Difference between revisions of "Training Monotony"

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[[File:Tired athlete.jpg|right|thumb|350px|Monotonous training produces increased fatigue and is a risk factor for [[Overtraining]] and [[Overtraining Syndrome]].]]
 
[[File:Tired athlete.jpg|right|thumb|350px|Monotonous training produces increased fatigue and is a risk factor for [[Overtraining]] and [[Overtraining Syndrome]].]]
It is long been recognized the athletes cannot train hard every day. Modern training plans recommend a few hard days per week, with the other days as easier or rest days. A lack of variety in training stress, known as training monotony, is considered a key factor in causing [[Overtraining Syndrome]]<ref name="OTEcssPos"/><ref name="OTDepression"/>. There is also evidence<ref name="variabledose"/> that increased training frequency results in reduced performance benefits from identical training sessions as well as increased fatigue. Training monotony can be mathematically evaluated by [[TRIMP| measuring each day's training stress]], then dividing the average by the standard deviation for each seven day period. Monotony can be used to modify [[Training Stress Balance]], a method for evaluating the effect of training over time. Training Monotony is calculated as part of the [[SportTracks Dailymile Plugin]].
+
It is long been recognized the athletes cannot train hard every day. Modern training plans recommend a few hard days per week, with the other days as easier or rest days. A lack of variety in training stress, known as training monotony, is considered a key factor in causing [[Overtraining Syndrome]]<ref name="Meeusen-2013"/><ref name="Armstrong-2002"/>. There is also evidence<ref name="Busso-2003"/> that increased training frequency results in reduced performance benefits from identical training sessions as well as increased fatigue. Training monotony can be mathematically evaluated by [[TRIMP| measuring each day's training stress]], then dividing the average by the standard deviation for each seven day period. Monotony can be used to modify [[Training Stress Balance]], a method for evaluating the effect of training over time. Training Monotony is calculated as part of the [[SportTracks Dailymile Plugin]].
 
=Training Monotony and Supercompensation=
 
=Training Monotony and Supercompensation=
 
Training Monotony is related to [[Supercompensation]] and the need for adequate rest to recover from training.  
 
Training Monotony is related to [[Supercompensation]] and the need for adequate rest to recover from training.  
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|}
 
|}
 
=Quantifying monotony=
 
=Quantifying monotony=
One approach<ref name="OTMonotony"/> to measuring monotony is statistically analyze the variation in workouts. The first stage is to work out a measure of the daily [[TRIMP]] ([[Training Impulse|TRaining IMPulse]]). From this daily [[TRIMP]] it's possible to calculate the standard deviation for each 7 day period. The relationship between the daily average [[TRIMP]] value and the standard deviation can provide a metric for monotony. The monotony value combined with the overall training level can be used to evaluate the likelihood of [[Overtraining Syndrome]].  
+
One approach<ref name="Foster-1998"/> to measuring monotony is statistically analyze the variation in workouts. The first stage is to work out a measure of the daily [[TRIMP]] ([[Training Impulse|TRaining IMPulse]]). From this daily [[TRIMP]] it's possible to calculate the standard deviation for each 7 day period. The relationship between the daily average [[TRIMP]] value and the standard deviation can provide a metric for monotony. The monotony value combined with the overall training level can be used to evaluate the likelihood of [[Overtraining Syndrome]].  
 
=Monotony Calculations=
 
=Monotony Calculations=
The original work<ref name="OTMonotony"/> on training monotony used [[TRIMP]]<sup>cr10</sup> and [[TRIMP]]<sup>zone</sup>, but I substitute [[TRIMP]]<sup>exp</sup> for [[TRIMP]]<sup>zone</sup> because of the advantages noted in [[TRIMP]]. From the daily [[TRIMP]] values for a given 7 day period the standard deviation can be calculated. (If there is more than one workout in a day, the [[TRIMP]] values for each are simply added together.) The monotony can be calculated using
+
The original work<ref name="Foster-1998"/> on training monotony used [[TRIMP]]<sup>cr10</sup> and [[TRIMP]]<sup>zone</sup>, but I substitute [[TRIMP]]<sup>exp</sup> for [[TRIMP]]<sup>zone</sup> because of the advantages noted in [[TRIMP]]. From the daily [[TRIMP]] values for a given 7 day period the standard deviation can be calculated. (If there is more than one workout in a day, the [[TRIMP]] values for each are simply added together.) The monotony can be calculated using
 
