March/April 2020 - 34
Supplements
Supplement
Savvy for Athletic
Performance
By Lisa Dorfman, MS, RD, CSSD, CCMS, LMHC, FAND
Contributing Writer
A
thletes strive for excellence and will do anything,
at times, to achieve success in sport. It makes
sense that some athletes will do anything to have
a competitive edge to fulfill the Olympic motto of " faster,
higher, stronger " and often take it upon themselves to buy
over the counter or online supplements to achieve their
goals. At any given time, global estimates of supplement
use among athletes range between 40%-60%.
Reasons for taking supplements include improving
energy levels, strength, endurance, overcoming injury,
avoiding illness and compensating for a poor diet. And
while athletes consume dietary supplements at a high
rate, they are unaware of the risks associated with
supplementation. Estimates suggest 86% of people polled
are unaware that dietary supplements can have adverse
effects; did not know the active ingredient (62%), side
effects (57%), issues of contamination (36%), mechanism
of action (54%), or recommended dose (52%.)
32 | Training & Conditioning | March/April 2020
The truth is, taking supplements can be risky business,
especially when purchased from unverified sources. A
recent review of supplement use among children and
young adults found 977 single-supplement-related
adverse event reports, with 40% involving severe
medical outcomes, including death and hospitalization.
Supplements sold for weight loss, muscle building, and
energy were associated with almost three times the risk
for severe medical outcomes compared to vitamins.
THE CASE FOR SUPPLEMENTATION
As a sports medicine team member, it is not
unreasonable to consider recommending supplements
to athletes. In a 2018 IOC consensus statement: dietary
supplements and the high-performance athlete, " Some
sporting bodies now support the pragmatic use of
supplements that have passed a risk-versus-benefit
analysis of being effective, safe and permitted for use,
March/April 2020
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