California Interscholastic Federationpresents

STEROIDS AND STEROIDS AND SUPPLEMENTS – WHAT SUPPLEMENTS – WHAT WE ALL NEED TO KNOWWE ALL NEED TO KNOW

What You Don’t Know Can Kill!What You Don’t Know Can Kill!Update August 2005Update August 2005

Monitoring the FutureMonitoring the FutureU.S. Department of HealthU.S. Department of Health

88thth 1010thth 1212thth

Ever UsedEver Used 2.5%2.5% 3.0%3.0% 3.5%3.5%

Calif. Students EstimateCalif. Students Estimate 15,00015,000 14,18214,182

Used past yearUsed past year 1.4%1.4% 1.7%1.7% 2.1%2.1%

Calif. Students Estimate 8,505 8,509

Used past monthUsed past month0.7%0.7% 0.8%0.8% 1.3%1.3%

Calif. Students Estimate 4,002 5,267

Anabolic Steroid Use by Students 2003 National Survey Statistics

Monitoring the FutureMonitoring the Future

Male Participants Male Participants 386,686386,686

Female ParticipantsFemale Participants 278,284278,284

678,970678,970

Estimated number of CIF athletes using Steroids based upon national average of:

3.5% use3.5% use 23,784 23,784

CIF Actual Participation in 2004-2005

2004 Student Survey2004 Student Survey

Have you ever taken performance enhancing Have you ever taken performance enhancing drugs/supplements? drugs/supplements?

Yes – 11% boysYes – 11% boys Yes – 5% girls Yes – 5% girls CIF Athletes CIF Athletes 42,03242,032 13,71113,711

Do you know of someone else who takes Do you know of someone else who takes performance-enhancing drugs/supplements? performance-enhancing drugs/supplements?

Yes – 52% boysYes – 52% boys 33% girls 33% girls

Survey California High School Students in March 2004, completed by @issue Consulting Group

2004 Student Survey2004 Student Survey

Do you, or anyone you know take anabolic Do you, or anyone you know take anabolic steroids?steroids?Yes – 13% boysYes – 13% boys 10% girls 10% girls

Are you personally aware of coaches or other Are you personally aware of coaches or other sports related staff promoting the use of these sports related staff promoting the use of these substances? substances? Yes – 18% boysYes – 18% boys 7% girls7% girls

68,78068,780 19,19619,196

Survey of California High School Students in March 2004, completed by @issue Consulting Group

Kelli White

Stripped of 2002 World

Championships Gold Medals – use of steroids

Ken Caminiti Died at age 41

Admitted to using steroids during

his MVP season.

Jason Giambi

admits to the use of steroids

STEROIDSTWO COMMON METHODS

Pills

INJECTABLE ANABOLIC STEROIDSRisks include

HIVHepatitis B, C

InfectionsImpurities

Where Do You Usually Get Your Where Do You Usually Get Your Anabolic Steroids?Anabolic Steroids?

Friend/Family 20%Friend/Family 20% Other Physician 16%Other Physician 16% Retail Store 16%Retail Store 16% Website/Mail Order Website/Mail Order

14%14% Coach 9%Coach 9%

Teammate/Other Teammate/Other

Athlete 7%Athlete 7% Team Physician 5%Team Physician 5% Athletic Trainer 4%Athletic Trainer 4% Pro Scout/Agent 3%Pro Scout/Agent 3% Strength Coach 2%Strength Coach 2%

2001 NCAA Study of Substance Use Habits of 21,225College Student-athletes.

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Symptoms/Warnings of Steroid UseSymptoms/Warnings of Steroid Use

MALEMALE Rapid muscle growthRapid muscle growth Acne & cysts– chest, Acne & cysts– chest,

backback Shrinking of the Shrinking of the

testiclestesticles Breast developmentBreast development Oily scalpOily scalp Rage, anger, hostility Rage, anger, hostility

and depressionand depression

FEMALEFEMALE Rapid muscle growthRapid muscle growth Acne & cystsAcne & cysts Excessive growth of body Excessive growth of body

hairhair Male pattern baldnessMale pattern baldness Oily scalpOily scalp Rage, anger, hostility and Rage, anger, hostility and

depressiondepression

Symptoms/Warnings of Steroid UseSymptoms/Warnings of Steroid Use

Adverse effects of Anabolic Adverse effects of Anabolic SteroidsSteroids

CardiovascularCardiovascular- - lowered HDL, lowered HDL, atherosclerosis, atherosclerosis, hypertensionhypertension

Recent Pro Wrestling Deaths associated with

Steroids or hGH(human growth hormone)

Davey Boy Smith, 39Curt Henning, 44

Louie “Spiccoli” Mucciolo, 27Richard “Ravishing Rick Rude”

Rood, 40“Flyin’” Brian Pillman, 35

Source, USA Today 3/12/04

Dietary Supplement and Dietary Supplement and Health Act of 1994Health Act of 1994

• Clarified that dietary supplements are NOT drugs and are NOT a NEW food item – therefore they DO NOT require testing or approval by the FDA

• Burden of proof is on the FDA to prove that a product is

unsafe before removal

“Supplement manufacturers can introduce new

products without any testing for safety and efficiency.

