Dr. Jiwu Chen

Sports Medicine Specialist

Back to Q&A

Training and recovery

Do persistent fatigue and declining performance indicate overtraining syndrome?

Doctor’s answer

Persistent fatigue, reduced performance, sleep or mood changes, an unusual resting heart rate, and recurrent illness can occur when training load and recovery are out of balance. Anaemia, infection, thyroid disease, and low energy availability should also be excluded. Management centres on reducing load, improving sleep and nutrition, and returning gradually.

Author: Dr. Jiwu Chen Medical review: Dr. Jiwu Chen