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Overtraining syndrome — MRCGP AKT MCQ

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ModerateMedical Conditions in SportOvertraining syndromeMRCGP AKT

A 20-year-old rower has persistent fatigue, poor sleep, irritability and declining performance despite increased training. Resting heart rate is elevated and infections have become more frequent. What is the most likely diagnosis?

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Correct answer: AOvertraining syndrome

Overtraining syndrome is a maladaptive response to excessive training stress with inadequate recovery. Mood change, sleep disturbance, recurrent illness and performance decline are typical. RED-S, infection, anaemia and endocrine disease should be considered as differentials.

Reference: FSEM DipExM syllabus; IOC RED-S consensus