ArticleSports health
Diagnosing Overtraining Syndrome: A Scoping Review.
Article in Sports health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 77 citations in OpenAlex.
- Effects of exercise on pain, fatigue, and quality of life in people with fibromyalgia: a systematic review and meta-analysis of randomized controlled trials.Frontiers in medicine · 2026Pooled it
- Effects of intranasal oxytocin combined with resistance training on testosterone, cortisol, fatigue, and skin temperature in paralympic powerlifting athletes.European journal of applied physiology · 2026Trial
- Study protocol of the eating and nutritional habits in athletes and controls longitudinal examination - ENHANCE Study.Discover mental health · 2026Article
- Review
- Unlocking high-intensity performance thresholds through ventilatory signatures in the ECG.Scientific reports · 2026Article
- Revision of Energy Metabolism Adaptations in High-Level Athletes: From Physical Performance Enhancement to Potential Therapeutic Targets in Mental Disorders.Current issues in molecular biology · 2026Review
- Molecular Biomarkers of Training Responses: A Systems Framework for Exercise Adaptation and Athlete Monitoring.International journal of molecular sciences · 2026Review
- Training Load Distribution Across Weekly Microcycles According to the Match Schedule During the Regular Season in a Professional Rink Hockey Team.Journal of functional morphology and kinesiology · 2025Article
- The association between internal and external measures of training load in elite rowers during ergometer training.Scientific reports · 2025Article
- Clinical study on early warning signal monitoring (salivary indicators) of exercise-induced fatigue in technical winter sports athletes.Pakistan journal of medical sciences · 2025Article
- Circulating growth hormone, cortisol and testosterone in relation to vitamin D status: influence of lower and upper body wingate anaerobic test in elite artistic gymnasts.BMC sports science, medicine & rehabilitation · 2025Article
- Resistance and Aerobic Preconditioning Delays Unloading-Induced Multisystemic Physiological Changes: The NEBULA Project.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025Article
- The Impact of Overtraining on Injury Rates in School-Age Athletes-A Scoping Review.Journal of clinical medicine · 2025Review
- Beyond physical exhaustion: Understanding overtraining syndrome through the lens of molecular mechanisms and clinical manifestation.Sports medicine and health science · 2025Review
- The effect of nandrolone decanoate administration on fatigue during a volume-overload stress in male mice.Physiological reports · 2025Article
- Model for predicting metabolic activity in athletes based on biochemical blood test analysis.Sports medicine and health science · 2025Article
- Physical and metabolic requirements of elite military divers.Frontiers in physiology · 2025Article
- Plasma and salivary hormone responses to a 30-min exercise stress test in young, healthy, physically active females.Physiological reports · 2024Article
- Use of phase angle as an indicator of overtraining in sport and physical training.Journal of translational medicine · 2024Review
- Health-Related Quality of Life in Rugby Athletes: The Role of Dietary Supplements and Their Consumption.Sports (Basel, Switzerland) · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextOvertraining syndrome (OTS) is a condition characterized by a long-term performance decrement, which occurs after a persisting imbalance between training-related and nontraining-related load and recovery. Because of the lack of a gold standard diagnostic test, OTS remains a diagnosis of exclusion.
objectiveTo systematically review and map biomarkers and tools reported in the literature as potentially diagnostic for OTS. DATA SOURCES: PubMed, Web of Science, and SPORTDiscus were searched from database inception to February 4, 2021, and results screened for eligibility. Backward and forward citation tracking on eligible records were used to complement results of database searching. STUDY SELECTION: Studies including athletes with a likely OTS diagnosis, as defined by the European College of Sport Science and the American College of Sports Medicine, and reporting at least 1 biomarker or tool potentially diagnostic for OTS were deemed eligible. STUDY
designScoping review following the guidelines of the Joanna Briggs Institute and PRISMA Extension for Scoping Reviews (PRISMA-ScR). LEVEL OF EVIDENCE: Level 4. DATA EXTRACTION: Athletes' population, criteria used to diagnose OTS, potentially diagnostic biomarkers and tools, as well as miscellaneous study characteristics were extracted.
resultsThe search yielded 5561 results, of which 39 met the eligibility criteria. Three diagnostic scores, namely the EROS-CLINICAL, EROS-SIMPLIFIED, and EROS-COMPLETE scores (EROS = Endocrine and Metabolic Responses on Overtraining Syndrome study), were identified. Additionally, basal hormone, neurotransmitter and other metabolite levels, hormonal responses to stimuli, psychological questionnaires, exercise tests, heart rate variability, electroencephalography, immunological and redox parameters, muscle structure, and body composition were reported as potentially diagnostic for OTS.
conclusionSpecific hormones, neurotransmitters, and metabolites, as well as psychological, electrocardiographic, electroencephalographic, and immunological patterns were identified as potentially diagnostic for OTS, reflecting its multisystemic nature. As exemplified by the EROS scores, combinations of these variables may be required to diagnose OTS. These scores must now be validated in larger samples and within female athletes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.