Overtraining syndrome is a condition of maladapted physiology in the setting of excessive exercise without adequate rest. The exact etiology and pathogenesis are unknown and being investigated. Symptoms are multisystem in nature and often representative of underlying hormonal, immunologic, neurologic, and psychologic disturbances. Unfortunately, systematic review of the literature does not clearly direct diagnosis, management, or prevention. However, given the severity of symptoms and impairment to quality of life, prevention of overtraining syndrome should be considered by all who interact with endurance athletes. This article will provide suggestions for management of at-risk athletes despite absence of validated diagnostic tests and preventative measures.

中文翻译：

---

过度训练综合症的诊断和预防：对教育策略的看法

在过度运动而没有充分休息的情况下，过度训练综合症是生理不适的一种情况。确切的病因和发病机制尚不清楚，正在研究中。症状本质上是多系统的，通常代表潜在的激素，免疫，神经和心理障碍。不幸的是，对文献进行系统的审查并不能明确指导诊断，管理或预防。但是，考虑到症状的严重性和生活质量的损害，与耐力运动员互动的所有人都应考虑预防过度训练综合症。尽管没有经过验证的诊断测试和预防措施，本文仍将为高风险运动员的管理提供建议。