How to tell if an athlete is really overtrained

Original Title

Diagnosis of Overtraining Syndrome: Results of the Endocrine and Metabolic Responses on Overtraining Syndrome Study: EROS-DIAGNOSIS

Not medical advice. For informational purposes only. Always consult a healthcare professional. Terms

Summary

Some athletes train too much and don’t recover, getting weaker and tired for months. This is called overtraining syndrome (OTS). Doctors don’t have a simple test for it, so this study tried to make one using signs like mood, food, and hormone tests.

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Surprising Findings

Combining basic clinical markers achieved 100% diagnostic accuracy without needing advanced tests.

Most medical fields rely on complex biomarkers or imaging, but here, a simple checklist outperformed all single lab tests—even cutting-edge hormone panels.

Practical Takeaways

Use a fatigue score (POMS >8), calorie intake (<32 kcal/kg/day), and performance decline as early warning signs of overtraining.

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