Research Article

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

Table 8

The OTS-RISK score for the assessment of risk level for the development of overtraining syndrome.

Risk factorRangePoints (to be entered)

(a) Score, with ranges and points
Calorie intake<32 kcal/kg/day
Protein intake<1.6 g/kg/day
Carbohydrate intake<5 g/kg/day
Total POMS score (−32 to 120)>19
POMS anger subscale (0–48)>14
POMS confusion subscale (0–28)>6
POMS depression subscale (0–60)>7
POMS fatigue subscale (0–28)>8
POMS tension subscale (0–36) >13>13
POMS vigour subscale (0–32) <18<18
Self-reported sleep quality (0–10)<6 (≤5)
Total0–11

Score (points)Interpretation
(b) Interpretation of the results
0-1Low risk of OTS
2–4Moderate risk of OTS
5-6High risk of OTS
7–11Imminent risk of OTS

OTS = overtraining syndrome; POMS = Profile of Mood States. Using a 7-day dietary record. Each parameter within the range is assigned 1 point.