The Potential Risks of Over-Exercise

If you are suffering from any condition that may affect your ability to safely exercise, do seek the advice of your GP before attempting any of the advice discussed. As always, what is written here is no substitute for individual medical, fitness or lifestyle advice.

Please do take a look at Part 1, The health benefits of exercise.

It is common for practitioners to skirt around the tricky topic of over-exercising. But in clinic, this is something I often see.

We do need to move, of course, for all the health-giving reasons I highlighted in Part 1 (The health benefits of exercise), and I completely understand that everyone’s abilities and hobbies differ. But pushing ourselves excessively (and that is definitely the key word here) with endless hours of classes, training sessions, long runs, gym time and so on may not necessarily be the best idea for overall health. I sometimes see clients who are so exhausted and stressed and just need to focus on getting some good quality sleep and rest in order to establish a better overall life balance. It can be hard to encourage them to consider meditation or yoga instead of their daily HITT class.

Whilst no single definition of ‘over-exercising’ exists, I tend to think of it as the point at which your body is starting to struggle with the amount of training stress you are asking it to handle, i.e., where the downsides are starting to outweigh the positives.

This tipping point will vary widely between people and their life circumstances. Someone who is happy, stress-free, fit and healthy can potentially handle a higher training load than someone who is under enormous personal pressure, less fit than they used to be and suffering from a chronic disease. Therefore, there cannot be an absolute level at which you can definitively say “this is over-exercise” and “this is not”. It will all depend on the individual.

Having said that, there are a couple of questions that I might ask my clients, to help them to identify for themselves if they might be over-doing it. Whilst this is not a validated test, it may help to prompt a discussion about ways that we could potentially modify (not necessarily stop) an exercise programme if desired:

How do you feel emotionally during and after your workout?

Do you feel excitement and joy during and immediately after your session, followed by a sense of contentment and ease a little while later?

Or do you feel more panic, anger or anxiety during and immediately after your session, followed by a sense of overwhelm, exhaustion and despair?

Do you look forwards to training or dread it?

Do you find yourself getting lots of infections or back-to-back injuries?

Are you always tired, particularly upon waking?

If you find that your answers to these questions are weighted more towards the negative, then this may be an indication your balance is tipping in the wrong direction and perhaps it’s time to ease off a little.

“Effective training can be thought of as a tripod made up of exercise, diet and rest. If all three are not equally addressed, the tripod will tumble and so will your training goals” – Richard Hannam

Here are a few potential consequences of over-exercise on health and/or sports performance

Dampened immune function, and potentially increased risk of common infections (such as coughs and colds) (Smith, 2003).

Gut inflammation and potential increase in intestinal permeability after prolonged periods of intensive exercise (Costa et al., 2017).

Irregular menstrual cycles

Female infertility (Olive, 2010), particularly if underweight (Rich-Edwards et al., 2002).*

Excessive weight loss

Excessive fatigue (Meussen et al., 2013)

Increased stress, reduced sleep

Increased risk of injury, especially if you are more of a ‘weekend warrior’ (Psoinos et al., 2012)

Over-training syndrome; where you are continuing to train vigorously, but your performance starts to deteriorate over the long term (Meussen et al., 2013).

*However, in women with a BMI > 25 who undertake vigorous exercise of for <60 minutes per day, there is actually a reduced risk of infertility (Hakimi and Cameron, 2016). So, as with so much of health and nutrition, individual context clearly matters.

For more information:

The UK register of Exercise Professionals is a good place to start your search for a new fitness instructor to help and support you: exerciseregister.org/members/members-directory-listing