Drugs in Sports
By Dale Magnuson
August 20, 1998
I. Introduction

Sports have always been competitive. Some people will go to any extreme to gain the competitive edge. Many athletes will ignore the consequences just to gain a small amount of fame. In almost all cases the drug user is caught and must pay the consequences. The popular phrase "cheaters never win" usually is proven in athletics. Sometimes, an athlete will slip through the cracks and not get caught. This athlete will always remember that they did not really win. Is it really worth the long-term pain for the short-term fame?

This project will attempt an overview of certain key aspects of drug use during athletics. Obviously, not all aspects of drug use/abuse can be discussed in this project, but many key points will be included.

II. Drugs Used / Educational Levels
  1. What drugs are used?

  2. Study: NCAA news
    Who: 13,000 athletes, 18 men's sports, and 15 women's sports
    What: Ergogenic (performance enhancing) and recreational drugs including: amphetamines, anabolic steroids, alcohol, marijuana, smokeless tobacco, and ephedrine.

  3. Illegal drugs

  4. Marijuana use:
    Marijuana is the second most commonly used recreational drug, its use is approximately one third that of alcohol: 80 percent to 28 percent, respectively.

    Alcohol: (not completely legal, but not allowed by NCAA)
    Alcohol is by far the biggest recreational drug problem on college campuses. Almost 80 percent of athletes studied said that they used alcohol.

    Anabolic Steroids:
    According to The NCAA News "anabolic steroid rate for football players (2.2 percent) was higher than most of the sports surveyed, men's water polo actually had a higher rate of use: 2.8 percent. While football has received the most attention in this area and undergoes year-round random testing in Divisions I and II, there are many other sports, such as men's water polo and baseball, that have significant usage of anabolic steroids."

  5. Legal Drugs

  6. Herbal energizers / Ergogenic drugs:
    Currently, there are over a hundred types of over-the-counter stimulants sold in US. These over-the-counter stimulants are sold as "herbal energizers," food supplements, and fatigue reducers. The advertising makes them appear healthful and harmless. All of these stimulants belong in the class, sympathomimetic amines, a potentially dangerous and addictive class of drugs similar in structure and actions to amphetamines.

    Ephedrine:
    Ephedrine seems to be more of an issue at the high school level rather than at the college level. According to the NCAA News "only three percent of athletes had used ephedrine in the preceding 12 months; 50 percent of the users stated that they took it to improve athletics performance. Because of this information the NCAA added ephedrine to its banned substance list for the 1997-98 season." (NCAA News)
    • The types and effects of sympathomimetic amines
      These are a class of drugs that imitate the actions of the sympathetic nervous system. The sympathetic nervous system stimulates the fight or flight responses. This causes what we all know as "an adrenaline rush." Most of the responses are the result of the release of two hormones, epinephrine (adrenaline) and nor-epinephrine (nor-adrenaline).

Summary of Sympathetic Nervous System Arousal
IncreasesDecreases
  • Alertness
  • Anxiety
  • Heart rate
  • Cardiac output
  • Blood pressure
  • Respiration rate
  • Muscle tension
  • Perspiration
  • Urination
  • Blood supply to skeletal muscles & brain
  • Dilation of pupils & bronchioles
  • Blood sugar production
  • Saliva production
  • Digestion
  • Sexual function
  • Blood to internal organs
  • Sleep & REM cycle
  • Appetite
  • Fatigue
  • Concentration
(Taken from Herbal Energizers)


The most common types of stimulants used in over-the-counter stimulants are caffeine, ephedrine, pseudo-ephedrine, and phenylpropanalomine. These drugs have legitimate use as antihistamines, cold medications, and for asthma relief and are found in many over-the-counter medicines. The desired main effects are bronchial dilation, sinus drying, and drowsiness.

The side effects of over-the-counter stimulants
Most of these stimulants, if taken in small reasonable doses, will not cause harm to the individual in any way. The FDA requires that over-the-counter medications have clear instructions and warnings. Unfortunately, all drugs affect different individuals in different ways.

One of the main problems with any drug is that the body builds up a tolerance to it, therefore, the individual will need to increase the dosage to get the same desired affects. With increased dosages comes an increased risk of side effects. Withdrawal effects upon ending use of the drug will follow increased dosages. The most common side effects of these stimulants include anxiety to agitation, alertness to disorientation, increased muscle tension and shakes, mildly elevated heart rate to tachycardia or dangerously elevated heart rate. Appetite is suppressed although the large intestine and bowel may be stimulated. Urine production is increased, as is blood glucose production. Temperature elevation can range from mild to severe overheating.

According to the latest information I could find, the FDA is currently examining tightening of regulations of ephedrine sales and distribution. (Substance Abuse Finding News, 1995). Ephedrine can cause heart palpitations, hypertension, nerve damage, muscle injury, psychosis, stroke and death. Pseudo-ephedrine is nearly identical in structure and effects to ephedrine. The main effects, side effects, and risks are essentially the same between the ephedrine and pseudo-ephedrine and both drugs are on the banned lists for most athletic unions.

