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beta2-Agonists at the Olympic Games.

Kenneth D Fitch1

  • 1School of Human Movement and Exercise Science, University of Western Australia, Nedlands WA, Australia. kfitch@cyllene.uwa.edu.au

Clinical Reviews in Allergy & Immunology
|November 7, 2006
PubMed
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Athletes using inhaled beta2-agonists must have a diagnosis of asthma or exercise-induced asthma (EIA). Excessive use of inhaled beta2-agonists can lead to doping violations, necessitating medical evidence for prescriptions.

Area of Science:

  • Sports Medicine
  • Pharmacology
  • Respiratory Medicine

Background:

  • Review of International Olympic Committee (IOC) policies on beta2-agonists.
  • Concerns regarding potential anabolic effects of oral beta2-agonists.
  • Increased use of inhaled beta2-agonists by elite athletes prompted rule changes.

Observation:

  • Since 2001, IOC criteria require athletes to have asthma or exercise-induced asthma (EIA).
  • Prevalence of beta2-agonist use correlates with national asthma rates, highest in endurance athletes.
  • Atypical age-of-onset for asthma/EIA in elite winter athletes (48.7% onset ≥20 years).

Findings:

  • Intense endurance training may contribute to bronchial hyperreactivity.
  • Distinguishing between prohibited oral and permitted inhaled salbutamol is possible.

Related Experiment Videos

  • Excessive inhaled salbutamol use can yield urinary concentrations similar to oral administration.
  • Implications:

    • Athletes require documented evidence of asthma or EIA to use inhaled beta2-agonists.
    • Clear guidelines are needed to prevent inadvertent doping violations.
    • Further research into the link between endurance training and asthma is warranted.