Understanding doping and anti-doping: a guide for the general paediatrician

Area of Science:

• Pediatrics
• Sports Medicine
• Public Health

Background:

• Rising use of image and performance enhancing drugs (IPEDs) and nutritional supplements among youth.
• Limited paediatrician experience in addressing IPEDs and supplements.
• Prevalence of online supplement contamination and accessibility via social media.

Purpose of the Study:

• Increase awareness of the scale of IPED and supplement use in young people.
• Provide guidance on suspecting, investigating, and managing IPED use.
• Educate on risks of online supplements and medication issues in young athletes.

Main Methods:

• Literature review on IPEDs, supplements, and associated risks.
• Clinical guidance for paediatricians on management strategies.
• Discussion of medication prescribing for young athletes.

Main Results:

• IPEDs and supplements pose significant health risks, including cardiac, endocrine, and psychological complications.
• Online nutritional supplements are frequently contaminated with harmful substances.
• Athletes may underdose essential medications due to doping test concerns.

Conclusions:

• Paediatricians require enhanced knowledge and practical tools to manage IPED and supplement use in youth.
• Addressing the risks of contaminated supplements and medication use is crucial for young athletes' health.
• Holistic management strategies are needed for young people using IPEDs and supplements.