Combining any of these drugs can cause severe overdose effects. Even taking the drug and washing it down with a cup of coffee can cause a severe overdose. A false sense of security may surround the use of over-the-counter stimulants but these drugs are only save when used as recommended and in the doses recommended. The uninformed user of these drugs may accidentally overdose as the result of the combined or synergistic effects of multiple drug use.

III. At what levels are athletes using drugs most?

  1. Separation of educational / sport levels

  2. (Taken from NCAA News)
    Division I
    Drug use was lowest here for all drugs in the study

    Division II
    Highest percentage smokeless tobacco and ephedrine

    Division III
    Highest percentage for amphetamines, anabolic steroids, alcohol, and marijuana

    There is very little institutional drug testing at division II and III. The NCAA conducts drug testing only at championship events and year-round for division II football.

IV. How much are athletes really using drugs?

  1. Where are drugs started?

  2. All athletes want that competitive edge over their competition. According to advertisers the easiest way to get that edge is by taking stimulants. Drugs are most visualized by advertising ploys. As stated in the Herbal Energizers article, "advertisers of food supplements, some of which contain stimulants target young weightlifters, bodybuilders, and athletes by using words and phrases which remind the reader of anabolic steroids such as "..has twice the anabolic effect." They use terms like "herbal," "natural," and "nutrition supplement" to give the impression that these are healthful and harmless substances."

  3. Do athletes who use drugs affect young impressionable athletes?

  4. We are in a society nowadays that showcases our stellar athletes. If it comes out that one athlete's role model was a drug user/abuser then young, impressionable athletes may feel that it is all right for them to use drugs. An uninformed athlete may feel inclined to use the same drug to feel the same affects. This probably relates to the high school level more than the college level.

    The NCAA News ran a study that looked only at college athletes. Their study cleared up a myth that the majority of college athletes feel they must take drugs to "keep up with their competition." Their study found that 87 percent of the student-athletes surveyed disagreed with the above statement. Furthermore 94 percent felt that college athletes use drugs less than other college students. It is important to remember that while accounts of individual student-athletes using drugs make newspaper headlines, the majority of student-athletes do not use illegal substances.

  5. How young have athletes started to use drugs?

  6. Searching the Internet I ran across a news clip from ABCnews.com. The headlines were "Think steroids are just an adult problem? Think again." To summarize the rest of the article, surveys found that boys and girls as young as 10 are taking the illegal drugs in order to do better in sports. The survey found that 2.7 percent of 965 youngsters polled at four Massachusetts middle schools are using anabolic steroids.

    Where will is stop? If 10-year-old children are using illegal drugs what will they be using once they enter college? Where are children getting illegal drugs? What should the coach be doing about this? Is the coach putting to much pressure, or not enough? These are questions that need to be answered on an individual athlete basis.

V. Coach's Role

  1. How should the coach respond to alcohol/drug prevention?
  2. The coach can be one of the most significant role models in the athlete's life. The younger the athlete, the more voluntarily he/she participates and the more influential the coach will be. Coaches must realize the important roles that they play in preventing alcohol and other drug abuse.

    A study that the National Youth Sports Coaches Association in 1989 demonstrated that young athletes identify somewhat with the drug-using behavior. Over 1,200 athletes between the ages of 10-14 were surveyed and the results showed that:
    • 43% felt that steroids would not harm an athlete if they were used carefully.
    • 45% felt that steroid use was likely to improve their performance.
    • 15% indicated they might use steroids to enhance their performance.
    • 12% stated they knew where to obtain steroids.
    • 4% noted that they had already been offered steroids.
    • 2% were presently on steroids

    The findings of this study indicate a lack of knowledge about steroids and drug use in general. Are we teaching young children of society that drugs are a "quick fix" to achieve athletic success? Coaches as well as parents need to learn how to educate young athletes better about drug use.

    A publication, as reported in the Clearinghouse Fact Sheet, stated that "coaches exert a tremendous influence upon their players and are an important factor in helping to establish positive self-esteem in their athletes." The article also stated "that 6-12 years after a group of swimmers had stopped competing, they still rated their former coaches as the most significant adults in their lives." This shows that coaches need to play many roles as teachers and role models, as well as coaches. Coaches need to educate as well as be educated.

VI. Olympics/FINA

  1. How much of an impact do FINA and the IOC place on illegal performance enhancing drugs?

  2. While FINA and the IOC are under great pressure they have increased drug testing and awareness. An examination of FINA's financial report for 1992-96 shows that drug testing ranked ninth on its list of top 10 expenses. The same is true for the IOC, where only a small fraction of one percent of its $4 billion budget it being spent on drug testing and research.

    Swimming World suggests that FINA should publish on the internet the number of unannounced tests, who has missed or avoided testing, and who has been tested, when, where and with what results. This would increase the power that the IOC and FINA have over drug testing athletes.

  3. How are drug tests done?

  4. Most drug testing programs for amateur athletics are modeled after the International and US Olympic Committees (IOC and USOC) drug testing programs. All of the common stimulants found in over-the-counter medications as well as herbal energizers are listed as banned substances by the International and US Olympic Committees and the National Collegiate Athletic Association.

