Substance Abuse Treatment, Prevention, and Policy | |
Is there a danger for myopia in anti-doping education? Comparative analysis of substance use and misuse in Olympic racket sports calls for a broader approach | |
Zdenko Ostojic1  Jelena Rodek2  Ljerka Ostojic1  Andrea Petroczi5  Damir Sekulic4  Miran Kondric3  | |
[1] School of Medicine; University of Mostar, Bijeli brijeg, Mostar - 63000, Bosnia and Herzegovina;Faculty of Kinesiology; University of Split, Teslina 6, Split - 21000, Croatia;Faculty of Sport; University of Ljubljana, Gortanova 11, Ljubljana - 10000, Slovenia;NIHON doo, Spinutska 65, Split - 21000, Croatia;School of Life Sciences, Kingston University London, Penrhyn Road, KT1 2EE, UK | |
关键词: supplements; drinking; athlete; drug; anti-doping; racket sport; | |
Others : 834560 DOI : 10.1186/1747-597X-6-27 |
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received in 2011-08-02, accepted in 2011-10-11, 发布年份 2011 | |
【 摘 要 】
Background
Racket sports are typically not associated with doping. Despite the common characteristics of being non-contact and mostly individual, racket sports differ in their physiological demands, which might be reflected in substance use and misuse (SUM). The aim of this study was to investigate SUM among Slovenian Olympic racket sport players in the context of educational, sociodemographic and sport-specific factors.
Methods
Elite athletes (N = 187; mean age = 22 ± 2.3; 64% male) representing one of the three racket sports, table tennis, badminton, and tennis, completed a paper-and-pencil questionnaire on substance use habits. Athletes in this sample had participated in at least one of the two most recent competitions at the highest national level and had no significant difference in competitive achievement or status within their sport.
Results
A significant proportion of athletes (46% for both sexes) reported using nutritional supplements. Between 10% and 24% of the studied males would use doping if the practice would help them achieve better results in competition and if it had no negative health consequences; a further 5% to 10% indicated potential doping behaviour regardless of potential health hazards. Females were generally less oriented toward SUM than their male counterparts with no significant differences between sports, except for badminton players. Substances that have no direct effect on sport performance (if timed carefully to avoid detrimental effects) are more commonly consumed (20% binge drink at least once a week and 18% report using opioids), whereas athletes avoid substances that can impair and threaten athletic achievement by decreasing physical capacities (e.g. cigarettes), violating anti-doping codes or potentially transgressing substance control laws (e.g. opiates and cannabinoids). Regarding doping issues, athletes' trust in their coaches and physicians is low.
Conclusion
SUM in sports spreads beyond doping-prone sports and drugs that enhance athletic performance. Current anti-doping education, focusing exclusively on rules and fair play, creates an increasingly widening gap between sports and the athletes' lives outside of sports. To avoid myopia, anti-doping programmes should adopt a holistic approach to prevent substance use in sports for the sake of the athletes' health as much as for the integrity of sports.
【 授权许可】
2011 Kondric et al; licensee BioMed Central Ltd.
【 预 览 】
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【 参考文献 】
- [1]Baron DA, Martin DM, Abol Magd S: Doping in sports and its spread to at-risk populations: an international review. World Psychiatry 2007, 6:118-123.
- [2]Mazanov J: Drug use and abuse by athletes. In Routledge Handbook of Applied Sport Psychology. Edited by Hanrahan S, Andersen M. Routledge; 2010:398-414.
- [3]Houlihan B: Detection and education in anti-doping policy: a review of current issues and assessment of future prospects. Hitotsubashi J Arts Scis 2008, 49:55-71.
- [4]Brennan BP, Kanayama G, Hudson JI, Pope HG Jr: Human growth hormone abuse in male weightlifters. Am J Addict 2011, 20:9-13.
