Doping Control for the Team Physician

  title={Doping Control for the Team Physician},
  author={G. Green},
  journal={The American Journal of Sports Medicine},
  pages={1690 - 1698}
  • G. Green
  • Published 2006
  • Medicine
  • The American Journal of Sports Medicine
Drug testing is now ubiquitous in sport, and it often falls to the team physician to perform a variety of roles including interpreting test results, designing drug-testing programs, acting as medical review officer, and providing therapeutic use exemptions, education, and counseling. Proper understanding of current testing methods for drugs such as anabolic-androgenic steroids, erythropoietin, and growth hormone is essential if the team physician is going to assume these positions. This article… Expand
Treating the elite athlete: anti-doping information for the health professional.
This review aims to provide an overview of the World Anti-Doping Agency Prohibited List, Therapeutic Use Exemptions, roles and responsibilities of the health professional, as well as provide resources that will guide their work with athletes. Expand
The Drug Testing Process
The SUBSTANCes that are prohibited will be identified and the drug testing procedure will be explained in this paper. Expand
The world anti-doping program and the primary care physician.
The procedures for the proper preparation and submission of TUE requests are presented along with the manner in which the requests are considered by the Therapeutic Use Exemption Committees. Expand
Use of Addictive Medications and Drugs in Athletics
Publisher Summary This chapter focuses on the historical perspective of drug use among athletes, elaborates on the reasons athletes use substances, and describes in detail both specificExpand
Toxicology of Substances that Affect Performance and Behaviour
The use of drugs to enhance performance has become a matter of increasing concern in recent years. However, with the advent of a greater range of pharmacologically active substances, and theExpand
Optical method for the screening of doping substances
During the last years, an increased misuse of doping substances in sport has been observed. The action of doping substances characterized by the stimulation of blood flow and metabolic processes isExpand
A Review of Men's Health and Masculinity
The authors review these areas and then discuss each of the top actual causes of death for men: tobacco use, poor diet, alcohol use, and physical inactivity, and discuss the important issue of steroid use among men. Expand
High intensity exercise: health and performance perspectives
It is illustrated that supramaximal intensity exercise enhanced health-related outcomes and has provided an initial insight into the minimum duration of exercise that is required to induce health benefits. Expand
Skin Conditions of Baseball, Cricket, and Softball Players
The diagnosis and best-practice management of skin diseases that can develop as a result of participation in baseball, softball, and cricket are discussed. Expand
Micellar liquid chromatography in doping control.
Micellar LC (MLC) that uses hybrid mobile phases of surfactant above its critical micellar concentration and organic solvent has been revealed as an interesting alternative for doping control in sport. Expand


Ergogenic Aids: A Review of Basic Science, Performance, Side Effects, and Status in Sports
The use of drugs and supplements to enhance performance has become a part of mainstream athletics. Many team physicians and sports medicine practitioners are unfamiliar with the benefits and risks ofExpand
Sports Physicians and the Doping Crisis in Elite Sport
  • J. Hoberman
  • Medicine
  • Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine
  • 2002
Physicians have played a significant, and largely unacknowledged, role in the doping of many elite athletes over the past 50 years. Expand
Effects of a multidimensional anabolic steroid prevention intervention. The Adolescents Training and Learning to Avoid Steroids (ATLAS) Program.
This AAS prevention program enhanced healthy behaviors, reduced factors that encourage AAS use, and lowered intent to use AAS over the period of 1 year. Expand
Issues in detecting abuse of xenobiotic anabolic steroids and testosterone by analysis of athletes' urine.
Among ancillary tests to help discriminate between naturally increased T/E values and those reflecting T use, the most promising is determination of the carbon isotope ratio. Expand
Preventing substance use and disordered eating: initial outcomes of the ATHENA (athletes targeting healthy exercise and nutrition alternatives) program.
Sport teams are effective natural vehicles for gender-specific, peer-led curricula to promote healthy lifestyles and to deter disordered eating, athletic-enhancing substance use, and other health-harming behaviors. Expand
Nandrolone excretion is not increased by exhaustive exercise in trained athletes.
This study provides compelling evidence that endogenous nandrolone production in male athletes, during two very different types of exercise, produces urine levels far below the IOC threshold of 2 ng.mL(-1) urine, and thus exercise does not induce endogenous n androlone secretion. Expand
The American Journal of Sports Medicine
  • 2005
An invaluable resource for the orthopaedic sports medicine community, The American Journal of Sports Medicine is a peer-reviewed scientific journal, first published in 1974, and the officialExpand
Detection of recombinant human erythropoietin abuse in athletes utilizing markers of altered erythropoiesis.
It is confirmed that r-HuEPO administration causes a predictable and reproducible hematologic response and this work establishes an indirect blood test which offers a useful means of detecting and deterring r- HuEPO abuse. Expand
Significance of 19-norandrosterone in athletes’ urine samples
  • C. Ayotte
  • Medicine
  • British Journal of Sports Medicine
  • 2006
Nandrolone and other 19-norsteroid potent anabolic steroids have been prohibited in sports for 30 years. The detection of the main urinary metabolite—19-norandrosterone—in amounts greater than 2Expand
Anabolic agents.
This article provides a comprehensive but practical discussion of four anabolic agents used by athletes. Anabolic-androgenic steroids, dehydroepiandrosterone, human growth hormone, and insulin-likeExpand