The makers only obligation is to send the FDA

a copy of the language on the label”

– CONSUMER REPORTS, May 2004

Dietary Supplement MythsDietary Supplement Myths

““It’s natural” It’s natural”

so they must be safeso they must be safeSupplements are not drugsSupplements are not drugsSupplements are Supplements are

safer than safer than

pharmaceuticalspharmaceuticalsxxxxxxxx

Other “Natural” ProductsOther “Natural” Products

NicotineNicotineTHC (active ingredient in marijuana)THC (active ingredient in marijuana)HeroinHeroinCocaineCocaineDigoxinDigoxinMany cancer chemotherapeutic drugsMany cancer chemotherapeutic drugs

Popular “Sports” Nutritional Popular “Sports” Nutritional SupplementsSupplements

DHEADHEA AndrostenedioneAndrostenedione AndrostenediolAndrostenediol 19-Norandrostenedione19-Norandrostenedione 19-Norandrostendiol19-Norandrostendiol 1 androstenediol (1-AD)1 androstenediol (1-AD)

L-CarnitineL-Carnitine HMBHMB Gamma-Hydroxy-Gamma-Hydroxy-

ButyrateButyrate Pyruvate and DHAPyruvate and DHA GlycerolGlycerol CreatineCreatine Chromium PicolinateChromium Picolinate EphedraEphedra

Ephedra-free meansEphedra-replaced!

New supplement?

The EphedraReplacement

Citrus Aurantium“Bitter Orange”

Zhi Shi

New Supplement:New Supplement:Citrus Aurantium - “Bitter Orange”Citrus Aurantium - “Bitter Orange”Increases metabolic rate Increases caloric expenditure Fat burner Promotes weight loss Increases energy levelMild Stimulant similar to ephedrineWarning label eerily similar to ephedra

“If it takes 10 [pills] to kill you,

I’ll take 9.”

-Tom Simpson, Tour de France Rider

Recent Cycling Drug Deaths:Marco Patani, 34

Fabrice Salanson, 23Jose-Maria Jimenez, 32

Died: 1967 of amphetamine overdose

Example: CaffeineExample: Caffeine

Ergogenic: 1000 mg to increase mobilization and strength of contractions

Recreational: 100 mg in morning cup of coffee

Therapeutic: 100 mg in caffeine/ergotamine to treat migraine headaches

Supplements Banned by Supplements Banned by NCAA, IOCNCAA, IOC

DHEADHEA Androstenedione Androstenedione Androstenediol Androstenediol 19- Norandrostenedione 19- Norandrostenedione Nandrolone Nandrolone 19-norandrostenediol19-norandrostenediol metabolitesmetabolites Ma Huang Ma Huang EphedrineEphedrine Caffeine Levels Caffeine Levels >> 12-15 12-15 micrograms/mLmicrograms/mL

Anabolic Steroid PrecursorsAnabolic Steroid PrecursorsAnabolic-Androgenic Steroid Anabolic-Androgenic Steroid

Precursors Were Sold As Dietary Precursors Were Sold As Dietary SupplementsSupplements

President George Bush signs President George Bush signs the “Anabolic Steroid Control the “Anabolic Steroid Control Act of 2004” on Friday, October Act of 2004” on Friday, October 22, 200422, 2004

AndrostenedioneAndrostenedione

““Andro, which is banned in the NFL and Andro, which is banned in the NFL and other sports but not in baseball, was used other sports but not in baseball, was used by McGwire during the 1998 season when by McGwire during the 1998 season when he hit 70 home runs, breaking the single-he hit 70 home runs, breaking the single-season record owned by Roger Maris. season record owned by Roger Maris. Andro sales quadrupled after his Andro sales quadrupled after his admissionadmission, with teenagers making up many , with teenagers making up many of those consumers.of those consumers.””

Tom Farrey, Tom Farrey, Senators Want Over-the-Counter Andro BanSenators Want Over-the-Counter Andro Ban, , ESPN, Oct 24, 2003ESPN, Oct 24, 2003 http://espn.go.com/gen/news/2003/1024/1645745.htmlhttp://espn.go.com/gen/news/2003/1024/1645745.html

Androstenedione vs. Dianabol (methandrostenolone)

“Androstenedione is one of the strongest, most potent legal testosterone boosters, capable of raising

testosterone levels up to 600%. The results of Andro do not compare to Dianabol,

but is much safer for teenagers. It is also half as cheap as Dianabol.”

-Teenbodybuilding.com

Where Do Student-Athletes Get Their Where Do Student-Athletes Get Their Dietary Supplements?Dietary Supplements?

Friend 14%Friend 14% Retail Store 13%Retail Store 13% Teammate/Other Teammate/Other

Athlete 12%Athlete 12% Nutritionist/Dietician Nutritionist/Dietician

12% 12% Internet 11%Internet 11%

Parent 9%Parent 9% Strength Coach 8%Strength Coach 8% Athletic Trainer 8%Athletic Trainer 8% Coach 7%Coach 7% Other Physician 5%Other Physician 5% Team Physician 1%Team Physician 1%

-2001 NCAA Study of Substance Use Habits of College Student-athletes of

21,225 athletes.

Why Care about Athletes and Why Care about Athletes and Steroids and Supplements?Steroids and Supplements?

•Long Term Health Long Term Health •Integrity of the SportIntegrity of the Sport•Ethical Fair PlayEthical Fair Play•Inaction Alternative?Inaction Alternative?

Steve Bechler 1979 - 2003

Korey Stringer 1974 - 2001

Rashidi Wheeler 1979-2001

Damien H.S. La Verne, CA.

Taylor Hooton

June 10, 1985 – July 15, 2003

                                                  

                                              

Rob Garibaldi Casa Grande H.S.

Petaluma, CA

Sept. 15, 1978 – Oct. 1, 2002

Efrain MarreroEfrain MarreroOctober 16, 1984 - September 26, 2004October 16, 1984 - September 26, 2004

Vacaville, CAVacaville, CA