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. 2020 Apr 22;2020:3937819. doi: 10.1155/2020/3937819

Table 8.

The OTS-RISK score for the assessment of risk level for the development of overtraining syndrome.

Risk factor Range Points (to be entered)∗∗
(a) Score, with ranges and points
Calorie intake <32 kcal/kg/day
Protein intake <1.6 g/kg/day
Carbohydrate intake <5 g/kg/day
Total POMS score (−32 to 120) >19
POMS anger subscale (0–48) >14
POMS confusion subscale (0–28) >6
POMS depression subscale (0–60) >7
POMS fatigue subscale (0–28) >8
POMS tension subscale (0–36) >13 >13
POMS vigour subscale (0–32) <18 <18
Self-reported sleep quality (0–10) <6 (≤5)
Total 0–11

Score (points) Interpretation
(b) Interpretation of the results
0-1 Low risk of OTS
2–4 Moderate risk of OTS
5-6 High risk of OTS
7–11 Imminent risk of OTS

OTS = overtraining syndrome; POMS = Profile of Mood States. Using a 7-day dietary record. ∗∗Each parameter within the range is assigned 1 point.