Research Article
Diagnosis of Overtraining Syndrome: Results of the Endocrine and Metabolic Responses on Overtraining Syndrome Study: EROS-DIAGNOSIS
| | Risk factor | Range | Points (to be entered) |
| | (a) Scores with ranges. Each parameter within the range is assigned 1 point | | | | Decreased performance >10% | Yes | | | Increased sense of effort | Yes | | | 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) | >14 | | | POMS fatigue subscale (0–28) | >8 | | | POMS tension subscale (0–36) | >13 | | | POMS vigour subscale (0–32) | <18 | | | Muscle mass (%) | <46 | | | Body water (%) | <61 | | | ACTH 30 minutes after hypoglycemia (pg/mL) | <35 | | | Cortisol response to ITT (µg/dL) | <19.1 | | | Basal GH (µg/L) | <0.1 | | | GH 30 minutes after hypoglycemia (µg/L) | <1.0 | | | Basal prolactin (ng/mL) | <7.1 | | | Prolactin during ITT (ng/mL) | <12 | | | Prolactin 30 minutes after hypoglycemia (ng/mL) | <10 | | | Total testosterone (ng/dL) | <400 | | | Testosterone to estradiol ratio | <13 | | | Total | 0–20 | |
| | Score | Interpretation | | | (b) Interpretation of the results | | | | 0–4 points | Excluded diagnosis for overtraining syndrome | | | 5–10 points | Inconclusive (at intermediate-to-high risk for OTS, or an unusual presentation of OTS) | | | 11–20 points | Diagnosis of overtraining syndrome | |
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POMS = Profile of Mood States; ITT = insulin tolerance test; ACTH = Adrenocorticotropic hormone; GH = growth hormone; and OTS = overtraining syndrome.
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