Health
Burnout and overtraining are forcing young athletes to drop out of sports, new report reveals
With some 70% of teenagers and children dropping out of organized sports by age 13, experts are chiming in on potential reasons for early burnout.
The dropout stat was revealed in a new report from the American Academy of Pediatrics (AAP) — “Overuse Injuries, Overtraining, and Burnout in Young Athletes” — published in the journal Pediatrics on Jan. 22.
Given the growing trend of young athletes participating on multiple teams at the same time while training year-round, pediatricians told Fox News Digital they’re seeing more cases of burnout and stress injuries at young age.
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“Burnout is real and it’s something that parents and coaches have to be attuned to,” Dr. James Barsi, a pediatric orthopedic surgeon at Stony Brook Children’s Hospital on Long Island, New York, who is not affiliated with the AAP report, said to Fox News Digital.
A current quarterback of a high school football team, who also plays travel baseball on Long Island, New York, said he sees burnout among some of his peers.
Approximately 70% of teenagers and children drop out of organized sports by the age of 13, a new report found. (iStock)
“[There’s] definitely pressure on kids these days because they’re trying to be the best athlete they can be and it’s just always on their shoulders, like, ‘I gotta train more and more to be the best,’” he said, adding that his former teammates told him they “just can’t do it anymore.”
The AAP report, which was an update to a previous report published in 2007, said overscheduling and excessive levels of training could lead to burnout, contributing to the high dropout rate in sports.
This intense volume of training could also affect a young athlete’s sense of well-being and quality of life, the report noted.
There’s a growing trend of young athletes participating in multiple teams at the same time — and pediatricians say they are seeing more cases of burnout and stress injuries. (iStock)
“Whether training is specialized or multisport, it becomes a problem when an athlete no longer has any free play time or opportunity to engage in other non-sport-related activities,” Dr. Andrew Watson, M.D., co-author of the report, said in a news release.
“The old saying ‘no pain, no gain’ doesn’t necessarily hold true.”
Some level of stress can be productive, experts agree — but excessive amounts can become a problem.
“Athletic competition and training will always prompt some stress that, when delivered in an appropriate way, leads to adaptation, success and enjoyment,” Watson said
“When that stress becomes excessive, it can lead to burnout.”
The new AAP report noted that overscheduling and excessive levels of training could lead to burnout, contributing to the high dropout rate in sports among young people. (iStock)
The AAP defines overtraining as “a decrease in performance due to an imbalance of training and recovery that is often accompanied by persistent fatigue, impaired sleep and alterations in mood.”
Dr. Kristin Hopkins, director of the Women’s Sports Medicine Center at Stony Brook Medicine and team physician at Stony Brook University athletics on Long Island, New York, was not affiliated with the report but commented on it.
She said that in today’s sports landscape, there is “no off-season” for kids who are passionate about one sport and have aspirations to play that sport in college — which can leave young athletes at risk for burnout and injuries.
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“That sort of continuous play can put kids’ joints at risk for what we call overuse injuries, things we weren’t really seeing before, because a kid would play a sport for a season and then move on to another sport and use a different muscle group,” Hopkins told Fox News Digital.
‘Micro-trauma’ to bone and soft tissue
An overuse injury typically occurs when the body is exposed to repetitive stress without enough recovery time, the AAP noted.
This can lead to “cumulative micro-trauma” to bone and soft tissue, such as muscles or tendons.
Pain typically occurs after an activity and then progresses to occurring even at rest, the report said.
A New York pediatric orthopedic surgeon said he is seeing spine stress fractures about 10 times a month.
Children and adolescents are at an increased risk for these types of injuries because their bones are still growing and do not tolerate stress as well as adults’ bones, experts said.
“I’m seeing spine stress fractures about 10 times a month,” Barsi, the pediatric surgeon, told Fox News Digital, amid what he called an “increasing epidemic” of overuse injuries in kids.
It is important that athletes incorporate rest days and stretching in their workout regimen, physicians said. (iStock)
Recovery from this type of injury typically requires rest, said Barsi, which is a difficult message to deliver to a young teen who feels pressure to perform and maintain a spot on a sports team.
“I always emphasize the long-term picture,” Barsi said. “A brief period of rest in the short term is probably better for them.”
He added, “If injuries progress, it can cause long-term harm — then instead of missing a few weeks, they might be missing an entire season.”
“I tell parents and kids that if you’re playing one sport for more hours of a week than your age, you’re doing too much of that sport.”
It’s important that athletes incorporate rest days and stretching in their workout regimen, physicians said.
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“So often, these kids are really tight at baseline, which is probably a combination of not stretching, going through a little bit of a growth spurt and just getting tight naturally,” Barsi said. “When you’re tight, you get predisposed to these injuries, so stretching can actually prevent them.”
He also said athletes should listen to their bodies.
