Int J Sports Med 2023; 44(02): 138-144
DOI: 10.1055/a-1954-9239
Clinical Sciences

Association between Self-reported Overtraining Syndrome and Symptoms in High School Track and Field Athletes

1   Graduate School of Sports Science, Waseda University – Tokorozawa Campus, Tokorozawa, Japan
2   Department of Sports Medicine, Tokyo Women's College of Physical Education
,
3   Department of Othopaedic sugery, University of Tsukuba Faculty of Medicine, Tsukuba, Japan
,
Suguru Torii
4   Faculty of Sport Sciences, Waseda University, Tokorozawa, Japan
,
Fumihiro Yamasawa
5   Marubeni Clinic, Marubeni Corp, Chiyoda-ku, Japan
› Author Affiliations
Funding This publication was subsidized by JKA through its promotion funds from KEIRIN RACE.

Abstract

Diagnosing overtraining syndrome is challenging and it is often correlated with other diseases, especially those related to low energy availability. Therefore, we investigated the prevalence of overtraining syndrome-like symptoms and correlative factors in 389 female and 572 male national-level high school track and field athletes. They were asked to complete a survey regarding their history of overtraining syndrome-like symptoms, injuries, and diseases. The survey results revealed that 13.4% (52/389) of female and 13.3% (76/572) of male athletes had a history of overtraining syndrome-like symptoms. Logistic regression analysis showed that training hours per day (odds ratio, 1.74; 95% confidence interval, 1.12–2.71) was an associated factor in female athletes, while rest days per week (odds ratio, 0.61; 95% confidence interval, 0.37–1.00), skipping meals (odds ratio, 3.73; 95% confidence interval, 1.50–9.29), and having snacks/light meals on a regular basis (odds ratio, 0.46; 95% confidence interval, 0.26–0.83) were the associated factors in male athletes. In conclusion, athletes with overtraining syndrome-like symptoms may be prone to injuries and diseases. Hence, although overtraining syndrome is difficult to diagnose, further attention should be paid to minimize overtraining syndrome-related risks.



Publication History

Received: 11 July 2022

Accepted: 29 September 2022

Accepted Manuscript online:
04 October 2022

Article published online:
11 November 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 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
  • 2 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: 1-14
  • 3 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 College of Sports Medicine. Med Sci Sports Exerc 2013; 45: 186-205
  • 4 Halson SL, Jeukendrup AE. Does overtraining exist? An analysis of overreaching and overtraining research. Sports Med 2004; 34: 967-981
  • 5 Weakley J, Halson SL, Mujika I. Overtraining syndrome symptoms and diagnosis in athletes: Where is the research? A systematic review. Int J Sports Physiol Perform 2022; 17: 675-681
  • 6 Cadegiani FA, Kater CE. Novel insights of overtraining syndrome discovered from the EROS study. BMJ Open Sport Exerc Med 2019; 5: e000542
  • 7 Carrard J, Rigort AC, Appenzeller-Herzog C. et al. Diagnosing overtraining syndrome: A scoping review. Sports Health. 2021 19417381211044739
  • 8 Kreher JB, Schwartz JB. Overtraining syndrome: a practical guide. Sports Health 2012; 4: 128-138
  • 9 Hooper SL, MacKinnon LT, Gordon RD. et al. Hormonal responses of elite swimmers to overtraining. Med Sci Sports Exerc 1993; 25: 741-747
  • 10 Stellingwerff T, Heikura IA, Meeusen R. et al. Overtraining syndrome (OTS) and relative energy deficiency in sport (RED-S): Shared pathways, symptoms and complexities. Sports Med 2021; 51: 2251-2280
  • 11 Harriss DJ, MacSween A, Atkinson G. Ethical standards in sport and exercise science research: 2020 update. Int J Sports Med 2019; 40: 813-817
  • 12 Morgan WP, Brown DR, Raglin JS. et al. Psychological monitoring of overtraining and staleness. Br J Sports Med 1987; 21: 107-114
  • 13 Raglin J, Sawamura S, Alexiou S. Training practice and staleness in 13-18-year-old swimmers: A cross-cultural study. Pediatr Exerc Sci 2000; 12: 61-70
  • 14 Matos NF, Winsley RJ, Williams CA. Prevalence of nonfunctional overreaching/overtraining in young English athletes. Med Sci Sports Exerc 2011; 43: 1287-1294
  • 15 Franco-Paredes K, Mancilla-Díaz JM, Vázquez-Arévalo R. et al. Perfectionism and eating disorders: A review of the literature. Eur Eat Disord Rev 2005; 13: 61-70
  • 16 Suzuki S. Historical analysis of the bodily representation of female athletes: Kinue Hitomi’s “prone episode. Japan Journal of Physical Education, Health and Sport Sciences 2020; 65: 253-272
  • 17 Meeusen R, De Pauw K. Overreaching and overtraining syndrome: Causes, prevention, and remedy. In Anshel MH, Petruzzello SJ, Labbé EE (Eds.). APA Handbook of Sport and Exercise Psychology, Vol. 2. Exercise Psychology. American Psychological Association 2019; 147-157
  • 18 Organization WH.. Burnout an “occupational phenomenon”: International Classification of Diseases. In: World Health Organization. 2019
  • 19 Cohn PJ. An exploratory study on sources of stress and athlete burnout in youth golf. Sport Psychol 1990; 4: 95-106
  • 20 Melin AK, Ritz C, Faber J. et al. Impact of menstrual function on hormonal response to repeated bouts of intense exercise. Front Physiol 2019; 10: 942
  • 21 Cadegiani FA, Kater CE. Hormonal aspects of overtraining syndrome: a systematic review. BMC Sports Sci Med Rehabil 2017; 9: 14
  • 22 Beals KA, Manore MM. Disorders of the female athlete triad among collegiate athletes. Int J Sport Nutr Exerc Metab 2002; 12: 281-293
  • 23 Arede J, Ferreira AP, Gonzalo-Skok O. et al. Maturational development as a key aspect in physiological performance and national-team selection in elite male basketball players. Int J Sports Physiol Perform 2019; 14: 902-910
  • 24 Burke LM, Close GL, Lundy B. et al. Relative energy deficiency in sport in male athletes: A commentary on its presentation among selected groups of male athletes. Int J Sport Nutr Exerc Metab 2018; 28: 364-374