John Davis

Written by John Davis


How Fatigue, Illness, and Overtraining Impact Your Resting Heart Rate (and Whether You Can Use this Information to Train Smarter)

When I was in high school, my cross country coach issued us custom-made running logs. Each page had four columns: date, workout & comments, hours of sleep, and resting heart rate.

These first three columns are all good things to track, but what about resting heart rate?


My coach believed that checking your resting heart rate every day when you wake up in the morning could alert you if you were overtraining or beginning to get sick.

Was he right?

Sheepishly, I have to admit I was never diligent enough to actually track my resting heart rate every day. I’d check it every now and then, so I’d have a ballpark of what was “normal” for me, and my resting heart rate definitely rose—sometimes increasing by 70-100%—while I was sick. Intuitively, this makes some sense, as illness puts more stress on your body.

Unfortunately, when it comes to illness and resting heart rate, there’s very little in the way of scientific research.

Online sources like WebMD and the American Heart Association assert that being sick does indeed raise your resting heart rate, but there’s no hard data that I can find on how reliable this is, whether the magnitude of the increase in heart rate is related to the severity of the illness, or whether resting heart rate spikes before the onset of other symptoms.

Fortunately, with the advent of cheap, wearable heart rate monitors, a study investigating these questions shouldn’t be too hard to conduct. If you’re a doctor or researcher, here’s your chance to get published!

However, the research on resting heart rate and overtraining is a different story.

In this article, we’ll examine what the research says and whether you can use this information to train smarter.

Overtraining and resting heart rate

In a healthy runner, the body responds positively to a new stress in training, like increasing your mileage or going further on your long run. But if you’re in a state of overtraining, or “overreaching,” its less-severe cousin, your body rebels against the training stimulus and you feel listless, abnormally sore, irritable, and fatigued.

Additionally, you may have trouble sleeping, and your workouts and races will go poorly.

Since overtraining is difficult to observe in a controlled fashion when it “naturally” occurs (i.e. when athletes unintentionally overdo it by training too hard), most studies instead intentionally induce overtraining by having a small group of athletes vastly increase their training load over a short period of time.

In many cases, this reliably induces the same symptoms as unintentional overtraining.

One such study by Asker Jeukendrup and other researchers at the University of Limburg in The Netherlands observed seven male cyclists who upped their normal training intensity for a two-week block. Among other things, Jeukendrup et al. measured the athletes’ heart rate while they slept at night.

After the two-week jump in training, all of the athletes were fatigued and performed worse in a time trial when compared to the testing done at the study’s outset. Additionally, sleeping heart rate increased from an average of 49 beats per minute to 54.

In contrast, a similar study of distance runners came to a different conclusion.

Verde, Thomas, and Shephard of the University of Toronto in Canada studied 10 runners with an average 10k PR of 31:04 who undertook a 40% jump in training over a three-week period. Six of the 10 runners reported sustained fatigue during the increased training block, and two suffered upper respiratory infections.

There was a very small and statistically insignificant trend towards higher resting heart rates during the period of heavy training, and a similar (though also non-significant) drop during the recovery period after the three-week block, but the authors noted that the magnitude of the change—less than two beats per minute, from about 51 to 53 beats per minute—was far too small to be a useful measurement for athletes in the real world.

Sleeping heart rate fluctuations

A 2003 review article by Juul Achten and Asker Jeukendrup (lead author of the first study we examined) cited four other scientific studies which found no correlation between overtraining and increased resting heart rate.

They did, however, cite one additional study which found an increase in sleeping heart rate to be associated with overtraining.

Achten and Jeukendrup hypothesize that heart rate during sleep is a more reliable marker of your body’s recovery state.

Resting heart rate can jump up or down by several beats per minute for any number of reasons, and nighttime heart rate measurements can be measured and averaged over much longer durations than the typical 30 seconds or one minute that it takes to measure resting heart rate.


The research suggests that by itself, your resting heart rate is likely not all that useful of a measurement.

If you are worried about overtraining, it’s probably better to pay close attention to things like your fatigue level, workout times, and sleep quality.

If these start going poorly, you should watch out, regardless of what your resting heart rate is doing.

