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How much is too much? (Part 2) International Olympic Committee consensus statement on load in sport and risk of illness
Open accessAbstract
The modern-day athlete participating in elite sports is exposed to high training loads and increasingly saturated competition calendar. Emerging evidence indicates that inappropriate load management is a significant risk factor for acute illness and the overtraining syndrome. The IOC convened an expert group to review the scientific evidence for the relationship of load—including rapid changes in training and competition load, competition calendar congestion, psychological load and travel—and health outcomes in sport. This paper summarises the results linking load to risk of illness and overtraining in athletes, and provides athletes, coaches and support staff with practical guidelines for appropriate load management to reduce the risk of illness and overtraining in sport. These include guidelines for prescription of training and competition load, as well as for monitoring of training, competition and psychological load, athlete well-being and illness. In the process, urgent research priorities were identified.
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“Athletes may compromise their immune status with high training loads (over-reaching, over-training) which can increase the risk of illness such as URTIs.”
From International Society of Sports Nutrition Position Stand: Probiotics (2019) · cites this paper as [116]
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Metadata
- Authors
- Schwellnus, M., Soligard, T., Alonso, J.-M., Bahr, R., Clarsen, B., Dijkstra, H. P., Gabbett, T. J., Gleeson, M., Hägglund, M., Hutchinson, M. R., Janse Van Rensburg, C., Meeusen, R., Orchard, J. W., Pluim, B. M., Raftery, M., Budgett, R., & Engebretsen, L.
- Affiliations
- University of Pretoria (ZA)
- International Olympic Committee (CH)
- Qatar Orthopaedic and Sports Medicine Hospital (QA)
- Department of Sports Medicine, Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Oslo, Norway
- The University of Queensland (AU)
- Loughborough University (GB)
- Linköping University (SE)
- University of Illinois Chicago (US)
- Faculty of Health Sciences, Institute for Sport, Exercise Medicine and Lifestyle Research, Section Sports Medicine, University of Pretoria, Pretoria, South Africa
- Vrije Universiteit Brussel (BE)
- The University of Sydney (AU)
- Royal Dutch Lawn Tennis Federation (NL)
- World Rugby (IE)
- Corresponding author
- Schwellnus, Martin
- ORCID
- Venue
- British Journal of Sports Medicine
- Publisher
- BMJ
- Published
- 2016-08-17
- Volume
- 50
- Issue
- 17
- Pages
- 1043-1052
- ISSN
- 0306-3674 (ISSN-L)
- 1473-0480
- PMC
- PMC5013087
- OpenAlex
- W2509882603
- Cited by
- 836
- References
- 297
- Citations by year
- 2026: 27 · 2025: 45 · 2024: 69 · 2023: 98 · 2022: 96 · 2021: 118 · 2020: 132 · 2019: 93 · 2018: 95 · 2017: 55 · 2016: 7
- FWCI
- 101.55
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- British Journal of Sports Medicine (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- University of Southern Queensland ePrints (University of Southern Queensland) (acceptedVersion)
- BIBSYS Brage (BIBSYS (Norway)) (acceptedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- DiVA (Linkoping University) (submittedVersion, other-oa)
- Loughborough University Institutional Repository (Loughborough University) (submittedVersion, cc-by-nc)
- Loughborough University Research Repository (Loughborough University) (submittedVersion, cc-by-nc)
- NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
- HighWire Press Open Archive (submittedVersion)
- UpSpace Institutional Repository (University of Pretoria) (submittedVersion, cc-by-nc)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Effects of Exercise
- Keywords
- training load, overtraining syndrome, psychological burden, travel-related illness, load management, training load prescription, athlete well-being, load monitoring, elite athletes
- MeSH terms
- Return to Sport, Diet, Healthy, Acute Disease, Athletic Injuries, Female, Health Promotion, Humans, Immune System, Male, Terminology as Topic, Physical Education and Training, Professional Practice, Cumulative Trauma Disorders, Risk Factors, Sports Medicine, Stress, Psychological, Travel, Biomarkers, Workload, Practice Guidelines as Topic, Evidence-Based Medicine, Athletic Performance, Athletes
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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