2000;12:61-70.
43. Reid VL,Gleeson M,Williams N, et al.Clinical investigation of athletes with persistent fatigue and/or recurrent infections.Br J Sports Med. 2004;38:42-45.
44. Robson PJ.Elucidating the unexplained underperformance syndrome in endurance athletes: the interleukin-6 hypothesis.Sports Med. 2003;33:771-781.
45. Smith LL.Cytokine hypothesis of overtraining: a physiological adaptation to excessive stress?.Med Sci Sports Exerc. 2000;32:317-331.
46. Smith LL.Overtraining, excessive exercise, and altered immunity: is this a T helper-1 versus T helper-2 lymphocyte response?.Sports Med. 2003;33 (5): 347-364.
47. Snyder AC,Kuipers H,Cheng B, et al.Overtraining following intensified training with normal muscle glycogen.Med Sci Sports Exerc. 1995;27 (7): 1063-1070.
48. Tanskanen M,Atalay M,Uusitalo A.Altered oxidative stress in overtrained athletes.J Sports Sci. 2010;28 (3): 309-317.
49. Tenenbaum G,Jones CM,Kitsantas A, et al.Failure adaptation: psychological conceptualization of the stress response process in sport.Int J Sport Psychol. 2003;34:1-26.
50. Tiidus PM.Radical species in inflammation and overtraining.Can J Physiol Pharmacol. 1998;76:533-538.
51. Urhausen A,Kindermann W.Diagnosis of overtraining: what tools do we have?.Sports Med. 2002;32:95-102.
52. Varelet-Marie E,Mercier J,Brun J.Is plasma viscosity a predictor of overtraining in athletes?.Clin Hemorheol Microcirc. 2006;35:329-332.
53. Walsh NP,Blannin AK,Robson PJ,Gleeson M.Glutamine, exercise and immune function.Sports Med. 1998;28 (3): 177-191.