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A practical approach to the overtraining syndrome.

P Z Pearce1

  • 1The Rockwood Clinic, 14408 East Sprague Street, Spokane, WA 99216, USA. pzpearce@rockwoodclinic.com

Current Sports Medicine Reports
|July 2, 2003
PubMed
Summary

Overtraining syndrome is a chronic fatigue illness in endurance athletes, marked by performance decline despite normal training. It stems from neuroendocrine system failure due to insufficient rest, with rest being the only treatment.

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Area of Science:

  • Sports Medicine
  • Exercise Physiology
  • Endocrinology

Background:

  • Overtraining syndrome (OTS) affects highly motivated endurance athletes.
  • Characterized by performance decline despite consistent training.
  • Likely caused by neuroendocrine system maladaptation from inadequate rest.

Purpose of the Study:

  • To discuss the pathophysiology of overtraining syndrome.
  • To outline practical evaluation methods for OTS.
  • To describe treatment strategies for OTS.

Main Methods:

  • Review of existing literature on overtraining syndrome.
  • Analysis of neuroendocrine system responses to training stress.
  • Clinical evaluation and management principles for athletes.

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Main Results:

  • Overtraining syndrome presents insidiously with declining performance.
  • Failure of neuroendocrine adaptation is a key factor.
  • Rest is the primary and often sole effective treatment.

Conclusions:

  • Understanding OTS pathophysiology is crucial for diagnosis.
  • Early identification and intervention are important.
  • Restorative rest is essential for recovery from overtraining syndrome.