Competition for its own sake not enough
In all manner of sports, the urge to win at any cost has become overwhelming. It is no longer a matter of competing with others with the same training and expertise; competition is not satisfying, and victory alone counts. Having fought the good fight and enjoyed the stimulant of competition, it is seen as failure to come second or third.
The problem now is that no holds are barred when it comes to using pharmacological
aids to success. Doping with physiological stimulants is almost de rigeur in
international competitions. Hormones such as anabolic steroids, growth hormone
and erythropoietin are constantly in the news.
In Nature for 8 July, John Honour of University College London has discussed
some of the problems faced in employing analytical methods of detection to establish
whether or not an athlete has, either deliberately or inadvertently, taken a
forbidden substance before a competitive event. He points out that the World
Anti-Doping Agency is asking for a stronger line to be taken against athletes
testing positive for a proscribed drug. Yet this involves the difficult situation
where a right balance must be achieved between catching the cheats and setting
practically impossible standards, as has been found during recent experience
with nandrolone. A mere positive or negative result from a drug test is not enough,
and the common consumption of nutritional supplements available today created
problems.
Although many athletes take nutritional supplements which help to maintain normal
blood levels of proteins, aminoacids, carbohydrates, vitamins, minerals and salts,
they have been advised not to do so. A recent analysis of 640 non-hormonal nutritional
supplements has revealed low levels of 11 anabolic steroids in 94 products.
Testing today must take account of about 250 drugs, in contrast to the 20 found
when testing was first introduced in 1968. Every year the number increases. Precautions
have to be taken to ensure that urine samples are not deliberately contaminated.
It is not easy for an athlete to be certain that a medication bought over the
counter is free from prohibited substances. Cough medicines containing ephedrine
or pseudoephedrine are notorious for causing positives in drug tests. Some nutritional
supplements may include natural products of uncertain and variable composition,
since they are not regulated in the same way as established pharmaceuticals.
An improved approach might be to consider what level of consumption of the substance
might be necessary to enhance physical performance and adjust testing thresholds
accordingly. Injected nandrolone may remain in the body for months, whereas taken
in a supplement it is cleared within 48 hours. Where testosterone is concerned,
a prolonged period of observation is necessary, and the same precaution should
be observed with nandrolone. Creatine is taken to enhance metabolism and insulin
to restore tissue glucose delivery, but, curiously, insulin is at present banned,
but not creatine. Tests for a new steroid, tetrahydrogestrinone, have been devised,
and new ones for growth hormone and erythropoietin are being developed.
Those who support doping control argue that it acts as a deterrent to cheating.
Testing methods will only deter if they are universally believed to be reliable
and offer no loopholes. Unfortunately, nandrolone does not meet the criteria.
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