  Monotony = average([[TRIMP]])/stddev([[TRIMP]])
 
  Monotony = average([[TRIMP]])/stddev([[TRIMP]])
 
This gives a value of monotony that tends towards infinity as stddev([[TRIMP]]) tends towards zero, so I cap Monotony to a maximum value of 10. Without this cap, the value tends to be unreasonably sensitive to high levels of monotony.  Values of Monotony over 2.0 are generally considered too high, and values below 1.5 are preferable. A high value for Monotony indicates that the training program is ineffective. This could be because the athlete is doing a low level of training; an extreme example would be a well-trained runner doing a single easy mile every day. This would allow for complete recovery, but would not provide the stimulus for improvement and would likely lead to rapid detraining. At the other extreme, doing a hard work out every day would be monotonous and not allow sufficient time to recover. The Training Strain below can help determine the difference between monotonous training that is inadequate and monotonous training that is excessive.  
 
This gives a value of monotony that tends towards infinity as stddev([[TRIMP]]) tends towards zero, so I cap Monotony to a maximum value of 10. Without this cap, the value tends to be unreasonably sensitive to high levels of monotony.  Values of Monotony over 2.0 are generally considered too high, and values below 1.5 are preferable. A high value for Monotony indicates that the training program is ineffective. This could be because the athlete is doing a low level of training; an extreme example would be a well-trained runner doing a single easy mile every day. This would allow for complete recovery, but would not provide the stimulus for improvement and would likely lead to rapid detraining. At the other extreme, doing a hard work out every day would be monotonous and not allow sufficient time to recover. The Training Strain below can help determine the difference between monotonous training that is inadequate and monotonous training that is excessive.  
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</html>
 
</html>
 
=TRIMP<sup>exp</sup> Examples=
 
=TRIMP<sup>exp</sup> Examples=
For these examples we will use just a few simple workouts. Let's assume a male athlete with a [[Maximum Heart Rate]] of 180 and a [[Resting Heart Rate]] of 40, giving a [[Heart Rate Reserve]] of 140. Let's assume our hypothetical athlete does his easy runs at a 9 min/mile pace and heart rate of 130. We'll use only one of the type of workout, a tempo run his easy runs at a 7 min/mile pace and heart rate of 160. This gives us some TRIMP<sup>exp</sup> values for some workouts
+
For these examples we will use just a few simple workouts. Let's assume a male athlete with a [[Maximum Heart Rate]] of 180 and a [[Resting Heart Rate]] of 40, giving a [[Heart Rate Reserve]] of 140. Let's assume our hypothetical athlete does his easy runs at a 9 min/mile pace and heart rate of 130. We'll use only one of the type of workout, a tempo run his easy runs at a 7 min/mile pace and heart rate of 160. This gives us some TRIMP<sup>exp</sup> values for some workouts.
 
{| class="wikitable"
 
{| class="wikitable"
!  
+
!
 
! Miles
 
! Miles
 
! Duration
 
! Duration
Line 153: Line 153:
 
| 4
 
| 4
 
| 36
 
| 36
| 79
+
| 51
 
|-
 
|-
 
| Easy  
 
| Easy  
 
| 6
 
| 6
 
| 54
 
| 54
| 119
+
| 76
 
|-
 
|-
 
| Easy  
 
| Easy  
 
| 10
 
| 10
 
| 90
 
| 90
| 198
+
| 127
 
|-
 
|-
 
| Easy  
 
| Easy  
 
| 20
 
| 20
 
| 180
 
| 180
| 396
+
| 254
 
|-
 
|-
 
| Tempo
 
| Tempo
 
| 4
 
| 4
 
| 28
 
| 28
| 62
+
| 80
 
|-
 
|-
 
| Tempo
 
| Tempo
 
| 8
 
| 8
 
| 56
 
| 56
| 123
+
| 159
 
|}
 
|}
 
Here is a sample week's workout with three harder workouts, a 4 mile tempo, a 10 mile mid-long run and a 20 mile long run with four mile easy runs on the other days, a total of 50 miles.
 
