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Table 1 Some potential physical, biochemical, and mental-emotional signs and symptoms associated with the overtraining syndrome. Adapted from Meeusen et al. [3] and Kreher and Schwartz [4]

From: Athletes: Fit but Unhealthy?

Category

Signs and symptoms

Physical

Maximal and submaximal performance decrements

Muscle soreness/stiffness/fatigue

General persistent fatigue

Bradycardia and altered heart rate variability

Autonomic imbalance (including cardiac)

Disease conditions: asthma, thyroid disease, adrenal disease, diabetes mellitus or insipidus, iron deficiency with or without anemia, celiac sprue, hypertension

Biochemical

Excessive oxidative stress/damage

Increased susceptibility to viral, bacterial, and other infections

Inflammation

Malnutrition

Hormone imbalance

Reduced muscle glycogen levels

Mental-emotional

Disordered eating

Depression

Insomnia

Disrupted mood/behavior

Loss of motivation

Reduced mental concentration

Anxiety