- [5]McDuff DR, Baron D: Substance use in athletics: a sports psychiatry perspective. Clin Sports Med 2005, 24:885-897. ix-x
- [6]Peters RJ Jr, Adams LF, Barnes JB, Hines LA, Jones DE, Krebs KM, Kelder SH: Beliefs and social norms about ephedra onset and perceived addiction among college male and female athletes. Subst Use Misuse 2005, 40:125-135.
- [7]Ayotte C, Levesque JF, Cléroux M, Lajeunesse A, Goudreault D, Fakirian A: Sport nutritional supplements: quality and doping controls. Can J Appl Physiol 2001, 26(Suppl):S120-129.
- [8]WADA Anti Doping Code 2009 [http:/ / www.wada-ama.org/ Documents/ World_Anti-Doping_Program/ WADP-The-Code/ WADA_Anti-Doping_CODE_2009_EN.pdf] webcite
- [9]Rodriguez NR, Di Marco NM, Langley S: American College of Sports Medicine position stand. Nutrition and athletic performance. Med Sci Sports Exerc 2009, 41:709-731.
- [10]Tscholl P, Alonso JM, Dolle G, Junge A, Dvorak J: The use of drugs and nutritional supplements in top-level track and field athletes. Am J Sports Med 2010, 38:133-140.
- [11]Petroczi A: Attitudes and doping: a structural equation analysis of the relationship between athletes' attitudes, sport orientation and doping behaviour. Subst Abuse Treat Prev Policy 2007, 2:34. BioMed Central Full Text
- [12]Petroczi A, Naughton DP: Supplement use in sport: is there a potentially dangerous incongruence between rationale and practice? J Occup Med Toxicol 2007, 2:4. BioMed Central Full Text
- [13]Deshmukh N, Petroczi A, Barker J, Szekely AD, Hussain I, Naughton DP: Potentially harmful advantage to athletes: a putative connection between UGT2B17 gene deletion polymorphism and renal disorders with prolonged use of anabolic androgenic steroids. Subst Abuse Treat Prev Policy 2010, 5:7. BioMed Central Full Text
- [14]van Amsterdam J, Opperhuizen A, Hartgens F: Adverse health effects of anabolic-androgenic steroids. Regul Toxicol Pharmacol 2010, 57:117-123.
- [15]Furlanello F, Serdoz LV, Cappato R, De Ambroggi L: Illicit drugs and cardiac arrhythmias in athletes. Eur J Cardiovasc Prev Rehabil 2007, 14:487-494.
- [16]Lentillon-Kaestner V, Hagger MS, Hardcastle S: Health and doping in elite-level cycling. Scand J Med Sci Sports, in press.
- [17]Ciocca M, Stafford H, Laney R: The Athlete's Pharmacy. Clin Sports Med 2011, 30:629-639.
- [18]Striegel H, Ulrich R, Simon P: Randomized response estimates for doping and illicit drug use in elite athletes. Drug Alcohol Depend 2010, 106:230-232.
- [19]Sottas PE, Robinson N, Rabin O, Saugy M: The athlete biological passport. Clin Chem 2011, 57:969-976.
- [20]Sottas PE, Robinson N, Fischetto G, Dolle G, Alonso JM, Saugy M: Prevalence of blood doping in samples collected from elite track and field athletes. Clin Chem 2011, 57:762-769.
- [21]WADA 2010 Laboratory Statistics [http:/ / www.wada-ama.org/ Documents/ Resources/ Statistics/ Laboratory_Statistics/ WADA_2010_Laboratory_Statistics_Rep ort.pdf] webcite
- [22]Faude O, Meyer T, Rosenberger F, Fries M, Huber G, Kindermann W: Physiological characteristics of badminton match play. Eur J Appl Physiol 2007, 100:479-485.
- [23]Lees A: Science and the major racket sports: a review. J Sports Sci 2003, 21:707-732.
- [24]Backhouse S, Mc Kenna J, Robinson S, Atkin A: International literature review: Attitudes, behaviours, knowledge and education - drugs in sport: Past, present and future. [http://www.wada-ama.org/rtecontent/document/Backhouse_et_al_Full_Report.pdf] webcite 2007.
