KOD SPORTISTA U ADOLESCENCIJI KORAK KA POLIFARMACIJI. Antidoping agencija Republike Srbije
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1 DIJETETSKI SUPLEMENTI I LEKOVI KOD SPORTISTA U ADOLESCENCIJI KORAK KA POLIFARMACIJI Nenad ddikić, Jl Jelena Suzić, Nenad drdi Radivojević ić Antidoping agencija Republike Srbije
2 Uvod Youth of the world = future = heart of the Olympic movement Sport is catalyst for their education and development Healthy life style Battle against obesity and rising inactivity it Explain to family and parents that helping their children choose a career path in competitive sport is highly worthwhile for their overall development and well being.
3 Uvod Velika prisutnost dijetetskih suplementa Velika prisutnost dijetetskih suplementa (DS) ilekovau sportu postaje sve značajniji problem. U određenim situacijama postaje čak i važniji od samog dopingovanja. Nekontrolisano korišćenjeipotencijalno veliki broj neželjenih efekata ukazuje na značaj, posebno kod sportista u adolescenciji.
4 Cilj Cilj naše studije je bio da kvantitativno i kvalitativno analizira korišćenje dijetetskih suplementa i lekova koje su koristili evropski sportisti u adolescenciji.
5 Metodologija Prijava lekova prilikom doping kontrole na međunarodnim, domaćim takmičenjima i van takmičenja ( godina) fudbal, košarka, vaterpolo, plivanje, streljaštvo, judo, veslanje, stoni tenis, atletika... Od 912 sportista 163 adolescenta
6 Metodologija Sportisti mlađi od 19 godina (13 19) Prosek 16,7± 1,2 37% sportisti sportistkinje 63%
7 Rezultati 428 supstance lekovi 38,6% supplements 60.1%
8 Rezultati 60.1% (98) sportista 38,6% (63) sportista uzimalo suplemente uzimalo lekove Prosečno 3,1 supl./sportisti Maksimalan broj suplemenata po osobi 14 5 iviše suplementa 14,3% Prosečno 1,98 leka/sportisti Maksimalan broj lekova po osobi 7 Jedan sportista uzimao ukupno 17 preparata!
9 Case study gimnastičarka 15 godina suplementi 1 naziv Vit A Vit B1 Vit B2 Niacin Vit B6 Vit B12 Biotin Vit C Vit D Vit E Vit K suplementa (IU) (mg) (mg) (mg) (mg) (μg) (μg) (mg) (IU) (IU) (μg) Tonotil 500 Vitamax ,5 1, Fexadon Supradyn 9, Aspracardin Mg+B6 10 Vit C 1000 Esentiale 10 Royal jeli Bioselen Zn Redoxon 500 Sargenor ukupna doza ,5 13, preporučena doza ,5 1,
10 Case study gimnastičarka 15 godina suplementi 2 folna pantote kiseli nska na kiselina (μg) (mg) gluta min argini n treoni n serin sorbit ol aspar tat Zn (mg) , ,5 Se (μg) glukoza min hondr oitin Mg (mg) Fe (mg) Cu (mg) , ,5 0,5 0, Mn (mg) fosfoli pidi , , , ,5 0,5 0, mg/ kg
11 Case study gimnastičarka 15 godina lekovi 1 naziv leka Nurofen Paracetamol Voltaren Encefabol Piracetam NSAID NSAID poboljšava kognitivne analgetik ibruprofen dikofenak cirkulaciju fje x x x x x
12 Dijetetski suplementi 60 %
13 Vitamini %
14 Minerali 12 %
15 Korišćenje suplementa(ais) Grupa C bez jasnog dokazanog korisnog efekta Group A Group B Group C Group D 12
16 Lekovi %
17 Razlike po polu Suplemente ilekove su više koriste adolescentkinje (χ2 = 8,3; p <0.004)
18 Suplementacija mladih sportista 18 sportista, mlađih od 18 godina je uzelo kreatin Condemnation of the use of ergogenic aids, including various dietary supplements, by children and adolescents. The American Academy of Pediatrics policy statement on the use of performance enhancing substances (2005) Creatine should not be used by people under 18 years of age. American College of Sports Medicine (2000)
19 Trend u koruišćenju lekova i suplemenata % p<0, suplementi lekovi god god.
20 Da li uspešniji sportisti koriste više suplemenata?
21 Cost benefit vitaminizacija Sport 1: 15 olimpijskih kandidata Broj suplemenata: 6,0 ±2,1 2 olimpijca ij Sport 2: 6 olimpijskih kandidata Broj suplemenata: 1,2 ±1,8 6 olimpijaca
22 Da li uspešniji sportisti koriste više suplemenata? Ne!
23 WADA International Symposium on Supplements in Sport
24 Zaključak Potvrđeno prekomerno unošenje suplemenata i lekova kod sportista u adolescenciji (60,1%; 38,6%). Problem edukacije 33% suplemenata iz grupa C i D Mlađi sportisti koriste više suplemenata Nedostatak strategije i profesinalnog pristupa Neophodne nacionalne preporuke za korišćenje suplemenata u sportu
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