Table 7.
The EROS-COMPLETE tool.
| Risk factor | Range | Points (to be entered)∗ |
|---|---|---|
| (a) Scores with ranges. ∗ Each parameter within the range is assigned 1 point | ||
| Decreased performance >10% | Yes | |
| Increased sense of effort | Yes | |
| Calorie intake (kcal/kg/day) | <32.0 | |
| Protein intake (g/kg/day) | <1.6 | |
| Carbohydrate intake (g/kg/day) | <5.0 | |
| POMS anger subscale (0–48) | >14 | |
| POMS fatigue subscale (0–28) | >8 | |
| POMS tension subscale (0–36) | >13 | |
| POMS vigour subscale (0–32) | <18 | |
| Muscle mass (%) | <46 | |
| Body water (%) | <61 | |
| ACTH 30 minutes after hypoglycemia (pg/mL) | <35 | |
| Cortisol response to ITT (µg/dL) | <19.1 | |
| Basal GH (µg/L) | <0.1 | |
| GH 30 minutes after hypoglycemia (µg/L) | <1.0 | |
| Basal prolactin (ng/mL) | <7.1 | |
| Prolactin during ITT (ng/mL) | <12 | |
| Prolactin 30 minutes after hypoglycemia (ng/mL) | <10 | |
| Total testosterone (ng/dL) | <400 | |
| Testosterone to estradiol ratio | <13 | |
| Total | 0–20 | |
|
| ||
| Score | Interpretation | |
| (b) Interpretation of the results | ||
| 0–4 points | Excluded diagnosis for overtraining syndrome | |
| 5–10 points | Inconclusive (at intermediate-to-high risk for OTS, or an unusual presentation of OTS) | |
| 11–20 points | Diagnosis of overtraining syndrome | |
POMS = Profile of Mood States; ITT = insulin tolerance test; ACTH = Adrenocorticotropic hormone; GH = growth hormone; and OTS = overtraining syndrome.