Here is a sample week's workout with three harder workouts, a 4 mile tempo, a 10 mile mid-long run and a 20 mile long run with four mile easy runs on the other days, a total of 50 miles.
Line 184: Line 184:
 
! Monday
 
! Monday
 
! Tempo 4
 
! Tempo 4
! 62
+
! 80
 
|-
 
|-
 
| Tuesday
 
| Tuesday
 
| Easy 4
 
| Easy 4
| 79
+
| 51
 
|-
 
|-
 
| Wednesday
 
| Wednesday
 
| Easy 10
 
| Easy 10
| 198
+
| 127
 
|-
 
|-
 
| Thursday
 
| Thursday
 
| Easy 4
 
| Easy 4
| 79
+
| 51
 
|-
 
|-
 
| Friday
 
| Friday
 
| Easy 4
 
| Easy 4
| 79
+
| 51
 
|-
 
|-
 
| Saturday
 
| Saturday
 
| Easy 20
 
| Easy 20
| 396
+
| 254
 
|-
 
|-
 
| Sunday
 
| Sunday
 
| Easy 4
 
| Easy 4
| 79
+
| 51
 
|-
 
|-
 
| <span style='color:#FF0000'>Stdev</span>
 
| <span style='color:#FF0000'>Stdev</span>
 
| <span style='color:#FF0000'> </span>
 
| <span style='color:#FF0000'> </span>
| <span style='color:#FF0000'>113</span>
+
| <span style='color:#FF0000'>70</span>
 
|-
 
|-
 
| <span style='color:#00B050'>Avg</span>
 
| <span style='color:#00B050'>Avg</span>
 
| <span style='color:#00B050'> </span>
 
| <span style='color:#00B050'> </span>
| <span style='color:#00B050'>139</span>
+
| <span style='color:#00B050'>95</span>
 
|-
 
|-
 
| Total
 
| Total
 
|   
 
|   
| 972
+
| 665
 
|-
 
|-
 
| Monotony
 
| Monotony
 
|   
 
|   
| 1.23
+
| 1.36
 
|-
 
|-
 
| Training Strain
 
| Training Strain
 
|   
 
|   
| 1,191
+
| 903
 
|}
 
|}
If we give our athlete a single day's rest on Sunday, we reduce the mileage by 4 miles to 46 miles, total TRIMP<sup>exp</sup> goes down 79, but the Monotony of drops more significantly to 1.04 and a Training Strain drop 260. So the mileage has dropped about 9%, but the Training Strain has dropped by 22%.  
+
If we give our athlete a single day's rest on Sunday, we reduce the mileage by 4 miles to 46 miles, total TRIMP<sup>exp</sup> goes down by 51, but the Monotony of drops more significantly to 1.15 and the Training Strain drops by 199. So the mileage has dropped about 9%, but the Training Strain has dropped by 22%.  
 
{| class="wikitable"
 
{| class="wikitable"
 
! Monday
 
! Monday
 
! Tempo 4
 
! Tempo 4
! 62
+
! 80
 
|-
 
|-
 
| Tuesday
 
| Tuesday
 
| Easy 4
 
| Easy 4
| 79
+
| 51
 
|-
 
|-
 
| Wednesday
 
| Wednesday
 
| Easy 10
 
| Easy 10
| 198
+
| 127
 
|-
 
|-
 
| Thursday
 
| Thursday
 
| Easy 4
 
| Easy 4
| 79
+
| 51
 
|-
 
|-
 
| Friday
 
| Friday
 
| Easy 4
 
| Easy 4
| 79
+
| 51
 
|-
 
|-
 
| Saturday
 
| Saturday
 
| Easy 20
 
| Easy 20
| 396
+
| 254
 
|-
 
|-
 
| Sunday
 
| Sunday
Line 262: Line 262:
 
| <span style='color:#FF0000'>Stdev</span>
 
| <span style='color:#FF0000'>Stdev</span>
 
| <span style='color:#FF0000'> </span>
 
| <span style='color:#FF0000'> </span>
| <span style='color:#FF0000'>122</span>
+
| <span style='color:#FF0000'>77</span>
 
|-
 
|-
 
| <span style='color:#00B050'>Avg</span>
 
| <span style='color:#00B050'>Avg</span>
 
| <span style='color:#00B050'> </span>
 
| <span style='color:#00B050'> </span>
| <span style='color:#00B050'>128</span>
+
| <span style='color:#00B050'>88</span>
 
|-
 
|-
 
| Total
 
| Total
 
|   
 
|   
| 893
+
| 614
 
|-
 
|-
 
| Monotony
 
| Monotony
 
|   
 
|   
| 1.04
+
| 1.15
 
|-
 
|-
 
| Training Strain
 
| Training Strain
 
|   
 
|   
| 932
+
| 704
 
|}
 
|}
A further rest day on Tuesday drops the Training Strain by a further 22%.  
+
A further rest day on Tuesday drops the Training Strain by a further 21%.  
 
