SPORTS
DOPING: THE EFFECTS, PREVENTION & TESTS.
2. Purpose and reason for doping in
sports.
3. The problem with doping (ethics,
sportsmanship).
4. The types of performance enhancing
drugs that are used.
5. Effects of drugs on the athlete
(physical/psychological).
Doping is the habit of using chemical substances such as drugs,
hormones or practising non-natural methods to enhance athletic performance
(Freudenrich, 2003; Haynes & Fitch, 1992). According to the Council of
Europe, sports doping is the utilising of materials that are foreign to the
body, in minute or large quantities, or the application of psychological
processes with the purpose of improving the athletic performance in a
competition in a dishonest manner [Ferstle, 1993 , p256]. The use of drugs as
medicine to alleviate pain, as a course of therapy or as treatment is also
considered doping if the effect of that drug causes the performance of the
athlete to be superior to the regular level [Ferstle, 1993, p256].
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There are numerous factors
that contribute to the usage of drugs in sports, among the factors are to invigorate
the body, to develop bulk and strength of muscles or bones, to boost transport
of oxygen towards exercising tissues, to hide pain, to relax, to decrease
weight and to conceal the utilising of other drugs (Freudenrich, 2003). The
reasons why these factors are important will be discussed in the following
paragraphs.
Drugs are used to stimulate the body to lessen tiredness, boost
energy level and keep up aggressiveness so that the athlete will react readily
to any situation. As a quicker and easier alternative to build larger and
stronger muscles or bones, drugs are also utilised. The importance of larger
and stronger muscles and bones is because it can increase the force or power of
an athlete’s movements e.g.: stronger hitting or kicking.
During training or competition, oxygen is an essential component
of producing energy. Oxygen is utilised via the aerobic respiration pathway to
oxidise glucose to adenosine triphosphate (ATP) molecules. These ATP molecules
are responsible in powering the movement of muscles. If oxygen is absent,
glucose is converted to ATP molecules via the anaerobic respiration pathway to
produce a smaller quantity of ATP. Anaerobic respiration will also produce
lactic acid that causes the muscles to tire easily. Clearly, the more oxygen
available in the body, the more beneficial it will be for the athlete.
Athletes who regularly compete run a higher chance of getting
sports-related injury. They also have the risk of feeling stressed due to
various reasons such as being beaten by the opposition, losing games,
pressurised by sponsors, fierce competition, excessive public attention or
having tight schedules. Injury or stress has a negative effect on the
performance of the athlete and using drugs that mask pain can help alleviate the
physical or psychological suffering due to injury or stress.
The need to relax is
important for an athlete because too much tension and anxiety can cause an
athlete to be nervous, intimidated, uncoordinated in movement and less focused
on the game thus drugs are used to relax. Relaxants can also used to unwind
after a game.
An athlete who uses drugs
to decrease weight usually does so to fit in lower weight categories. Being
heavier than an opponent can be advantageous in sports such as boxing or weight
lifting.
Drugs that can be used to
hide the use of other drugs are important so that bans and fines will not be
imposed upon the athletes. This happens in drugs such as diuretics that can
increase urine volume so that the drug that is intended to be masked is diluted
and metabolised.
In the end the reason for an athlete’s need to be stronger, faster,
have a higher endurance or higher threshold for pain is because of the
lucrative rewards that are offered to winners. Money, prestige, fame,
sponsorship and idolisation are strong incentives that can make an athlete turn
to drugs to win.
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Numerous athletes have become human guinea pigs, experimenting with
all types of substances including banned or illegal drugs in an effort to
improve their athletic ability. The indiscriminate experimentation with new
drugs has led to irreversible negative side effects on the body or mind of
athletes and some of these experiments have resulted in coma and death. For
example, amphetamines have been linked to many athletes’ death such as the
death of a Danish cyclist in 1960s Olympics and the death of British cyclist
Tommy Simpson during the Tour de France of 1967 [Ferstle, 1993 , p254].
The taking of performance enhancing drugs is damaging to the
spirit and progress of sports. Doping in athletes discourages fair
sportsmanship, disregards the rules for the field and brings false glory to the
athletes should they win. Athletes would not know if they are competing on an
equal sports ground or if their hard effort is being undermined by an easier
scientific way (WADA, 2003).
