Table 9

Features of 'exercise addiction' versus normative/adaptive exercise in elite athletes538 738–741

Exercise addictionNormative/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