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Overtraining Syndrome, Sports Medicine

W. Scott Black, MD and Robert Hosey, MD, FACSM, CAQSM Reviewed 04/2019



  • Overreaching:

    • The accumulation of training and/or nontraining stress, which results in a short-term decrease in performance capacity with or without related physiologic and psychologi...


  • An algorithm to aid in the diagnosis of OTS in athletes has been proposed 1[C].

  • There is no single diagnostic test for OTS. Blood testing may be performed if clinically indicated to rule out ...


  • The primary treatment for OTS is relative or absolute rest, depending on the severity of overtraining 1[C].

  • During the rest period, the clinician should evaluate and manage any conditions tha...


Meeusen R, Duclos M, Foster C, et al. Prevention, diagnosis, and treatment of the overtraining syndrome: joint consensus statement of the European College of Sport Science and the American...


  • Cadegiani FA, Kater CE. Hormonal aspects of overtraining syndrome: a systematic review. BMC Sports Sci Med Rehabil.  2017;9:14.

  • Kreher JB. Diagnosis and prevention of overtraini...


  • Consensus at this time is that there is no effective treatment for OTS other than rest and recovery. Therefore, the emphasis should be on prevention.

  • The primary treatment for OTS is re...

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