Doping not only cheats the opponents but also promoters, sponsors
and public. If the public does not respect the integrity of athletes due to
repeated doping scandals, the honest hard-working athlete will also be
associated with the doping stigma. Clean athletes who give outstanding
performances will be accused of using drugs and will not receive the praise and
encouragement that they deserve. If doping is allowed to spread unchecked, the
impression that it gives is that normal hard training is not sufficient and not
good enough to win the game (WADA, 2003).
The types of drugs used are as stated in the following table:-
Table 1: Types of performance-enhancing drugs used grouped by their
effect. (Adapted from information as of Freudenrich, 2003.)
|
Purpose |
Drugs |
|
Stimulants |
caffeine amphetamines cocaine |
|
Develop muscle/ bone |
anabolic steroids beta-2-antagonists human chorionic gonadotrophin (hCG) luteinising hormone (LH) human growth hormone (hGH) insulin-like growth factor 1 (IGF-1) insulin peptide hormones |
|
Boost oxygen delivery |
erythropoietin blood doping artificial oxygen carriers |
|
Mask pain |
narcotic analgesics adrenocorticotrophic hormones (ACTH) cortisone local anaesthetics |
|
Relaxants |
alcohol beta-blockers cannabinoids |
|
Decrease weight |
diuretics |
|
Hide use of other drugs |
diuretics epitestosterone plasma expanders secretion inhibitors |
The effects of the various drugs stated in the table above on the
athlete have been documented. It is found that irresponsible usage, the usage without
prescription and the usage contrary to the original intention will cause
adverse effects to develop both physically and psychologically. The following
paragraphs will explain the function of the drugs, what they are normally used
for and the negative effects that can develop with abuse. However, only certain
mainstream drugs that are frequently used will be described.
Diuretics are drugs that affect the kidneys, which increase the amount
of urine produced and excreted. There will be a loss of salt and water through
the urinary tract. Diuretics are mainly used to ease hypertension, to treat
acute and chronic heart failure and treat fluid retention. The negative side
effects are dizziness, upset stomach, rash, kidney dysfunction, salt and water
imbalance, dehydration, hypotension, metabolic alkalosis, renal dysfunction,
impotence and gout. (Mazzei,
Botre, DiPaolo, & Pelliccia ,2003).
Erythropoietin (EPO) are hormones secreted by the kidney that
stimulate the bone marrow and increase red blood cells production thus
increasing red blood cell mass, haemoglobin and haematocrit. In sports,
recombinant human erythropoietin (rHuEPO) is used. EPO is used to treat
deficiencies such as anaemia caused by kidney dysfunction. The negative side
effects are hypertension, abdominal pain, pus accumulation, arm/back/jaw pain,
blurred vision, breathing difficulties, chest pain, chills, confusion, cough
producing mucus, fainting, vomiting, irregular heartbeat and many more (Botre, Mazzei, DiPaolo & Pelliccia, 2003a).
Stimulants (psychostimulants or sympathomimetics) are chemicals
derived from adrenaline, which affect the central nervous system directly as
they increase the activity of the brain and the body. Stimulants are normally
used to stimulate activity of the heart when a heart attack occurs that stops
the heart and used as antidepressants. The effects that can develop are rapid
heart rate, palpitations, hypertension, chest pain, respiratory suppression,
vomiting, hallucinations, delirium, aggression, psychosis, muscle cramps,
suicidal tendencies, memory loss, fatal kidney & lung disorders, liver
damage, stroke, permanent psychological problems et cetera (Botre, Mazzei, DiPaolo & Pelliccia, 2003b).
Narcotic analgesics are drugs such as morphine, methadone,
pethidine and buprenorphine that are used to reduce pain, sedation and
treatment of terminally ill patients. Narcotics are used by athletes to perform
while injured. The effects of narcotics are addiction, deaden pain responses,
lethargy, blurred vision, reduced respiratory rate, vomiting, constipation,
anxiety or fear and loss of concentration (O’Muircheartaigh & Cummiskey,
2002)
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Media
reports of the death of athletes due to doping pressured governmental
organisations and sports bodies to pass legislation and form drug testing
programmes. The International Olympic Committee (IOC) had set up a
medical commission in 1967 to draft rules that ban doping and began the random
testing of athletes [Ferstle, 1993, p254]. Many independent and
non-governmental organisations have been set up to tackle the doping problem.
