Department of Industrial Health, National Institute of Public Health, Shirokanedai 4-6-1, Minato Ku, Tokyo 108, Japan.
Environ Health Prev Med. 1997 Apr;2(1):21-7. doi: 10.1007/BF02931225.
The principal objective of this paper is basic research on the development of methods for the prevention of chronic fatigue. Overtraining was paid special attention to as one of the types of chronic fatigue condition. Six healthy male participants in a distance-running competition were recruited and used as subjects for this study with informed consent for all examinations. Subjects, that is, participants in the competition, tried to achieve their objective maximum running distance designated before the competition during one month, while in the same period performing their routine work duties. It was reported that the competition caused participants to exhibit an overtrained condition. In this paper, effects of endurance running during one month on blood properties and the fatigue level felt by the subject (subjective fatigue) were studied.Examinations carried out in this research were as follows; 1) physical examination was conducted 3 times during the study; 1 week before the competition, immediately before and 3 weeks after the end of the competition, 2) blood sampling was conducted 4 times; prior to the competition, 1 week after the beginning of and immediately before the end of the competition, and about 3 weeks after the competition, 3) subjective fatigue levels were monitored 8 times; 1 week before and one time in every week during the competition, and 1 week and again 3 weeks after the competition.Immediately before the end of the competition, when subjects might be expected to exhibit the overtrained condition, minor influences on fatigue levels were found. However, effects of the endurance run seemed to remain more than 3 weeks after the competition as indicated by changes of the population of white blood cells and blood hormone levels.The above mentioned results suggest that it is important to determine signs of overtraining at an early stage. To determine overtraining at an early stage, norepinephrine, testosterone and the ratio of testosterone to cortisol may be the most useful indices. These, as well as the element of "drowsiness and dullness" in the questionnaire on subjective symptoms of fatigue authorized by the Japan Association of Industrial Health and the elements of "anger", "fatigue", and "confusion" in the Profile of Mood State (POMS) questionnaire are thought to be the most important subjective indices.
本文的主要目的是进行有关预防慢性疲劳方法的基础研究。特别关注过度训练作为慢性疲劳状态的一种类型。通过知情同意,招募了六名参加长跑比赛的健康男性参与者作为本研究的对象。这些研究对象,即比赛中的参与者,试图在一个月内达到比赛前指定的最大跑步距离,同时还要完成日常工作任务。据报道,比赛导致参与者出现过度训练的情况。在本文中,研究了一个月的耐力跑步对血液特性和受试者(主观疲劳)感受到的疲劳程度的影响。本研究进行了以下检查:1)在研究期间进行了 3 次体检,比赛前 1 周、比赛结束时和比赛结束后 3 周;2)进行了 4 次采血,比赛前、比赛开始后 1 周和比赛结束前以及比赛结束后约 3 周;3)监测了 8 次主观疲劳水平,比赛前 1 周和比赛期间每周 1 次,比赛结束后 1 周和 3 周后各 1 次。在比赛结束前,预计受试者会出现过度训练的情况,此时发现疲劳水平有轻微影响。然而,耐力跑步的影响似乎会持续超过 3 周,因为白细胞和血液激素水平的变化表明了这一点。上述结果表明,重要的是要在早期确定过度训练的迹象。为了在早期确定过度训练,可以使用去甲肾上腺素、睾酮和睾酮与皮质醇的比值作为最有用的指标。这些指标,以及日本工业健康协会授权的疲劳主观症状问卷中的“困倦和迟钝”和心境状态剖面图(POMS)问卷中的“愤怒”、“疲劳”和“困惑”元素,被认为是最重要的主观指标。