Features of "exercise addiction" versus normative/adaptive exercise in elite athletes538 738–741
Exercise addiction
Normative/adaptive exercise in elite athletes
Tolerance: the need to increase the exercise duration, frequency and/or intensity to perceive the desired benefit and to satisfy "cravings" for it
Fluctuation in amount of exercise as expected at various points in the training cycle
Withdrawal: depressive or anxious symptoms or irritability when the individual suddenly reduces or stops exercise, with possible difficulty performing professional or social activities as a result of these symptoms
Mild depressive or anxious symptoms or irritability are possible when the individual suddenly reduces or stops exercise, but these symptoms do not cause functional impairment
Continued exercise despite knowing that it is causing physical, psychological and/or social problems
Ability to stop or cut down on exercise as recommended (eg, if an injury or illness could be worsened by continued exercise at the same level)
Inability to reduce or manage exercise, despite the desire to do so
Feeling of control over exercise, which occurs according to planned training
Elimination of other life activities (eg, previously desired social, occupational or recreational activities) to accommodate increasingly time consuming exercise regimens
While exercise may take a substantial amount of time, other life activities that are important to the individual are not completely eliminated