  5. How do Olympic athletes feel about drug use?

  6. The Clearinghouse Fact Sheet cited a study conducted in 1984 where members of the American Olympic Team were asked if they would take a "magical solution" that would guarantee them a gold medal, but would cause severe health problems within 2-3 years. A high percentage of them indicated that it would be worth the risk in order to win a medal. Does this show that drugs encourage athletes to take a risk? Why would the "best" athletes in the world be willing to take drugs with guaranteed harmful side effects? This shows that the IOC needs to take a stronger stand on educating athletes about drugs.

  7. What have the Chinese athletes shown in recent drug studies?

  8. Swimming World, March 1998 Volume 39 No. 3 Pg. 22-25

    The Great Gall of China
    Still more Chinese cheats were "caught in the act" in the ongoing drug scandal, and their nation was justly discredited.
    Few were surprised that the Chinese had been cheating. After all, they already had a record, 23 positive tests and a set of highly suspicious world-leading results from October. But most were astounded that an insider that would provide a peephole through the Great wall catching them in circumstances that suggested either stupidity or a cry for help-a deliberate slip.

    Are these Olympic athletes showing other athletes that it is ok to use drugs? In the case of the Chinese athletes there are a lot of questions to ask. With a communist government, are they being forced to take drugs to win? This is more of an argument of culture differences. Still, drugs are illegal in the Olympics and the Chinese know that, but are we to blame the athletes. This article shows that the athletes were making a "cry for help" by revealing that they used drugs.

  9. What have the German athletes shown in recent drug studies?

  10. Swimming World, February 1998 Volume 39 No. 2 Pg. 12-13

    Disclosures of East German Doping

    There was, in fact, widespread use of performance-enhancing drugs by East German athletes, including swimmers, in the decades before German reunification. This abuse of anabolic steroids and other banned substances by the East German sports establishments has been the subject of an ongoing criminal investigation by the Berlin prosecutor's office. The criminal investigation is focused on administration of physically damaging drugs to athletes who were minors at the time.
    Many U.S. Athletes dedicated their lives to swimming, only to be cheated out of the success and recognition that they deserved by East Germans who were competing with the advantage of performance-enhancing drugs.

    The East German case, similar to the Chinese one is a case of a communist government. If an athlete is being forced to use drugs, should they be punished? We do not know the entire story in either situation, but how guilty is the athlete in each case. Either way the athlete who is true and does not use drugs gets beat out of the medal they truly deserve.

  11. What is still happening on the drug front?

  12. Swimming World, October 1997 Volume 38 No. 10 Pg. 10-11

    Lane 9

    The news is glum on the drug front. The IAAF-track and field's international governing body- announced it was reducing the penalty for testing positive for steroids form four years to two. A similar proposal was introduced by FINA's executive committee a few months ago, but was defeated. Speculation now is that the pressure will be on FINA next January to follow the IAAF's lead and reduce the penalty to two years for swimmers testing positive for steroids.

    Freeze-dried Urine. Wanna beat your drug test? A firm is marketing a produce to help people pass drug tests, or as the firm's pamphlet puts it, "keep one step ahead of the bladder cops." The freeze-dried urine, which is added to warm water, is "guaranteed drug-free."

    There is no excuse for "needing" to use drugs. Why should it be legal for anyone to market "Freeze-dried Urine"? This is like persuading the athlete to use illegal drugs. Is it legal to pursued someone to use illegal drugs? Society needs to educate individuals that drugs have harmful side-effects and are not worth risking health for.

VII. Conclusion
    Parents, coaches, and teachers can take action in two ways: First, they should educate themselves about drugs and second they need to educate athletes, especially young impressionable athletes, on the marketing ploys, the side effects, and the risks of drugs use/abuse. Weather it is legal or illegal drug abuse can cause harmful side effects. Drug use is something that can be controlled if people are properly educated about it. Athletes need to realize that drugs are not a "quick fix" for athletic success.

Bibliography

Baker, Richard Ed.D. "The Coach's Role in Alcohol/Drug Prevention." Clearinghouse Fact Sheet. 1992.

"Drugs..." Swimming World October 1997 Volume 38 No. 10: 10-11.

"Drugs Update" Swimming World April 1998 Volume 39 No. 4: 10-12.

Green, Gary A. M.D. "Seven Myths About Athletes and Drugs." The NCAA News

Jenkins, Andrew P. "Herbal Energizers: Speed By Any Other Name."

Lord, Craig. "The Great Gall of China." Swimming World March 1998 Volume 39 No. 3: 22-25.

Lord, Craig. "What is Growth Hormone?" Swimming World April 1998 Volume 39 No. 4: 28-29.

"More Middle-Schoolers Taking Steroids." ABCNEWS.com.

Stash. Drugs in Sports. Madison: Stash Press, 1974.

Zaleski, Carol. "Disclosures of East German Doping." Swimming World February 1998 Volume 39 No. 2: 12-13
Dale Magnuson
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