Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t...

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Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007

Transcript of Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t...

Page 1: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Drug & Supplement Use in Sport

Don’t Wait ‘til URINE TroubleIllinois Wesleyan University

September 9, 2007

Page 2: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Program Overview

Social use drugsPerformance-

enhancing substances

NCAA regulations & drug testing

Q & A

Page 3: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Who is Drug Free Sport?

Official administrator of NCAA Drug Testing Programs

Policy consultingEducational

programmingDrug TestingLabCollection

www.drugfreesport.com

Page 4: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Who am I?• Kathy Schniedwind

• Certified Athletic Trainer

• Head Athletic Trainer Division I College Athletics

• Past College Athlete

• NCAA Competitive Safeguards past committee member

Page 5: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Ultimate Goal of All Collegiate Athletes

Page 7: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Student-Athlete = Student 1st

College StudentsUsing Drugs At Least Once Within last 30 Days:

Alcohol 70%Tobacco 35%Marijuana 20%

Page 8: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Consequences from Drug Use

Hangover 60%Nauseated or Vomited 49%Did Something Regretted 36%Drove Car while Impaired 34%Missed a Class 30%Argument or Fight 29%Criticized Someone 28%Memory Loss 28%

Page 9: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Marijuana Effects

short-term memory eye-hand coordination muscle strength attention span respiratory problems

•Banned substance

•Easily Detected in testing

It’s illegal…makes you stupid when using…can ruin your collegiate career & mess up your future if you get caught!!

Page 11: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

2004 Drug-related ER Visitsreport by Drug Abuse Warning Network

050

100150200250300350400450500

Coke, Meth,Illicit

Stimulants

Marijuana Non-medicalRx Use

ER visits per100,000

Page 12: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Athletes at higher risk

Why?

Expected to avoidRole models Leaders, Social

IconsAlso risk takers Peer pressure?

…of alcohol, spit tobacco, steroid & supplement use

Page 13: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

NCAA 2005 Substance Use Study

Social Drug Use – By Gender

0

10

20

30

40

50

60

70

80

Male Female

AlcoholMarijuanaSpit TobaccoCigarettes

Page 14: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Alcohol Effects on Athletic Performance

Most abused drug by athletesDiuretic DEHYDRATIONCauses B vitamin deficiency

affecting conversion of hormone precursors into androgenic training hormones

Depletes vital nutrients Training effect up to 14 days Reaction time up to 12

hours after consumption

Page 16: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

NCAA 2005 Substance Use Study

Among Drinkers – 10 or more Drinks per Sitting

0

10

20

30

40

50

60

70

1997 2001 2005

MaleFemale

Page 17: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

NCAA 2005 Substance Use Study

Patterns of Spit Tobacco Use

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25

1997 2001 2005

Athletes

NCAA Tobacco Ban at practices, games, & any athletically related events

Page 18: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Performance-Enhancing Drugs/Substances

Anabolic AgentsStimulantsDietary

SupplementsPeptide HormonesDiuretics (weight loss,

dilution of urine)

Page 19: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Anabolic Steroids

Performance-enhancingIllegalRisky to healthAgainst the rulesOver 100 types

Page 20: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Anabolic Steroids

Anabolic & AndrogenicSynthetic substances

related to male sex hormone testosterone

Not corticosteroids such as prednisone

Oral, injected, gels, creams, patches, lozenges

Schedule III controlled substances

Possession or distribution – federal penalties

Page 21: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Anabolic SteroidsWhat are the

consequences?Male pattern baldnessTendon ruptureAcne and cystsSecretive about useRage & ManiaSuicidal thoughtsTesticular shrinkage ImpotenceMenstrual irregularitiesClitoris enlargementAddictiveLiver dysfunction & Infections

from needles (AIDS)Heart attacks & Death

Page 24: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Caffeine & Synephrine

C-V & CNS stimulant All plant derived herbal

stimulantsFound in many OTC

drugs and supplementsIncreases heart rate,

body temperature, blood pressure

Leads to dehydration

Page 26: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Dietary Supplements

Muscle BuildersEnergy EnhancersEndurance IncreasersWeight Loss EnhancersWeight Gain EnhancersWorkout RecoveryPre-Workout Prep Joint Health

Page 27: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Dietary Supplements

Effective?

Safe?

Dosage Accuracy?

Pure?

US Dietary Supplement Health and

Education Act of 1994:

Page 28: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Dietary Supplement Facts

Out of over 100 NCAA + drug tests in 1-year, the majority were from supplement use.

Almost all lost at least one year of eligibility.

