Research Article
Diagnosis of Overtraining Syndrome: Results of the Endocrine and Metabolic Responses on Overtraining Syndrome Study: EROS-DIAGNOSIS
Table 6
The SIMPLIFIED-OTS diagnostic score.
| | RISK factor | Range | Points (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 | | | Decreased performance > 10% | Yes | | | Increased sense of effort | Yes | | | Basal GH (µg/L) | <0.1 | | | Basal prolactin (ng/mL) | <7.1 | | | Total testosterone (ng/dL) | <400 | | | Testosterone-to-estradiol ratio | <13 | | | Total (points) | 0–13 | |
| | Score | Interpretation | | | (b) Interpretation of the results | | | | 0–3 points | Overtraining syndrome excluded | | | 4–6 points | Inconclusive (imminent, incipient, or unusual presentation of overtraining syndrome) | | | 7–13 points | Overtraining syndrome confirmed | |
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Each parameter within the range is assigned 1 point. POMS = Profile of Mood States; GH = growth hormone; and OTS = overtraining syndrome. |