“Pain is their body’s way of telling them to take it easy,” he said. “The old saying ‘no pain, no gain’ doesn’t necessarily hold true.”
An intense volume of training could affect a young athlete’s sense of well-being and quality of life, the new report noted. (iStock)
Dr. Joel Brenner, M.D., one of the authors of the published report, noted in the release, “Sports are such a powerful and fun motivator to keep youth physically and mentally active, but some youth may feel pressure from parents, coaches and others to measure success only by performance.”
Practices like mindfulness and time away from sports could help prevent burnout and injuries, he suggested.
Hopkins said avoiding burnout and overtraining starts at home.
“I tell parents and kids that if you’re playing one sport for more hours of a week than your age, you’re doing too much of that sport.”
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Both experts recommended incorporating weight training to help strengthen muscles.
The young athletes should also work with an experienced trainer, said Hopkins, who can monitor the athlete’s form to avoid injuries.
The athletes should “avoid ego lifting” and gradually build up weight resistance, noted Barsi.
If an athlete displays signs of overtraining or burnout, it’s best to change the contributing factors and consult with a mental health professional if needed, the AAP advised. (iStock)
For clinicians working with families, the AAP report included specific recommendations to help encourage healthy participation in athletics.
Some suggestions include having the athlete undergo a pre-participation exam by their pediatrician, promoting skill development and avoiding overtraining and overscheduling.
Other means of preventing burnout and injury include encouraging athletic autonomy; fostering positive experiences with coaches, parents and peers; and keeping workouts interesting and fun by incorporating age-appropriate games and training.
If an athlete displays signs of overtraining or burnout, it’s best to change the contributing factors and consult with a mental health professional if needed, the AAP advised.
Fox News Digital reached out to the AAP for additional comment.
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Scientists and physicians agree that there’s been a general decline in male fertility — but they aren’t sure why.
Social media buzz has pointed to a few environmental exposures as potential factors, including cellphones and electric vehicles.
But the reality is “more complicated” than that, according to experts who recently spoke to National Geographic.
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Although it’s not clear whether the decline is at a stage where it should be considered a crisis, numbers show that overall fertility — demographically measured by the number of babies born compared to women of child-bearing age — has decreased.
Scientists and physicians agree that there’s been a general decline in male fertility. (iStock)
Dr. Alex Robles of the Columbia University Fertility Center in New York confirmed that clinical practitioners are “certainly seeing more couples where the male factor contributes to infertility.”
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“At least one-third of couples we evaluate have some male component,” he told Fox News Digital.
A 2017 meta-analysis published in Oxford Journals: Human Reproduction Update found that sperm counts in Western countries have declined by almost 60% globally since 1973. The 2023 update confirmed these same results.
Urologists can track declining fertility in sperm quality, while demographic data uses the number of babies born compared to women of child-bearing age as a benchmark, according to National Geographic. (iStock)
Lead study author and epidemiologist Hagai Levine warned that this trend could lead to human extinction if it isn’t addressed.
“This is the canary in the coal mine,” Levine, public health physician at the Hebrew University-Hadassah Braun School of Public Health, told National Geographic. “It signifies that something is very wrong with our current environment, as lower sperm counts predict morbidity and mortality.”
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These findings have been contradicted by other studies, however. A 2025 Cleveland Clinic analysis of studies from the last 53 years found sperm counts to be steady.
“There is no evidence to suggest that this decline is the cause of a precipitous decline in the ability to cause pregnancies,” primary study author Scott Lundy, a reproductive urologist at Cleveland Clinic, told National Geographic. “Most men, even with a modest decline in sperm counts, will still have no issues conceiving.”
Potential factors of decline
Multiple lifestyle factors can lead to a decline in male fertility, Robles noted, including obesity, smoking and diet, as well as environmental exposures and delayed parenthood.
National Geographic also reported that heavy drinking and marijuana use directly contribute to declining fertility and that quitting these habits, while also exercising and losing weight, can help.
Smoking of any kind can contribute to a decline in fertility, according to experts. (iStock)
Systemic inflammation, infection and disease can also have a “big, profound effect on the current status of fertility,” Lundy told National Geographic.
Those who are getting over a fever from an infection, like the flu or COVID, will have a “drastically lower” sperm count for three months, he said.
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Male infertility can also be a marker of overall health, according to Robles. “Poor semen parameters are associated with other medical conditions and may signal underlying metabolic, hormonal or environmental issues,” he told Fox News Digital.
Experts recommend seeing a doctor to discuss fertility concerns instead of relying on the internet. (iStock)
Allan Pacey, deputy dean of the Faculty of Biology, Medicine and Health at the University of Manchester, told National Geographic that the decline could be caused by increased use of contraception, as well as men waiting longer to have children or choosing not to have them at all.
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Microplastics have also been raised on social media as a potential culprit, but the effects are unclear, according to experts.