More expensive calorie for calorie than the food they might replace.

Labels are misleading & salespeople lie to you.

Page 29: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Prohormones

Anabolic Steroid Law

Now lists dozens of precursors as Schedule III Substances

ILLEGAL to use or POSSESS DEA can now add others

without changing law Still being sold illegally!!

Sold legally as dietary supplements until January 2005

Page 30: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Many still contain high quantities of caffeine & synephrine

Synephrine known as (Bitter Orange)

Several NCAA + tests

What about the New “Ephedra Free”Versions?

Page 31: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Energy DrinksNOT A SPORTS

DRINK!Contains stimulants Increases HR & BPDiuretic =

DehydrationCan cause + testAlcohol further

contributes to problems

Contains banned substances!

Over 400 mg.

300 mg caffeine

Page 32: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Choose Food Over Supplements

Costs less than supplements

Proteins, Carbohydrates, fats, vitamins, minerals & water

High dose supplements & a crappy diet = $$$ Urine!!

Page 33: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Diet SurveyDo you fuel up pre-

& post-exercise?Do you consume

some CHO, protein, & fat with every meal?

Do you optimally hydrate?

Do you eat more than once a day?

Do you feel energized all week, or are you extremely fatigued by the weekend?

Page 34: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Eat for Performance

Eat on regular basis

Eat within 1 hour of waking

Eat every 3-4 hours throughout the day

Eat something both pre- and post- exercise

Page 35: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Eat for Performance

Carbohydrates fight fatigue

Stay hydrated with Sports drinks or water during workouts

Protein –To help gain massCan add up to 30

grams dayAdd 4oz. lean meat

to meal

Page 36: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Protein Don’ts

Excess only increases fat mass

Don’t waste $ on amino acids – no benefit

Don’t eat protein alone – mix with carbohydrates

To increase weight – eat food more often!

Page 37: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

So… should you be studying for your next drug test?

Page 38: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

NCAA Drug Testing Program Update

D3 Championship testing only right now

Year-round Pilot program begins 8/07 (80 schools/2 years)

20 athletes chosen randomly

Test for all banned substances

Aggregate results reporting only (no sanctions)

Page 39: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

NCAA Banned Drugs and Supplements

Stimulants (e.g., amphetamine, ephedrine, synephrine, Ritalin, Ecstasy)

Anabolic agents (e.g., andro, THG)

Peptide hormones (human growth, EPO)

Street drugs (i.e., heroin and marijuana)

Diuretics and urine manipulators

Anti-Estrogens

Page 40: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

What about a Banned Substance if it is

Prescribed?Maybe…StimulantsBeta blockersDiureticsAnti-EstrogensPeptide hormones

(approval upfront)NOT for anabolic

steroidsMedical documentation

from attending physician

Legitimate needSchool must be aware

Page 41: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Banned or Not Banned?

Sports Medicine Staff Resource Exchange

Center

Web Search: www.drugfreesport.co

m/rec

Password:

ncaa3

Hotline:

877/202-0769

Page 42: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Breach of Drug Testing Protocol

Missing a test, tampering, adulterating, diluting, etc…

Shows bad intentCounts as a positive

testCounts as a steroid

positive

Page 43: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Sanction ChangesNCAA Sanctions• Maximum = 1 calendar

year & lose a season of competition

• May reduce penalty to next 50% if

• Athlete proves “no significant fault”

Sanction by Outside NGB• National & international

doping suspension following WADA Code

• Shall not compete in NCAA competition for the period of the suspension

Page 44: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

A Lot of People Think They Can Beat a Drug

Test

Internet/BooksAdulterantsDilutionSubstitution

Page 45: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program
Page 46: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Sports Drug Testing Procedures Prevent

Cheating Observed CollectionsCrew member of

same genderRinse hands prior (and

post! )

Provide sample in full view

Athlete maintains security of beaker/sample

Page 47: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Collection Procedures

Collector will determine specimen adequacy by measuring:

urine concentrationusing refractometer

pH using reagent strips

Page 48: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Drug Test Study Skills

Don’t use banned

substancesDon’t use

supplements that might contain banned substances

Contact the RECTalk to athletic

trainer or coach firstDon’t trust sales

staff or magazine ads

Page 49: Drug & Supplement Use in Sport - Illinois Wesleyan … · Drug & Supplement Use in Sport Don’t Wait ‘til URINE Trouble Illinois Wesleyan University September 9, 2007 . Program

Questions

Web Search:

www.drugfreesport.com/rec

Password: ncaa3Hotline:

877/202-0769