{| class="wikitable"
 
{| class="wikitable"
 
! Monday
 
! Monday
 
! Tempo 4
 
! Tempo 4
! 62
+
! 80
 
|-
 
|-
 
| Tuesday
 
| Tuesday
Line 292: Line 292:
 
| Wednesday
 
| Wednesday
 
| Easy 10
 
| Easy 10
| 198
+
| 127
 
|-
 
|-
 
| Thursday
 
| Thursday
 
| Easy 4
 
| Easy 4
| 79
+
| 51
 
|-
 
|-
 
| Friday
 
| Friday
 
| Easy 4
 
| Easy 4
| 79
+
| 51
 
|-
 
|-
 
| Saturday
 
| Saturday
 
| Easy 20
 
| Easy 20
| 396
+
| 254
 
|-
 
|-
 
| Sunday
 
| Sunday
Line 312: Line 312:
 
| <span style='color:#FF0000'>Stdev</span>
 
| <span style='color:#FF0000'>Stdev</span>
 
| <span style='color:#FF0000'> </span>
 
| <span style='color:#FF0000'> </span>
| <span style='color:#FF0000'>130</span>
+
| <span style='color:#FF0000'>82</span>
 
|-
 
|-
 
| <span style='color:#00B050'>Avg</span>
 
| <span style='color:#00B050'>Avg</span>
 
| <span style='color:#00B050'> </span>
 
| <span style='color:#00B050'> </span>
| <span style='color:#00B050'>116</span>
+
| <span style='color:#00B050'>80</span>
 
|-
 
|-
 
| Total
 
| Total
 
|   
 
|   
| 814
+
| 563
 
|-
 
|-
 
| Monotony
 
| Monotony
 
|   
 
|   
| 0.90
+
| 0.98
 
|-
 
|-
 
| Training Strain
 
| Training Strain
 
|   
 
|   
| 730
+
| 553
 
|}
 
|}
If we compare this with an extreme example of a monotonous training plan, we have a slightly lower mileage (46 v 50), and a 57% lower total TRIMP<sup>exp</sup> (414 v 927), but the monotony is remarkably high at 4.7 and the training strain is 1.6x higher. In practice, there would be greater day to day variations, even within the same 6 mile easy run, so the results would not be quite so dramatic.  
+
If we compare this with an extreme example of a monotonous training plan, we have a slightly lower mileage (46 v 50), and a 57% lower total TRIMP<sup>exp</sup> (414 v 927), but the monotony is remarkably high at 4.7 and the training strain is 2.2x higher. In practice, there would be greater day to day variations, even within the same 6 mile easy run, so the results would not be quite so dramatic.  
 
{| class="wikitable"
 
{| class="wikitable"
 
! Monday
 
! Monday
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=References=
 
=References=
 
<references>
 
<references>
<ref name="OTEcssPos">Prevention, diagnosis and treatment of the Overtraining Syndrome http://www.ingentaconnect.com/content/tandf/tejs/2006/00000006/00000001/art00001 </ref>
+
<ref name="Meeusen-2013">R. Meeusen, M. Duclos, C. Foster, A. Fry, M. Gleeson, D. Nieman, J. Raglin, G. Rietjens, J. Steinacker, Prevention, diagnosis, and treatment of the overtraining syndrome: joint consensus statement of the European College of Sport Science and the American College of Sports Medicine., Med Sci Sports Exerc, volume 45, issue 1, pages 186-205, Jan 2013, doi [http://dx.doi.org/10.1249/MSS.0b013e318279a10a 10.1249/MSS.0b013e318279a10a], PMID [http://www.ncbi.nlm.nih.gov/pubmed/23247672 23247672]</ref>
<ref name="OTMonotony">Monitoring training in athletes with re... [Med Sci Sports Exerc. 1998] - PubMed - NCBI http://www.ncbi.nlm.nih.gov/pubmed/9662690 </ref>
+
<ref name="Foster-1998">C. Foster, Monitoring training in athletes with reference to overtraining syndrome., Med Sci Sports Exerc, volume 30, issue 7, pages 1164-8, Jul 1998, PMID [http://www.ncbi.nlm.nih.gov/pubmed/9662690 9662690]</ref>
<ref name="OTDepression">The unknown mechanism of the overtraining syndrom... [Sports Med. 2002] - PubMed - NCBI http://www.ncbi.nlm.nih.gov/pubmed/11839081 </ref>
+
<ref name="Armstrong-2002">LE. Armstrong, JL. VanHeest, The unknown mechanism of the overtraining syndrome: clues from depression and psychoneuroimmunology., Sports Med, volume 32, issue 3, pages 185-209,  2002, PMID [http://www.ncbi.nlm.nih.gov/pubmed/11839081 11839081]</ref>
<ref name="variabledose">Variable dose-response relationship bet... [Med Sci Sports Exerc. 2003] - PubMed - NCBI http://www.ncbi.nlm.nih.gov/pubmed/12840641 </ref>
+
<ref name="Busso-2003">T. Busso, Variable dose-response relationship between exercise training and performance., Med Sci Sports Exerc, volume 35, issue 7, pages 1188-95, Jul 2003, doi [http://dx.doi.org/10.1249/01.MSS.0000074465.13621.37 10.1249/01.MSS.0000074465.13621.37], PMID [http://www.ncbi.nlm.nih.gov/pubmed/12840641 12840641]</ref>
 