Examples of prominent organisations are :-
Ø
World Anti-Doping
Agency [WADA]
Ø
Anti Doping Commission
of India Australian Sports Drug Agency [ASDA]
Ø
Australian Sports Drug
Medical Advisory Committee [ASDMAC]
Ø
Canadian Centre for
Ethics in Sport [CCES]
Ø
Concerted Action in the
Fight against Doping In Sport [CAFDIS]
Ø
Live Clean Play Clean
Ø
The New Zealand Sport
Drug Agency [NZSDA]
Ø
South African Institute
for Drug-Free Sport [SAIDS]
Ø
UK Sport (Anti-Doping
section)
Ø
U.S. Anti-Doping Agency
[USADA]
(Welsh Development Agency and Wired International Ltd, 2003).
There
have been web-based educational programmes where the same education and skill
will be accessible to coaches everywhere in a layout that can easily be
modified to suit different interests, settings and timetables. (Ligue
Europeenne de Natation, 2001).
There are scheduled doping tests for athletes required by sports
organisations and athletes caught using drugs are banned or fined. Scientific
research to develop new detection methods are also being done progressively
(WADA, 2003).
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Testing for drugs is
essentially the scientific procedure of investigating body fluids for the
occurrence of banned substances and the first doping tests were done using saliva
[Ferstle, 1993, p255]. In an attempt to
uncover if an athlete has taken performance-enhancing drugs, sports
administrators have turned to the knowledge of laboratory scientists that can
help detect for banned substances [Ferstle, 1993, p254].
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Botre, F., Mazzei, F.,
DiPaolo, F., & Pelliccia, A. (2003a). Erythropoietin. Retrieved
September 24, 2003 from the World Wide Web: http://www.cafdis-antidoping.net/en/article.asp?articleid=304
Botre, F., Mazzei, F.,
DiPaolo, F., & Pelliccia, A. (2003b). Stimulants. Retrieved
September 24, 2003 from the World Wide Web: http://www.cafdis-antidoping.net/en/article.asp?articleid=337
Botre, F., Mazzei, F.,
DiPaolo, F., Gorostiaga, E. & Pelliccia, A. (2003c). Anabolic/Androgenic
Steroids. Retrieved September 24, 2003 from the World Wide Web: http://www.cafdis-antidoping.net/en/article.asp?articleid=336
CCSA- Canadian Centre
on Substance Abuse (1990).Comments on the Report of the Dubin Inquiry. Retrieved
October 16, 2003 from the World Wide Web: http://www.ccsa.ca/docs/dubin.htm
CAFDIS - Concerted
Action In The Fight Against Doping In Sports (2003). Gene Therapy.
[On-line]. Retrieved September 9, 2003 from the World Wide Web : http://www.cafdis-antidoping.net/en/default.asp
Ferstle, J. (1993).
Evolution & Politics of Drug Testing. In C.E. Yesalis (Ed.), Anabolic
Steroids In Sports & Exercise. (pp. 253 – 282). Illinois : Human
Kinetics Books.
Freudenrich, C. (2003).
How performance enhancing drugs work. [On-line]. Retrieved August 19,
2003 from the World Wide Web: http://www.howstuffworks.com/athletic-drug-test.htm
Haynes, S.P., &
Fitch, K.D. (1992). Doping. In J. Bloomfield, P.A. Fricker & K.D. Fitch
(Eds.), Textbook of Science & Medicine In Sport. (pp.
525 – 534). Illinois : Human Kinetics Books.
Ligue
Europeenne de Natation (2001). Ethics and Doping on e-learning agenda for
European Swimming Coach. Retrieved October 16, 2003 from the World Wide
Web: http://www.len-aquatics.org/media/prreleases/2001/elearn-antidope092001.pdf
O’Muircheartaigh, S.
& Cummiskey, J. (2002). Narcotic analgesics. Retrieved September 24, 2003 from the World Wide Web : http://www.cafdis-antidoping.net/en/article.asp?articleid=307
Welsh
Development Agency and Wired International Ltd (2003). Websites.
[On-line]. Retrieved October 16, 2003 from the World Wide Web: http://www.drugsinsport.net/
WADA - World
Anti-Doping Agency (2003). Perspectives.
[On-line]. Retrieved September 9, 2003 from the World Wide Web: http://www.wada-ama.org/en/t1.asp
02B3202 M.S.H.S.
02B3217 E.H.H.M.
(BSc. Biological
Science) 3rd November 2003
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