When it comes to illness, the jury’s still out—there’s no good research on resting or sleeping heart rate when you’re sick with a cold or the flu.

It will probably go up when you get sick, but it’s not clear by how much, and whether heart rate spikes before or after other symptoms of illness appear.

More research is also needed on the value of sleeping heart rate—is it a more reliable and sensitive predictor of overtraining or illness?

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1. Jeukendrup, A. E.; Hesselink, M. K.; Snyder, A. C.; Kuipers, H.; Keizer, H. A., Physiological changes in male competitive cyclists after two weeks of intensified training. International Journal of Sports Medicine 1992, 13 (7), 534-541.
2. Verde, T.; Thomas, S.; Shephard, R. J., Potential markers of heavy training in highly trained distance runners. British Journal of Sports Medicine 1992, 26 (3), 167-175.
3. Achten, J.; Jeukendrup, A. E., Heart Rate Monitoring. Applications and Limitations. Sports Medicine 2003, 33 (7), 517-538.

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12 Responses on “How Fatigue, Illness, and Overtraining Impact Your Resting Heart Rate (and Whether You Can Use this Information to Train Smarter)

  1. I too have a training log with a space for resting heart rate that I measure every morning. I didn’t think there was much point before I read this and I think there is less reason now.

    It would be interesting to see if my heart rate changes based on if my alarm wakes me from a deep sleep versus waking up naturally.

  2. After my long run (29km) I confront anxiety with short of breath ., is this related with my heart rate ? Or fatigue , cause during my run I did not feel nothing .,

    • Hi Gladys, do you wear a heart rate monitor? Maybe you should try to check your heart rate immediately after you finish to see how high your heart rate was at the end. You may also want to go for a few minute walk or slow jog after, meaning your body does not come to a sudden stop. That would help your body come back to normal at a more healthy rate, rather than shocking the system. Your heart rate is probably high, and you will be fatigued, so it will be a combination of both, but the shortness of breath if you did not feel it before is most likely just the sudden stop. Hope this helps! Let us know if you need any more information 🙂

  3. I DO wear a heart rate monitor, all the time. I’m not a huge athlete, but am training for a long distance hiking event. During times I am asleep, my heart rate is normally about 58-60 bmp… pretty level. I have been sick three times in the last few months… every time, my sleeping heart rate jumped… up to between 80-120bmp. One time i got sick during the night… you can see the heart rate trending up. Another time I was recovering… and you can see it trending downwards. It’s fascinating. And with the new technology (I wear a Basis Peak) it;s now really easy to monitor this stuff.

  4. Thanks for the interesting article. However you did not state how similar or different the (very small) cohorts were for the Jeukendrup and Verde studies. Also if they were similar there is no statement whether the increase in exercise volume was MET equivalent; one group could have been red-lining while the other was just taking a stroll? And lastly there is no definition of “resting heart rate” – was it taken “at rest” or what seems to be a set standard of “taken at waking” which could be more akin to the “sleeping heart rate” which Jeukendrup researched.

    • Hi Stephen, thanks for the comment, we actually posted the references at the bottom of this page if you would like to read further into the studies. We did not want to make the post too wordy, and were just using them to make a point within the post. We did not want to confuse other readers, or make the post too long, so we put the references for individuals like yourself who are interested in learning more about it!

  5. I wear a fitness heart rate tracker day and night.My sleeping heart rate has been steadily going down for weeks and the past few days I’ve seen an upward trend. I’m pretty sure it’s overtraining or illness or both because I feel exhausted after my workouts(for the whole day) and just feeling irritable. I’ve also seen my sleeping heart rate go up since the start of feeling this way. So I’m going to go easy this week and see if I get another downward trend. I already suspect they correlate.

  6. Hi. I moticed that over about a month, my resting heart rate increased from 55 bpm to 70 bpm. I usually get 8 hours of sleep a day, but haven’t been working out regularly for the past couple of weeks.
    What can I do to decrease my resting HR?

    • Hi ranjan, your resting heart rate will come down naturally with training, so once you get back into the exercise and are able to train again, your heart rate will lower again.

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