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IB DP Sports, Exercise and Health Science Study Notes

14.3.3 Banned Non-Nutritional Ergogenic Aids

In this comprehensive exploration, we delve into the complex world of non-nutritional ergogenic aids that are banned by the International Olympic Committee (IOC) and the World Anti-Doping Agency (WADA). For students of IB Sports, Exercise, and Health Science, understanding these substances, their mechanisms, and the rationale behind their prohibition is critical for a rounded knowledge in sports science.

Anabolic Steroids

What are Anabolic Steroids?

Anabolic steroids are synthetic compounds similar to the male hormone testosterone. They are used primarily to promote muscle growth and enhance physical performance.

Common Types

  • Nandrolone: Often used in bodybuilding for increased muscle mass.
  • Stanozolol: Favoured for its ability to improve strength without significant weight gain.
  • Trenbolone: Known for its powerful muscle-building effects.
  • Methandrostenolone: Popular for rapid muscle growth and strength enhancement.

Mechanism of Action

Anabolic steroids function by increasing protein synthesis within cells, leading to a build-up of cellular tissue, particularly in muscles. They also have the effect of decreasing the fat mass and increasing bone density.

Health Risks

  • Cardiovascular Diseases: Increased risk of heart attack and stroke.
  • Liver Damage: Particularly with oral steroids.
  • Psychological Effects: Including aggression, mood swings, and depression.
  • Endocrine Problems: Such as infertility and sex hormone imbalances.

Hormones

Overview

Hormones, as ergogenic aids, are substances that regulate and control various bodily functions. They are crucial in maintaining homeostasis and are often manipulated to enhance athletic performance.

Key Examples

  • Human Growth Hormone (HGH): Used for its anabolic effects in muscle growth.
  • Erythropoietin (EPO): Increases red blood cell mass, thereby improving oxygen delivery to muscles.
  • Insulin-like Growth Factor (IGF-1): Promotes muscle and bone growth and aids in recovery.

Mechanisms and Risks

  • HGH: Increases muscle mass and bone density but risks include joint pain, insulin resistance, and increased risk of certain cancers.
  • EPO: Enhances endurance but can lead to dangerous blood clotting issues.
  • IGF-1: Aids in muscle recovery but can contribute to abnormal growth and diabetes.

Diuretics

Function of Diuretics

Diuretics increase urine output and are often used by athletes to lose weight quickly or to dilute other banned substances in urine tests, making them harder to detect.

Common Diuretics

  • Furosemide: A potent diuretic causing rapid fluid loss.
  • Hydrochlorothiazide: Often used for its moderate diuretic effect.
  • Spironolactone: Also acts as an anti-androgen.

Health Implications

The use of diuretics can lead to severe dehydration, electrolyte imbalances, and kidney damage. In extreme cases, it can lead to renal failure.

Beta Blockers

Role in Sports

Beta blockers are primarily used in sports that require steadiness and precision, such as archery or shooting. They reduce anxiety and tremors during performance.

Examples

  • Propranolol: Widely used for its ability to manage anxiety symptoms.
  • Atenolol and Metoprolol: Commonly used for their heart-rate-reducing effects.

Health Concerns

Their use can lead to side effects like fatigue, cold extremities, sleep disturbances, and in severe cases, heart failure.

Stimulants

The Role of Stimulants in Sports

Stimulants increase alertness, reduce fatigue, and can enhance physical and cognitive performance, making them attractive to athletes in various sports.

Common Stimulants

  • Amphetamines: Increase focus and reduce fatigue but are highly addictive.
  • Cocaine: Provides a short-term energy burst but is illegal and highly addictive.
  • Ephedrine: Often used for its weight loss and energy-boosting properties.
  • Methylphenidate: Commonly known as Ritalin, used for increasing concentration.

Potential Side Effects

The risks include cardiovascular problems, addiction, and in extreme cases, psychological disorders like psychosis.

Ethical Considerations and Health Concerns

The use of these banned substances not only raises significant ethical concerns regarding sportsmanship and fair play but also poses serious health risks. Their misuse can lead to both acute and chronic health issues, some of which can be life-threatening. It is crucial for athletes and those involved in sports to understand these dangers and uphold the principles of clean and fair competition.