- [25]Maquirriain J: Epidemiological analysis of doping offences in the professional tennis circuit. J Occup Med Toxicol 2010, 5:30. BioMed Central Full Text
- [26]Petroczi A, Naughton DP: The age-gender-status profile of high performing athletes in the UK taking nutritional supplements: lessons for the future. J Int Soc Sports Nutr 2008, 5:2. BioMed Central Full Text
- [27]Kondric M, Sekulic D, Mandic GF: Substance use and misuse among Slovenian table tennis players. Subst Use Misuse 2010, 45:543-553.
- [28]Zenic N, Peric M, Zubcevic NG, Ostojic Z, Ostojic L: Comparative analysis of substance use in ballet, dance sport, and synchronized swimming: results of a longitudinal study. Med Probl Perform Art 2010, 25:75-81.
- [29]Smith AC, Stewart B: Drug policy in sport: hidden assumptions and inherent contradictions. Drug Alcohol Rev 2008, 27:123-129.
- [30]Sekulic D, Kostic R, Rodek J, Damjanovic V, Ostojic Z: Religiousness as a protective factor for substance use in dance sport. J Relig Health 2009, 48:269-277.
- [31]Popova S, Rehm J, Patra J, Zatonski W: Comparing alcohol consumption in central and eastern Europe to other European countries. Alcohol Alcohol 2007, 42:465-473.
- [32]Sesok J: Alcohol consumption and indicators of alcohol-related harm in Slovenia, 1981-2002. Croat Med J 2004, 45:466-472.
- [33]Dietze PM, Fitzgerald JL, Jenkinson RA: Drinking by professional Australian Football League (AFL) players: prevalence and correlates of risk. Med J Aust 2008, 189:479-483.
- [34]O'Brien KS, Ali A, Cotter JD, O'Shea RP, Stannard S: Hazardous drinking in New Zealand sportspeople: level of sporting participation and drinking motives. Alcohol Alcohol 2007, 42:376-382.
- [35]Martens MP, Watson JC, Royland EM, Beck NC: Development of the athlete drinking scale. Psychol Addict Behav 2005, 19:158-164.
- [36]Bovard RS: Risk behaviors in high school and college sport. Curr Sports Med Rep 2008, 7:359-366.
- [37]Patel DR, Luckstead EF: Sport participation, risk taking, and health risk behaviors. Adolesc Med 2000, 11:141-155.
- [38]Maughan RJBL: Alcohol and sport. In Sports nutrition: handbook of sports medicine and science. Edited by Maughan RJ BL. Oxford: Blackwell Science; 2002:64-71.
- [39]Bower BL, Martin M: African American female basketball players: an examination of alcohol and drug behaviors. J Am Coll Health 1999, 48:129-133.
- [40]Dunn M, Thomas JO, Swift W, Burns L: Recreational substance use among elite Australian athletes. Drug Alcohol Rev 2011, 30:63-68.
- [41]Bergeron MF: Heat cramps: fluid and electrolyte challenges during tennis in the heat. J Sci Med Sport 2003, 6:19-27.
- [42]Bergeron MF, Maresh CM, Kraemer WJ, Abraham A, Conroy B, Gabaree C: Tennis: a physiological profile during match play. Int J Sports Med 1991, 12:474-479.
- [43]Juzwiak CR, Amancio OM, Vitalle MS, Pinheiro MM, Szejnfeld VL: Body composition and nutritional profile of male adolescent tennis players. J Sports Sci 2008, 26:1209-1217.
- [44]Kovacs MS: Carbohydrate intake and tennis: are there benefits? Br J Sports Med 2006, 40:e13.
- [45]Backhouse SH, Petroczi A: Gateway to doping? Investigating nutritional supplement use in the context of preferred competitive situations, doping attitude, beliefs and norms. Scandinavian Journal of Medicine and Science in Sport, in press.
