The Book on Overtraining Syndrome

Outline of the chapter 10. Special topics on overtraining syndrome (OTS) / paradoxical deconditioning syndrome (PDS)

June 27, 2021

Chapter 10. Special topics on Overtraining Syndrome (OTS) / Paradoxical Deconditioning Syndrome (PDS). Outline.

The high prevalence of “pseudo-OTS”: more than 90% of the diagnosis of OTS are imprecise, particularly because the majority of the athletes diagnosed with “OTS” actually does not present the sine-quo-non alterations, which precludes the diagnosis. Hence, the book brings the characteristics of “pseudo-OTS”, since this is more prevalent than the actual OTS. 

“Deconditioning” and “hypometabolism” as two neologisms that describe the novel processes identified in OTS: the author proposed these two neologisms, which have been both already published in different papers, as they precisely summarize and explain the phenomena they these words represent, respectively.

Deprivations, excess of commitments, and perfectionism: the harms of humans attempts to become robot machines: it is likely that burnout syndrome, not depression, is the actual epidemic of the XXI century. Current overtraining syndrome could perhaps be understood as the burnout syndrome when manifested in athletes. Attempts to have high performance at multiple aspects simultaneously have been progressively encouraged in the highly competitive environment we are living nowadays. However, these over-human attempts naturally leads to exhaustion, eventually leading to burnout-related conditions, including OTS. The author depicts the potential mechanisms that may have led to the current burnout and OTS epidemics.

Low energy availability (LEA) as the underlying link between RED-S, OTS, BSA, burnout syndrome, and other burnout-related conditions: in this topic, the author provides the substantiation for the fact that LEA is the fundamental underlying pathogenic environment that leads to multiple inter-related conditions.

The (energy-deprived derived) Paradoxical Deconditioning Syndrome (PDS): OTS goes beyond excessive training. However, in common, all cases presented LEA as a triggering factors and eventually lead to PDS, irrespective of overtraining. The author discuss on the reasons why we should rethink about the terms we have been using to name the burnout-related dysfunctions.

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