
This indicates that recreational athletes who played Games in 2019 were more prone to intentionally use prohibited performance-enhancing substances compared to recreational athletes from other sports categories (see Additional file 2 for details on the calculations). The first two questions addressed behavior that is not prohibited, but that may nevertheless be socially disapproved (Fig. 4, the two bars to the left). Approximately 10 percent of the population indicate that they have used over-the-counter medication for performance enhancement. However, as instruction non-compliance is 20 percent, the true estimate for the prevalence of over-the-counter medication for performance enhancement is at least 10 percent but could be up to a maximum of 30 percent. As regards the use of medication for training or competition for purposes other than performance enhancement, 44 percent report such use. Noteworthy, instruction non-compliance for this question is 37 percent, so while 44 percent is the lower limit of the true prevalence, it could possibly be up to 81 percent.
Athletes On Drugs: Symptoms and Signs
In the NBA, all players are subject to four random tests per season, and the league conducts reasonable-cause testing. Similarly, in the NFL, players are tested up to three times per year at random. Surprisingly, in the MLB, players are only subject to the test within five days of reporting for spring training and one other test on a randomly selected date, in addition to random tests in and out of season. The NFL and MLB also test for “drugs of abuse” (recreational drugs, i.e., marijuana, cocaine, etc) and the NBA, similarly, tests for cocaine, opiates, PCP, LSD and marijuana. Adderall is typically prescribed for ADHD and other related conditions as a way to help the patient focus, remain calm, and maintain concentration.
NCAA Removes Cannabis from Banned List of Drugs in Postseason Play for Some Athletes
Blood doping can present the athlete with the risk of diseases such as HIV, hepatitis B, and C. Even with the athlete’s blood, there are still risks, such as blood clots, stroke, and heart attack. Erythropoietin is a hormone produced by the kidneys drug use in sports in response to insufficient oxygen in the body cells. It functions by stimulating the production of red blood cells in the bone marrow. This substance increases how much oxygen the muscles get, which helps keep them non-fatigued and primed.
Doping in sport
- Sir Craig Reedie, Wada’s president, maintains more can be done, urging governments to criminalise doping and suggesting, external a blanket ban on countries whose athletes regularly dope could be introduced.
- They are most frequently affiliated with Alcoholics Anonymous or Narcotics Anonymous (AA/NA).
- It is important for athletes who use drugs in sports to seek help as soon as possible, as a drug test for athletes is a regular occurrence, and one random test could severely affect their reputation.
- Consequently, the vulnerability thesis has less explanatory power in recreational sports than it has in elite sports.
A focus on education and helping these athletes see their potential without drugs in sports is vital to keeping them clean. It is also essential to establish a moral framework that helps the athlete see that doping isn’t the right choice, even if others are doing it. When athletes on drugs are looking for information on substance abuse treatment, confidentiality tends to be one of their biggest considerations.
Alcohol Abuse and Drug Use in Sport and Performance

An example of a well-known environmental intervention involved raising the drinking age in the United States from 18 to 21, which resulted in a decrease in alcohol consumption and traffic crashes (Wagenaar & Toomey, 2002). A number of effective intervention and prevention strategies for alcohol abuse and drug use have been identified. This section of the chapter will address those strategies that have been well-studied and have the strongest empirical support. When possible, research that has examined these approaches specifically among athletes is presented here. Most of these studies focus on alcohol use, but in some cases their findings may translate to other substances.
Data Sources:
Competing at a high level appears to be somewhat protective in some areas of sport outside of the concept of doping. It can be surmised that this paradigm may change after certain events such as injury and retirement which may lead to more vulnerability. Some anecdotal reports have demonstrated this point but still more work needs to be done in the area. Prevention is crucial in the process of reducing the risk of addiction with education, identification and implementing testing to trigger negative consequences for those who are caught using. Further examination of these policies may be warranted to balance the deterrent aspect with the idea of incorporating a welcoming environment where athletes feel comfortable seeking help. Most of the available literature primarily looks at substance use in adolescent and college athletes with more emphasis on alcohol predominately and is limited in relation to treatment modalities.

Opioid Use in Athletes: A Systematic Review

Russia’s humiliating ban from the Winter Olympics is the right move to protect integrity in sport
