stimulants in supplements

drugfreesport.com

Stimulants in Supplements and the Athlete: Necessary or Harmful?

November 29, 2017

Lara Gray, MS, RD, CSSDDirector of Education

Anna Filardo, MS, CPTEducation Program Manager

Today’s Speakers:

Welcome!Things to note:1. It is required by the BOC for Certified Athletic Trainers that you are

actively present in the live event AND complete the post-webinar survey in order to receive your CEU certificate.

2. CEU certifications (if applicable) will be emailed to attendees no later than Friday, Dec. 1st.

3. Please use the “Questions” box in GoToWebinar. Questions will be reviewed by the moderator and answered at the end.

lgray@drugfreesport.com

Stimulants in Supplements and the Athlete: Necessary or Harmful?

At the end of the presentation, attendees will be better able to:

• Recognize common stimulants used as ingredients in dietary supplements.

• Outline the potential risks associated with excessive stimulant use.

• Address energy and performance demands with recommended alternatives to supplement use.

Drug Free Sport, Inc. is approved by the Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. BOC Certified Athletic Trainers are eligible for 1 Category A CEU for attending this live webinar event.

Subscribing Organizations: Tools:

- Dietary Supplement Inquiry

- Medication Database

- Sports Nutrition Handouts

- Athlete Recipes

- Mental Health Resources

- Supplement Safety Information

- Marijuana, Prescription Drugs, Alcohol Resources

What are Stimulants?

• Performance Enhancing Substances– Cognitive Effects

• Alertness, Attention

• Energy & Exertion

– Physiologic Effects

• Elevate blood pressure, heart rate, body temperature

Why Athletes Use Stimulants

• Energy • Focus • Alertness• Poor sleep quality• Delay onset of fatigue• Pre-workout habit

High Risk Stimulant Categories

• Pre-workout• Weight loss • Energy drinks

Dirty (Baker’s) Dozen Stimulant Ingredients1. 1,3-DMAA/Methylhexanamine2. 2-aminoisoheptane/Octodrine/DMHA3. Acacia Rigidula4. Advantra Z5. AMP Citrate/4-Amino-2-Methylpentane/DMBA6. Dendrobium/Nobile Orchid7. Ephedrine8. Hordenine9. N-Methyl Tyramine10. Norcoclaurine/Higenamine11. Octopamine12. PEA/Phenylethylamine13. Synephrine/Bitter Orange/Citrus Aurantium

…And so many more

1,3-DMAA• Synthetic stimulant• Potential for hemorrhagic strokes & sudden death• 2012 Banned by the FDA… yet still in dietary supplements

Cohen, P.A., Travis, J.C., Keizers, P.H.J., Duester, P., & Venhuis, B.J. 2017. Four experimental stimulants found in sports and weight loss supplements: 2‐amino‐6‐methylheptane (octodrine), 1,4‐dimethylamylamine (1,4‐DMAA), 1,3‐dimethylamylamine (1,3‐DMAA) and 1,3‐dimethylbutylamine (1,3‐DMBA). Clinical Toxicology. Retrieved from: http://www.tandfonline.com/doi/full/10.1080/15563650.2017.1398328?scroll=top&needAccess=true

Cohen, P.A., Travis, J.C., Keizers, P.H.J., Duester, P., & Venhuis, B.J. 2017. Four experimental stimulants found in sports and weight loss supplements: 2‐amino‐6‐methylheptane (octodrine), 1,4‐dimethylamylamine (1,4‐DMAA), 1,3‐dimethylamylamine (1,3‐DMAA) and 1,3‐dimethylbutylamine (1,3‐DMBA). Clinical Toxicology. Retrieved from: http://www.tandfonline.com/doi/full/10.1080/15563650.2017.1398328?scroll=top&needAccess=true

Phenethylamine/PEA

• Stimulant effects similar to amphetamines

• Potential for tachycardia, anxiety, & agitation

• Popular ingredient found in pre-workout and weight-loss supplements

Advantra Z®

• Source of synephrine (bitter orange), n-methyl tyramine, hordenine, tyramine, & octopamine

• Thermogenic ingredient

– Commonly used in weight-loss supplements.

• Potential to speed up heart rate and raise blood pressure

Excessive Stimulant

Side Effects

Caffeine

Caffeine: >400 mg/day

Additive Effects

= Increased Risks

+ +

FOCUS ON NUTRITION!

Why Food…

• Increases energy and mental focus.

• Carbohydrates are fuel for muscles.

• Safe and effective

How…• Adequate total calorie intake• Snacking between meals• Fueling before, during, and after

exercise• Maintain hydration throughout the

day• Don’t skip the carbs

What…Snacks/Around Exercise• Simple Carbs + Protein +

Fluid – Peanut butter & jelly– Instant Oatmeal– Apple/Banana + Peanut

Butter– Yogurt and nuts

Meals• Complex Carbs + Protein +

Fluid– Spaghetti & Meatballs– Chicken, Rice, & Veggies– Eggs, toast, & fruit

Best practice: Work with a Sports Dietitian in your area

When…

• Every 2-3 hours• 1-2 hours pre-workout

Tips for Increasing Energy with Food

• Do not skip meals

• Include foods rich in protein & carbohydrates

• Maintain hydration throughout the day

110% in practice gets you nowhere

without proper fuel to perform!

Make the time, Take the time…to EAT!

drugfreesport.com

QUESTIONS?

Registration is now open!

10 Hours of Continuing Education Provided for:

Sports Physicians Athletic Trainers Sport Psychologists Sport Dietitians Strength and Conditioning Coaches

Program Sessions Covering:

• Generational Differences in Sports• Sleep Science• Mental and Physical Aspects of Injury• Working with International Athletes• Performance Anxiety in Athletes• Prescription Opioids in Sport• Prescription Stimulants in Sport• Dietary Supplements – A Sports Industry Update• Marijuana and Sport

And more!