Sport specialisation and performance-enhancing substance use by young athletes

Objectives To investigate the association of reported legal performance enhancing substance (PES) use and consideration of banned PES use among sport-specialised and non-sport-specialised young athletes.Methods and design Cross-sectional study of 1049 young athletes enrolled in an injury prevention...

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Main Authors: Michael O'Brien, William P Meehan, Dai Sugimoto, Patricia Miller, Andrea Stracciolini, Michael McNaughton, Danielle L Hunt
Format: Article
Language:English
Published: BMJ Publishing Group 2023-10-01
Series:BMJ Open Sport & Exercise Medicine
Online Access:https://bmjopensem.bmj.com/content/9/4/e001702.full
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author Michael O'Brien
William P Meehan
Dai Sugimoto
Patricia Miller
Andrea Stracciolini
Michael McNaughton
Danielle L Hunt
author_facet Michael O'Brien
William P Meehan
Dai Sugimoto
Patricia Miller
Andrea Stracciolini
Michael McNaughton
Danielle L Hunt
author_sort Michael O'Brien
collection DOAJ
description Objectives To investigate the association of reported legal performance enhancing substance (PES) use and consideration of banned PES use among sport-specialised and non-sport-specialised young athletes.Methods and design Cross-sectional study of 1049 young athletes enrolled in an injury prevention programme from 2013 to 2020. We used logistic regression modelling to determine the independent association between sports specialisation. We reported (1) legal PES use and (2) consideration of banned PES use after adjusting for the effects of gender, age, having a relative as a coach, unrestricted internet access, use of a weight training regimen, and weeknight hours of sleep.Results The final cohort consisted of 946 athletes with a mean age of 14. 56% were female, and 80% were sport-specialised athletes. 14% reported legal PES use, and 3% reported consideration of banned PES use. No difference was found between sport-specialised athletes who reported legal PES use (OR=1.4; 95% CI 0.81 to 2.43; p=0.23) or consideration of banned PES use (OR=3.2; 95% CI 0.78 to 14.92; p=0.1) compared with non-sport-specialised athletes. Reported legal PES use was more common among athletes who were male, older, used weight training, and slept less. Reported consideration of banned PES use was more common among male and older athletes.Conclusions PES use is not independently associated with sport specialisation in young athletes. Athlete sex, age, training, and sleep patterns are important factors for young athletes to consider in PES use.
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spelling doaj.art-78f789998bd74d099dee8b822629e64e2024-10-09T13:15:11ZengBMJ Publishing GroupBMJ Open Sport & Exercise Medicine2055-76472023-10-019410.1136/bmjsem-2023-001702Sport specialisation and performance-enhancing substance use by young athletesMichael O'Brien0William P Meehan1Dai Sugimoto2Patricia Miller3Andrea Stracciolini4Michael McNaughton5Danielle L Hunt6The Micheli Center for Sports Injury Prevention, Walham, MA, USADivision of Sports Medicine, Boston Children’s Hospital, Boston, MA, USAFaculty of Sport Sciences, Waseda University, Tokyo, JapanDepartment of Orthopaedics, Boston Children`s Hospital, Boston, MA, USADivision of Sports Medicine, Boston Children’s Hospital, Boston, MA, USADepartment of Pediatrics, Brown University Hasbro Children’s Hospital, Providence, MA, USADivision of Sports Medicine, Boston Children’s Hospital, Boston, MA, USAObjectives To investigate the association of reported legal performance enhancing substance (PES) use and consideration of banned PES use among sport-specialised and non-sport-specialised young athletes.Methods and design Cross-sectional study of 1049 young athletes enrolled in an injury prevention programme from 2013 to 2020. We used logistic regression modelling to determine the independent association between sports specialisation. We reported (1) legal PES use and (2) consideration of banned PES use after adjusting for the effects of gender, age, having a relative as a coach, unrestricted internet access, use of a weight training regimen, and weeknight hours of sleep.Results The final cohort consisted of 946 athletes with a mean age of 14. 56% were female, and 80% were sport-specialised athletes. 14% reported legal PES use, and 3% reported consideration of banned PES use. No difference was found between sport-specialised athletes who reported legal PES use (OR=1.4; 95% CI 0.81 to 2.43; p=0.23) or consideration of banned PES use (OR=3.2; 95% CI 0.78 to 14.92; p=0.1) compared with non-sport-specialised athletes. Reported legal PES use was more common among athletes who were male, older, used weight training, and slept less. Reported consideration of banned PES use was more common among male and older athletes.Conclusions PES use is not independently associated with sport specialisation in young athletes. Athlete sex, age, training, and sleep patterns are important factors for young athletes to consider in PES use.https://bmjopensem.bmj.com/content/9/4/e001702.full
spellingShingle Michael O'Brien
William P Meehan
Dai Sugimoto
Patricia Miller
Andrea Stracciolini
Michael McNaughton
Danielle L Hunt
Sport specialisation and performance-enhancing substance use by young athletes
BMJ Open Sport & Exercise Medicine
title Sport specialisation and performance-enhancing substance use by young athletes
title_full Sport specialisation and performance-enhancing substance use by young athletes
title_fullStr Sport specialisation and performance-enhancing substance use by young athletes
title_full_unstemmed Sport specialisation and performance-enhancing substance use by young athletes
title_short Sport specialisation and performance-enhancing substance use by young athletes
title_sort sport specialisation and performance enhancing substance use by young athletes
url https://bmjopensem.bmj.com/content/9/4/e001702.full
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