Regulatory Bodies and Their Role

The role of bodies like the IOC and WADA is central to maintaining the integrity of sports. These organizations establish and enforce rules regarding the use of performance-enhancing drugs, conduct drug testing, and promote education about the dangers of doping. Their efforts ensure a level playing field and protect the health and well-being of athletes.

FAQ

Diuretics are banned in sports primarily because of their ability to mask the presence of other performance-enhancing drugs. By increasing urine production, diuretics dilute the concentration of banned substances in the urine, making them harder to detect in drug tests. This property makes them a tool for athletes attempting to pass doping tests after using prohibited drugs. Additionally, diuretics can be used for rapid weight loss, which can provide an unfair advantage in sports with weight categories. However, this practice is extremely dangerous, as it can lead to severe dehydration, electrolyte imbalances, and cardiovascular strain.

Long-term misuse of stimulants can have severe impacts on an athlete's mental health. Chronic use can lead to dependency and addiction, where the individual becomes reliant on the drug to function normally. Withdrawal symptoms can include depression, fatigue, and irritability. Prolonged stimulant abuse can also lead to serious mental health issues like anxiety disorders, paranoia, and in severe cases, psychosis, characterised by delusions and hallucinations. The altered brain chemistry due to long-term stimulant misuse can make recovery and return to normal mental health a challenging process, often requiring professional medical and psychological intervention.

Anabolic steroids do have legitimate medical uses, primarily in treating conditions that cause muscle wastage, such as cancer or AIDS. They are also used in hormone therapy for transgender men and in treating delayed puberty in boys. In these medical contexts, steroids are prescribed in controlled doses under strict medical supervision. This contrasts sharply with their misuse in sports, where athletes use doses much higher than those recommended for medical treatment, often without medical supervision. This misuse significantly increases the risk of adverse health effects and also violates the ethical standards of fair competition in sports.

EPO (erythropoietin) and HGH (human growth hormone) are of particular concern in endurance sports due to their significant impact on endurance and recovery capabilities. EPO increases the oxygen-carrying capacity of the blood by boosting red blood cell production, giving athletes an unfair advantage in terms of endurance and aerobic capacity. HGH, on the other hand, aids in quicker recovery from training and injuries, allowing athletes to train harder and more frequently than would naturally be possible. These enhanced abilities disrupt the level playing field, giving users an unethical advantage over competitors who adhere to the rules of fair play.

Beta blockers are particularly beneficial in sports requiring precision and steadiness, such as archery or shooting. By blocking the effects of adrenaline, they help in reducing anxiety, heart rate, and tremors during performance. This action is crucial for athletes in precision sports, where even minor involuntary movements can significantly impact performance. Additionally, by reducing the physical symptoms of anxiety, such as shaking hands, beta blockers help athletes maintain better control and focus during competition. However, it's important to note that while they can enhance performance in certain sports, their use is considered unethical and is banned in competitions.

Practice Questions

Explain the mechanism of action and potential side effects of using anabolic steroids as a performance-enhancing drug.

Anabolic steroids mimic the effects of naturally occurring testosterone, leading to increased protein synthesis within muscle cells. This process results in greater muscle mass and strength, significantly enhancing physical performance. However, the use of anabolic steroids can have detrimental side effects. These include cardiovascular issues such as increased risk of heart attacks and strokes, liver damage, especially in oral forms, hormonal imbalances leading to conditions like gynecomastia, and psychological effects including heightened aggression and mood swings. Long-term use can also result in infertility and other reproductive system disorders.

Describe the ethical implications of using stimulants in competitive sports and outline the potential health risks associated with their misuse.

The use of stimulants in competitive sports raises significant ethical issues, primarily concerning fairness and the integrity of sports. Using stimulants gives athletes an unfair advantage over competitors, violating the principles of fair play. Health-wise, stimulants pose serious risks. They increase heart rate and blood pressure, leading to cardiovascular problems, and can cause psychological effects like addiction and, in extreme cases, psychosis. Long-term misuse can lead to severe health issues like heart failure and mental health disorders. Therefore, the use of stimulants not only undermines the ethical foundations of sports but also poses grave health risks to athletes.

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