Characteristics of energy metabolism and stress load in elite MOBA E-sports athletes

Elite e-sports athletes demonstrate dynamic, phase-dependent alterations in energy metabolism and autonomic nervous system regulation. The early phase is characterized by carbohydrate-dominated physiological activation, the mid phase by metabolic stabilization amid sustained cognitive demand, and the late phase by partial autonomic recovery with cumulative neural fatigue. These findings highlight the physiological mechanisms underlying E-sports performance and provide actionable insights for optimizing training regimens, fatigue monitoring protocols, and recovery interventions.