Research Article

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

Table 5

The EROS-CLINICAL tool.

Risk factorRangeScore (to be entered)

(a) Scores with ranges
Calorie intake (kcal/kg/day)<32.0
Protein intake (g/kg/day)<1.6
Carbohydrate intake (g/kg/day)<5.0
POMS anger subscale (0–48 points)>14
POMS fatigue subscale (0–28 points)>8
POMS tension subscale (0–36 points)>13
POMS vigour subscale (0–32 points)<18
Unexplained decreased performance > 10%Y/N
Increased sense of effortY/N
Total0–9

ScoreInterpretation
(b) Interpretation of the results
0–2 pointsDiagnosis excluded for overtraining syndrome
3–5 pointsInconclusive (at intermediate-to-high risk for OTS, or an unusual presentation of OTS)
6–9 pointsDiagnosis of overtraining syndrome

Each parameter within the range is assigned 1 point. POMS = Profile of Mood States; OTS = overtraining syndrome.