</references>
 
</references>
 
[[Category:Advanced]]
 
[[Category:Advanced]]
 
[[Category:Science]]
 
[[Category:Science]]

Revision as of 11:27, 21 November 2014

Monotonous training produces increased fatigue and is a risk factor for Overtraining and Overtraining Syndrome.

It is long been recognized the athletes cannot train hard every day. Modern training plans recommend a few hard days per week, with the other days as easier or rest days. A lack of variety in training stress, known as training monotony, is considered a key factor in causing Overtraining Syndrome[1][2]. There is also evidence[3] that increased training frequency results in reduced performance benefits from identical training sessions as well as increased fatigue. Training monotony can be mathematically evaluated by measuring each day's training stress, then dividing the average by the standard deviation for each seven day period. Monotony can be used to modify Training Stress Balance, a method for evaluating the effect of training over time. Training Monotony is calculated as part of the SportTracks Dailymile Plugin.

1 Training Monotony and Supercompensation

Training Monotony is related to Supercompensation and the need for adequate rest to recover from training.

Exercise produces a temporary decrease in fitness, followed by a recovery and Supercompensation.
With sufficient rest between workouts, fitness improves.
Without sufficient recovery time, the fatigue builds up until injury or Overtraining Syndrome occurs.

2 Quantifying monotony

One approach[4] to measuring monotony is statistically analyze the variation in workouts. The first stage is to work out a measure of the daily TRIMP (TRaining IMPulse). From this daily TRIMP it's possible to calculate the standard deviation for each 7 day period. The relationship between the daily average TRIMP value and the standard deviation can provide a metric for monotony. The monotony value combined with the overall training level can be used to evaluate the likelihood of Overtraining Syndrome.

3 Monotony Calculations

The original work[4] on training monotony used TRIMPcr10 and TRIMPzone, but I substitute TRIMPexp for TRIMPzone because of the advantages noted in TRIMP. From the daily TRIMP values for a given 7 day period the standard deviation can be calculated. (If there is more than one workout in a day, the TRIMP values for each are simply added together.) The monotony can be calculated using

Monotony = average(TRIMP)/stddev(TRIMP)

This gives a value of monotony that tends towards infinity as stddev(TRIMP) tends towards zero, so I cap Monotony to a maximum value of 10. Without this cap, the value tends to be unreasonably sensitive to high levels of monotony. Values of Monotony over 2.0 are generally considered too high, and values below 1.5 are preferable. A high value for Monotony indicates that the training program is ineffective. This could be because the athlete is doing a low level of training; an extreme example would be a well-trained runner doing a single easy mile every day. This would allow for complete recovery, but would not provide the stimulus for improvement and would likely lead to rapid detraining. At the other extreme, doing a hard work out every day would be monotonous and not allow sufficient time to recover. The Training Strain below can help determine the difference between monotonous training that is inadequate and monotonous training that is excessive.

4 Training Strain Calculations

A similar calculation can be used to calculate a value for Training Strain.

