Use of analgesics in professional soccer players: A systematic review

Objective: Use of painkillers appears to have become a widespread issue in the sporting environment as athletes pursue successful pain relief during competitions. We conducted a systematic review on the prevalence of analgesics use in soccer, using literature from January 1980 to July 2021. Methods:...

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Main Authors: Thomas Zandonai, Juan José Lozano, Mónica Escorial, Ana M. Peiró
Format: Article
Language:English
Published: Elsevier 2023-07-01
Series:Apunts Sports Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666506923000147
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author Thomas Zandonai
Juan José Lozano
Mónica Escorial
Ana M. Peiró
author_facet Thomas Zandonai
Juan José Lozano
Mónica Escorial
Ana M. Peiró
author_sort Thomas Zandonai
collection DOAJ
description Objective: Use of painkillers appears to have become a widespread issue in the sporting environment as athletes pursue successful pain relief during competitions. We conducted a systematic review on the prevalence of analgesics use in soccer, using literature from January 1980 to July 2021. Methods: The systematic review followed PRISMA guidelines. Studies were obtained from the Cochrane Library, PubMed, Scopus, and Web of Science (WOS) databases. In total, 213 articles were found where 14 were selected. The risk of bias was assessed using the NIH scale for prevalence studies and the PEDro quality scale for randomized control trials (RCTs). Results: Less than 3% of the literature were randomized studies (n=10 observational; n=4 double-blind trials) and only 2 studies included females. At least 54% of the research subjects consumed analgesic drugs during the course of their tournaments, and nearly half of them (39-67%) did so before each match, mostly in the form of non-steroidal anti-inflammatory drugs (NSAIDs) (15% of daily use). Conclusion: Given that short-term observational studies indicated high consumption of analgesics despite limited evidence of their pain control effectiveness, the question is raised whether this potential drug abuse affects the sexes at the same rates and in the same ways. Further investigation into these specific cohorts is needed.
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spelling doaj.art-bcda50c272e243b0a3a3cec25cf5809b2023-07-21T05:00:21ZengElsevierApunts Sports Medicine2666-50692023-07-0158219100415Use of analgesics in professional soccer players: A systematic reviewThomas Zandonai0Juan José Lozano1Mónica Escorial2Ana M. Peiró3Department of Pharmacology, Paediatrics and Organic Chemistry, Bioengineering Institute, Miguel Hernández University of Elche, Alicante, Spain; Neuropharmacology on Pain and Functional Diversity (NED), Institute of Health and Biomedical Research of Alicante (ISABIAL Foundation), Alicante, Spain; Department of Social and Developmental Psychology, “Sapienza” University of Rome, Rome, Italy; Corresponding author at: Department of Pharmacology, Pediatrics and Organic Chemistry, Miguel Hernández University of Elche, Crta. Nacional, N-332. s/n, 03550 Sant Joan, Alicante, Spain.Pain Unit, Department of Health of Alicante-General Hospital, Alicante, Spain; Bioengineering Institute, Miguel Hernández University of Elche, Elche, SpainNeuropharmacology on Pain and Functional Diversity (NED), Institute of Health and Biomedical Research of Alicante (ISABIAL Foundation), Alicante, Spain; Bioengineering Institute, Miguel Hernández University of Elche, Elche, SpainDepartment of Pharmacology, Paediatrics and Organic Chemistry, Bioengineering Institute, Miguel Hernández University of Elche, Alicante, Spain; Neuropharmacology on Pain and Functional Diversity (NED), Institute of Health and Biomedical Research of Alicante (ISABIAL Foundation), Alicante, Spain; Pain Unit, Department of Health of Alicante-General Hospital, Alicante, Spain; Bioengineering Institute, Miguel Hernández University of Elche, Elche, SpainObjective: Use of painkillers appears to have become a widespread issue in the sporting environment as athletes pursue successful pain relief during competitions. We conducted a systematic review on the prevalence of analgesics use in soccer, using literature from January 1980 to July 2021. Methods: The systematic review followed PRISMA guidelines. Studies were obtained from the Cochrane Library, PubMed, Scopus, and Web of Science (WOS) databases. In total, 213 articles were found where 14 were selected. The risk of bias was assessed using the NIH scale for prevalence studies and the PEDro quality scale for randomized control trials (RCTs). Results: Less than 3% of the literature were randomized studies (n=10 observational; n=4 double-blind trials) and only 2 studies included females. At least 54% of the research subjects consumed analgesic drugs during the course of their tournaments, and nearly half of them (39-67%) did so before each match, mostly in the form of non-steroidal anti-inflammatory drugs (NSAIDs) (15% of daily use). Conclusion: Given that short-term observational studies indicated high consumption of analgesics despite limited evidence of their pain control effectiveness, the question is raised whether this potential drug abuse affects the sexes at the same rates and in the same ways. Further investigation into these specific cohorts is needed.http://www.sciencedirect.com/science/article/pii/S2666506923000147PainkillersPrevalenceClinical trialPain
spellingShingle Thomas Zandonai
Juan José Lozano
Mónica Escorial
Ana M. Peiró
Use of analgesics in professional soccer players: A systematic review
Apunts Sports Medicine
Painkillers
Prevalence
Clinical trial
Pain
title Use of analgesics in professional soccer players: A systematic review
title_full Use of analgesics in professional soccer players: A systematic review
title_fullStr Use of analgesics in professional soccer players: A systematic review
title_full_unstemmed Use of analgesics in professional soccer players: A systematic review
title_short Use of analgesics in professional soccer players: A systematic review
title_sort use of analgesics in professional soccer players a systematic review
topic Painkillers
Prevalence
Clinical trial
Pain
url http://www.sciencedirect.com/science/article/pii/S2666506923000147
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AT juanjoselozano useofanalgesicsinprofessionalsoccerplayersasystematicreview
AT monicaescorial useofanalgesicsinprofessionalsoccerplayersasystematicreview
AT anampeiro useofanalgesicsinprofessionalsoccerplayersasystematicreview