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Ergogenic Aids Ergogenic Aids • Any substance, man made or natural, that will artificially enhance performance by increasing strength, endurance, etc • Who uses ergogenic aids? • Placebo effects? • Ethical issues? Anabolic Steroids • • • • • Schedule III of Controlled Substances Act Usage began in the 1940’s Synthetic substance developed in 1953 IOC banned steroids in late 1960’s IOC instituted testing at 1976 Summer Olympics • 21 FB players banned from bowl games in 1987 • Recent increase in usage Effects of Anabolic Steroids • Mimics Testosterone • Androgenic Effects – male sex characteristics – want to limit these effects • Anabolic Effects – increase protein & creatine phosphate synthesis – increase muscle mass – increase aggressiveness **increase oxygen carrying capacity - not proven Anabolic Steroids - Sources • Prescription – anemia, replacement therapy, increase appetite, abnormal protein synthesis – NORMAL dose = 5-10 mg/day • Veterinarian • Black Market Anabolic Steroids - Administration • Oral – Dianabol, Android, Anadrol, Oxandrin – EXCESSIVE dose = >25-50 mg/day (200 mg/day) • Injection – Deca-Durabolin, DEPOTestosterone – EXCESSIVE dose = >100-200 mg/week • Programs – stacking - use of oral & injectable – pyramiding then usage – cycling - on/off (6-12 wks) Anabolic Steroids - Adverse • Psychological Effects – “roid rage” – mood swings, depression, euphoria – mania, recklessness • Physical – liver toxicity – muscle cramps – acne – balding, increase hair on body – water retention – heart abnormalities – premature closure of epiphyseal growth plates – alters fat metabolism – women - masculine Anabolic Steroids – More Adverse Effects • increase blood pressure • increase cholesterol • increase risk of HA • increase risk of liver cancer • body stops producing testosterone • tendon injuries • illness due to contaminated needles • increase in number of injuries? Drug Testing • Urine test • Test 1 hr. after announcing test • Masking agents – Benemid, Corticosteroids, DHEA, other substances • T/E Ratio – also measure concentration of testosterone and specific gravity DHEA (Dehydroepiandrosterone) • Natural steroid hormone produced in the adrenal glands – converted to testosterone – anabolic effects • Medicinal uses – heart disease, obesity, diabetes, amount in body decreases w/age • Masking agent – normalizes T/E ratio • Available as a supplement Androstenedione • Natural substance – produced in adrenal glands • Nutritional supplement • Anabolic effects, increase energy, enhance recovery Human Growth Hormone (Somatotropin) • Hormone secreted from pituitary gland • Effects – – – – stimulate protein synthesis stimulate growth increase muscle mass increase strength of muscles, tendons, etc Human Growth Hormone • Adverse effects – – – – acromegaly - large hands & feet abnormal shaped head increase size of heart, liver, kidneys increase cholesterol • Alternative to steroids – cheaper – harder to detect Beta Blockers (Beta1 antagonists) • Decrease activity in sympathetic N.S. • Medical uses - hypertension, angina pectoris, cardiac arrhythmias • Reasons for abuse by athletes – – – – cardiac palpitations, decrease HR muscle tremors hyperventilation anxiety, nervousness Blood Doping • Purpose - increase number of RBC to O2 carrying capacity • Technique – remove blood 5-6 wks. before event – freeze RBC – infuse RBC several days before event Blood Doping • Adverse effects – difficult to train – increase viscosity of blood • Risks – risk of blood clots, HA or stroke – infection – hepatitis **Difficult to detect • Eryrthropoietin(EPO) – human hormone Nutritional Supplements • Pharmaceutical vs. Nutraceutical – vitamin, mineral, herb, amino acid, metabolite, extract • 1994 Dietary Supplement Health and Education Act (DSHEA) – allowed manufacturers to distribute products w/o a prescription and outside FDA jurisdiction. – can only make general health statements Creatine • Effects – increase rate of creatine resynthesis during ex. – recycles ATP – prolongs onset of fatigue - decrease lactic acid accumulation – increase protein synthesis, increase muscle mass • Adverse effects – cramping, muscle strains – kidney problems; long term effects unknown – weight gain Chromium • Effects – – – – – regulates carbohydrate supply assists insulin - increase transport of glucose increase energy increase protein synthesis, increase muscle mass decrease body fat???? – Is a trace element – Be aware of liver toxicity – Is not banned by IOC or NCAA Bicarbonate Ingestion • Counteracts buildup of lactic acid in anaerobic events • Dosage needed >300 mg/kg (>35 tablets) • Adverse effects – diarrhea, electrolyte imbalance • Is not banned Nutritional Supplements • Pyruvate - decrease body fat ????? • Ephedrine (Ma Huang) – increase weight loss; many side effects • Guarana • Green Tea Leaf Extract • Willow Bark • L-Carnitine – burn fat faster Nutritional Supplements • Ginseng –increase power; affects energy systems; often combined w/ ephedrine • L-Glutamine – increase function of immune system • HMB – increase muscle mass; decrease fat