- [46]Rodek J, Sekulic D, Pasalic E: Can we consider religiousness as a protective factor against doping behavior in sport? J Relig Health 2009, 48:445-453.
- [47]Braun H, Koehler K, Geyer H, Kleiner J, Mester J, Schanzer W: Dietary supplement use among elite young German athletes. Int J Sport Nutr Exerc Metab 2009, 19:97-109.
- [48]Greenway P, Greenway M: General practitioner knowledge of prohibited substances in sport. Br J Sports Med 1997, 31:129-131.
- [49]Woods CB, Moynihan A: General practitioners knowledge, practice and training requirements in relation to doping in sport. Ir Med J 2009, 102:8-10.
- [50]Sekulic D: Why are we losing the war against doping? In fact, do we want to win at all? JAHR 2011, 2:302-310.
- [51]RD K: Anabolic-androgenic steroid use among California community college student-athletes. J Athl Train 1996, 31:237-241.
- [52]Lorente FO, Peretti-Watel P, Grelot L: Cannabis use to enhance sportive and non-sportive performances among French sport students. Addict Behav 2005, 30:1382-1391.
- [53]Sekulic D, Peric M, Rodek J: Substance use and misuse among professional ballet dancers. Subst Use Misuse 2010, 45:1420-1430.
- [54]Dascombe BJKM, Cartoon J, Fergie B, Goodman C: Nutritional supplementation habits and perceptions of elite athletes within a state-based sporting institute. J Sci Med Sport 2010, 13:274-280.
- [55]Muller SM, Gorrow TR, Schneider SR: Enhancing appearance and sports performance: are female collegiate athletes behaving more like males? J Am Coll Health 2009, 57:513-520.
- [56]Zenic N, Stipic M, Sekulic D: Religiousness as a Factor of Hesitation Against Doping Behavior in College-Age Athletes. J Relig Health, in press.
- [57]Petroczi A: Impact of multidisciplinary research on advancing anti-doping efforts. International Journal of Sport Policy 2011, 3:231-254.
- [58]Hanstad DV, Waddington I: Sport, health and drugs: a critical re-examination of some key issues and problems. Perspect Public Health 2009, 129:174-182.
- [59]Yusko DA, Buckman JF, White HR, Pandina RJ: Alcohol, tobacco, illicit drugs, and performance enhancers: a comparison of use by college student athletes and nonathletes. J Am Coll Health 2008, 57:281-290.
- [60]Mays D, Depadilla L, Thompson NJ, Kushner HI, Windle M: Sports participation and problem alcohol use: a multi-wave national sample of adolescents. Am J Prev Med 2010, 38:491-498.
- [61]Petroczi A, Uvacsek M, Nepusz T, Deshmukh N, Shah I, Aidman EV, Barker J, Toth M, Naughton DP: Incongruence in doping related attitudes, beliefs and opinions in the context of discordant behavioural data: in which measure do we trust? PLoS One 2011, 6:e18804.
- [62]Dodge T, Hoagland MF: The use of anabolic androgenic steroids and polypharmacy: a review of the literature. Drug Alcohol Depend 2011, 114:100-109.
- [63]Thomas JO, Dunn M, Swift W, Burns L: Illicit drug knowledge and information-seeking behaviours among elite athletes. Journal of science and medicine in sport/Sports Medicine Australia 2011, 14:278-282.
- [64]Backhouse SH, McKenna J: Doping in sport: a review of medical practitioners' knowledge, attitudes and beliefs. Int J Drug Policy 2011, 22:198-202.
- [65]Holm S, McNamee MJ, Pigozzi F: Ethical practice and sports physician protection: a proposal. Br J Sports Med, in press.
- [66]Mazanov J, Huybers T, Connor J: Qualitative evidence of a primary intervention point for elite athlete doping. J Sci Med Sport 2011, 14:106-110.