人类GH使用 运动员 矮身 没有GH缺乏症:治疗用途豁免
David B Allen1, Alan Vernec2, Pedro Branco2,3
1Division of Endocrinology and Diabetes, Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI 53792, USA.
The Journal of clinical endocrinology and metabolism
|January 6, 2025
概括
不缺乏生长激素 (GH) 的矮身运动员可以获得治疗性使用豁免 (TUE) 的人类GH (hGH) 治疗. 这种豁免是给予的,直到他们达到成年人身高的第五百分点,之后它不再是医疗上必要的.
科学领域:
- 运动医学 运动医学
- 内分泌学 在内分泌学.
- 医学伦理 医学伦理
背景情况:
- 有组织的体育运动依赖于公平竞争的规则,而兴奋剂是一个重大挑战.
- 世界反兴奋剂机构 (WADA) 维护禁止物质和方法清单,以打击兴奋剂.
- 患有疾病的运动员可能需要豁免 (治疗用途豁免 - TUE) 进行禁止治疗.
研究的目的:
- 制定治疗性使用豁免 (TUE) 的指导方针,用于人类生长激素 (hGH) 青少年运动员的矮身.
- 在非GH缺乏运动员中区分医疗必要的hGH疗法和性能提升.
主要方法:
- 专家一致认为,在青少年运动员中治疗hGH治疗矮身的医疗必要性.
- 建立基于生长曲线和成年人身高百分比的TUE授予标准.
主要成果:
- 对于非GH缺乏的矮身运动员来说,如果他们在生长曲线上低于2.25 SD,则可以认为hGH治疗是治疗性的.
- 对于hGH的TUE是允许的,直到运动员达到成人正常身高的第五百分位.
- 超过这个门,hGH治疗被认为是医疗上不必要的,TUE应该被拒绝.
结论:
- 制定了指导方针,以确定长短的青少年运动员对hGH治疗的医疗必要性.
- 这些指导方针旨在确保公平竞争,同时满足合法医疗需求.
- 标准侧重于生长参数,以区分治疗用途和增强作用.
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