Training Strain = sum(TRIMP) * Monotony

The value of Training Strain that leads to actual Overtraining Syndrome would be specific to each athlete. An elite level athlete will be able to train up much higher levels than a beginner. However this Training Strain provides a better metric of the overall stress that an athlete is undergoing than simply looking at training volume.

5 A simple TRIMPcr10 based calculator

This calculator will show the TRIMPcr10 values for each day, the Monotony, the total TRIMPcr10 for the week and the Training Strain.

Day Duration (min) CR10 Rating TRIMP(CR10)
1
2
3
4
5
6
7



6 TRIMPexp Examples

For these examples we will use just a few simple workouts. Let's assume a male athlete with a Maximum Heart Rate of 180 and a Resting Heart Rate of 40, giving a Heart Rate Reserve of 140. Let's assume our hypothetical athlete does his easy runs at a 9 min/mile pace and heart rate of 130. We'll use only one of the type of workout, a tempo run his easy runs at a 7 min/mile pace and heart rate of 160. This gives us some TRIMPexp values for some workouts.

Miles Duration TRIMPexp
Easy 4 36 51
Easy 6 54 76
Easy 10 90 127
Easy 20 180 254
Tempo 4 28 80
Tempo 8 56 159

Here is a sample week's workout with three harder workouts, a 4 mile tempo, a 10 mile mid-long run and a 20 mile long run with four mile easy runs on the other days, a total of 50 miles.

Monday Tempo 4 80
Tuesday Easy 4 51
Wednesday Easy 10 127
Thursday Easy 4 51
Friday Easy 4 51
Saturday Easy 20 254
Sunday Easy 4 51
Stdev 70
Avg 95
Total 665
Monotony 1.36
Training Strain 903

If we give our athlete a single day's rest on Sunday, we reduce the mileage by 4 miles to 46 miles, total TRIMPexp goes down by 51, but the Monotony of drops more significantly to 1.15 and the Training Strain drops by 199. So the mileage has dropped about 9%, but the Training Strain has dropped by 22%.

Monday Tempo 4 80
Tuesday Easy 4 51
Wednesday Easy 10 127
Thursday Easy 4 51
Friday Easy 4 51
Saturday Easy 20 254
Sunday Rest 0
Stdev 77
Avg 88
Total 614
Monotony 1.15
Training Strain 704

A further rest day on Tuesday drops the Training Strain by a further 21%.

Monday Tempo 4 80
Tuesday Rest 0
Wednesday Easy 10 127
Thursday Easy 4 51
Friday Easy 4 51
Saturday Easy 20 254
Sunday Rest 0
Stdev 82
Avg 80
Total 563
Monotony 0.98
Training Strain 553

If we compare this with an extreme example of a monotonous training plan, we have a slightly lower mileage (46 v 50), and a 57% lower total TRIMPexp (414 v 927), but the monotony is remarkably high at 4.7 and the training strain is 2.2x higher. In practice, there would be greater day to day variations, even within the same 6 mile easy run, so the results would not be quite so dramatic.

Monday Easy 6 54
Tuesday Easy 6 54
Wednesday Easy 10 90
Thursday Easy 6 54
Friday Easy 6 54
Saturday Easy 6 54
Sunday Easy 6 54
Stdev 13
Avg 59
Total 414
Monotony 4.69
Training Strain 1,944

7 References

  1. R. Meeusen, M. Duclos, C. Foster, A. Fry, M. Gleeson, D. Nieman, J. Raglin, G. Rietjens, J. Steinacker, Prevention, diagnosis, and treatment of the overtraining syndrome: joint consensus statement of the European College of Sport Science and the American College of Sports Medicine., Med Sci Sports Exerc, volume 45, issue 1, pages 186-205, Jan 2013, doi 10.1249/MSS.0b013e318279a10a, PMID 23247672
  2. LE. Armstrong, JL. VanHeest, The unknown mechanism of the overtraining syndrome: clues from depression and psychoneuroimmunology., Sports Med, volume 32, issue 3, pages 185-209, 2002, PMID 11839081
  3. T. Busso, Variable dose-response relationship between exercise training and performance., Med Sci Sports Exerc, volume 35, issue 7, pages 1188-95, Jul 2003, doi 10.1249/01.MSS.0000074465.13621.37, PMID 12840641
  4. 4.0 4.1 C. Foster, Monitoring training in athletes with reference to overtraining syndrome., Med Sci Sports Exerc, volume 30, issue 7, pages 1164-8, Jul 1998, PMID 9662690