There is some evidence of endocrine-disrupting chemicals — which are substances found in reusable plastics and some disposable products — altering male fertility, Lundy revealed to National Geographic.
Myths busted
Concerns have circulated on social media that keeping a cellphone in a front pocket could harm male fertility. While Lundy said such an effect is biologically possible, there is currently no scientific evidence supporting the claim.
Another common myth is that infertility is mostly a women’s issue, Robles noted, but male factors contribute to about one-third to one-half of all cases.
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The claim that taking supplements can boost sperm counts is another common myth, he said, adding that it’s not backed by strong scientific evidence.
“Men should focus on factors that we know matter: maintaining a healthy weight, avoiding tobacco, limiting alcohol and managing chronic health conditions,” Robles advised.
One common myth is that infertility is mostly a women’s issue, but male factors contribute to about one-third to one-half of all cases. (iStock)
Experts recommend seeing a urologist to address fertility concerns. Robles said his approach begins with an evaluation, semen analysis, hormonal testing and medical history, while also exploring lifestyle factors.
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In addition to traditional treatment options, Robles said his fertility center also uses advanced tools that incorporate AI and robotics.
“Technologies like this are expanding options for patients who previously had very limited paths to biological parenthood,” he said.
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Study finds link between obesity and vascular dementia
Fox News senior medical analyst Dr. Marc Siegel joins ‘America’s Newsroom’ to discuss an increase in colon cancer in people under 50 despite an overall lowering cancer deaths and a new study linking obesity to vascular dementia.
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A new blood test could determine a woman’s dementia risk as early as 25 years before symptoms emerge.
That’s according to new research from the University of California San Diego, which found that a specific biomarker protein associated with early pathological processes of Alzheimer’s disease was “strongly linked” to future dementia risk.
The researchers analyzed blood samples from 2,766 participants in the Women’s Health Initiative Memory Study in the late 1990s, according to the study’s press release.
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The women ranged from 65 to 79 years of age and showed no signs of cognitive decline at the start of the study.
After tracking the participants for up to 25 years, the researchers concluded that the biomarker phosphorylated tau 217 (p-tau217) was “strongly associated” with future mild cognitive impairment and dementia.
A new blood test could determine a woman’s dementia risk as early as 25 years before symptoms emerge. (iStock)
Women who had higher levels of p-tau217 at the beginning of the study were “much more likely” to develop the disease. The findings were published today in JAMA Network Open.
“The key takeaway is that our study suggests it may be possible to detect risk of dementia two decades in advance using a simple blood test in older women,” first author Aladdin H. Shadyab, a UC San Diego associate professor of public health and medicine, told Fox News Digital.
“These biomarkers may help us identify who is at greatest risk and develop strategies to delay or prevent dementia.”
“Our findings show that the blood biomarker p-tau217 could help identify individuals at higher risk for dementia long before symptoms begin,” he added.
This long lead time could open the door to earlier prevention strategies and more targeted monitoring, rather than waiting until memory problems are already affecting daily life, according to Shadyab.
A specific biomarker protein associated with early pathological processes of Alzheimer’s disease was “strongly linked” to future dementia risk. (iStock)
“As the research advances, these biomarkers may help us identify who is at greatest risk and develop strategies to delay or prevent dementia,” he said.
This risk relationship wasn’t the same across the board, however. Women over 70 with higher p-tau217 levels had “poorer cognitive outcomes” compared to those under 70, as did those with the APOE ε4 gene, which is a known risk factor for Alzheimer’s disease.
The study also found that p-tau217 was a stronger predictor of dementia in women who were randomly assigned to receive estrogen and progestin hormone therapy compared to those who received a placebo.
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“Blood-based biomarkers like p-tau217 are especially promising because they are far less invasive and potentially more accessible than brain imaging or spinal fluid tests,” said senior author Linda K. McEvoy, senior investigator at Kaiser Permanente Washington Health Research Institute and professor emeritus at the Herbert Wertheim School of Public Health, in the release.
“Blood-based biomarkers like p-tau217 are especially promising because they are far less invasive and potentially more accessible than brain imaging or spinal fluid tests,” a researcher said. (iStock)
“This is important for accelerating research into the factors that affect the risk of dementia and for evaluating strategies that may reduce risk.”
Blood tests for Alzheimer’s disease are still being studied and are not recommended for routine screening in people without symptoms, Shadyab noted.
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More research is needed before this approach can be considered for clinical use prior to cognitive symptoms.
Future studies should investigate how other factors — like genetics, hormone therapy and age-related medical conditions — might interact with plasma p-tau217, the researchers added.
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“The study examined only older women, so the findings may not necessarily apply to men or younger populations,” Shadyab noted. “We also examined overall dementia outcomes rather than specific subtypes such as Alzheimer’s disease.”
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