Drug Abuse and Addiction

As a student-athlete, you may know of someone who is struggling with drug abuse and addiction. It may be a close friend, a teammate, classmate or family member. Substance abuse and addiction can cause problems in the classroom, on the playing field and at home. It can often times leave individuals feeling alone and helpless, a potentially dangerous combination. It is for these reasons, that it is important to have a good understanding of the signs and symptoms of drug abuse and addiction.

Common signs of drug abuse and addiction:

-          Skipping class or flunking class, missing practice, and neglecting other day-to-day responsibilities

-          The use of drugs and/or alcohol during high risk situations (drinking and driving, before practice or a game)

-          Mood swings (fights with friends and/or family members, partners)

-          Legal issues (DUI, selling of drugs, possession charges)

-          A built up tolerance to drugs

-          Withdrawal symptoms

-          Constantly thinking about drug use

-          Understanding the risks of drug use, but continuing to participate

-          Losing interest in sports, socializing and other hobbies

Physical, behavioral and psychological warning signs:

-          Deterioration of physical appearance, grooming habits

-          Tremors, slurred speech

-          Bloodshot eyes, larger than normal pupils

-          Changes in appetite or sleep patterns

-          Sudden weight loss or gain

-          Always a need for extra money

-          Acting secretive about everything

-          Sudden change in friends

-          Lack of motivation

-          Anxious, fearful and paranoid

-          Angry outbursts and easily agitated

Recognizing that you or someone you know has a drug abuse or addiction problem is the first step, and often the most difficult step, on the road to recovery. Seeking help and finding support is crucial to any addiction recovery, and it takes a tremendous amount of courage to recognize that you or someone you know may need help.

If you feel that you or someone you know has an addiction problem, be proactive and contact any of the following individuals for support:

-          Family member

-          A close friend

-          A therapist or counselor

-          Your health care provider

-          Your athletic trainer, coach and/or another administrator

 Always remember, you are not alone and there are individuals that are willing to help!

 For more information on drug abuse and addiction, please visit the following resources:

http://www.mayoclinic.com/health/drug-addiction/DS00183 

http://www.drugabuse.gov/publications/drugfacts/understanding-drug-abuse-addiction

http://www.nlm.nih.gov/medlineplus/drugabuse.html

The all night cocktail – Adderall/Caffeine/Energy Drinks

There is no way around it, if you are in college you are probably going to do some  studying  to avoid failing a class, or to pass those dreaded finals to graduate.  Of course, the best method is a consistent nightly routine dedicated to specific classes and projects.  That would allow you to avoid cramming and make adequate time for rest (especially needed by collegiate athletes). From my personal experiences however, I know that “some” people may procrastinate and wait to study until the last minute before an exam.

What we know

College students cram for academic finals and student-athletes cram for academic and sport finals, but student-athletes have a great deal to lose when cramming.  Students and student-athletes alike are turning to caffeine (pill form), energy drinks (beverages that contain modest to relatively high levels and concentrations of caffeine; range: 50-505 mg caffeine/serving; 2.5-35.7 mg caffeine/oz) and Adderall to stay awake.  A scary trend is the combination of all three (more is not better…) to get the “best” effect.  It is estimated that 34% of students have used Adderall not prescribed to them to aid their studying.  A University of Kentucky study revealed that an estimated 75 % of students know someone who takes Adderall without a prescription.  All three include or are central nervous system stimulants and carry individual adverse reactions that increase in severity when combined.

Adderall (amphetamine and dextroamphetamine)

·         Can be habit-forming

·         If you are taking other drugs (prescribed or not) or supplements you should consult your doctor before taking Adderall.

·         Overusing Adderal may cause sudden death or serious heart problems such as heart attack or stroke.

·         Bottom line if you don’t have a prescription, don’t take the drug.

Energy drinks and caffeine

·         Caffeine has been clearly associated with adverse health effects in susceptible individuals.

·         Energy drinks frequently contain high and unregulated amounts of caffeine

·         Energy drinks have no therapeutic benefit and many ingredients are understudied and not regulated

Adverse reactions

Increased heart rate, increased blood pressure, insomnia and nervousness, headaches and tremors, and GI distress.

Easy Study Tools

Plan ahead and try to avoid cramming for your finals!!!  If that doesn’t work keep these tips handy for increased productivity.

·         Location - Avoid your couch, bed, dimly lit rooms, bean bags, etc...You want a good firm chair, strong lighting and a desk for all those books. 

·         Hydration - You are an athlete and this should be a staple in your daily routine.

·         Fuel – Just like you feed the body for on field/court workouts your mental workouts require that you fuel your body for success.  Avoid the junk food and try an apple or cereal to give you energy.

·         Breaks - Short 10-15 minutes, watch TV, text or talk on the phone, music, get creative.

·         Exercise - The last thing an athlete wants to hear I know…so try dancing, or take a short walk and after hop in the shower for some additional alertness!

If you can’t keep your eyes open no matter what you do, then it is time to go to bed.  Remember, your body recovers while you sleep and without sleep your muscles will not fully recover for your next workout or competition.

References

·         Mayo Clinic (accessed 5/5/2011) Energy Drinks Can Have a Variety of Adverse Effects on the Body http://www.mayoclinic.org/medical-edge-newspaper-2009/may-29b.html

·         Arria, A PhD; O’Brien, M, The “High” risk of Energy Drinks The Journal of the American Medical Association (JAMA). 2011; 305(6): 600-601(accessed online 5/5/2011)

·         Juliano, L, Griffiths, R, A critical review of caffeine withdrawal: empirical validation of symptoms and signs incidence, severity, and associated features. (2004) Psychopharmacology; 176: 1-29

·         Pubmed Health (accessed 5/5/2011) Dextroamphetamin and Amphetamine http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000166/

Sports nutrition part 2: Foods that = success and when to eat them

We understand that time is at a premium for most student-athletes. Lack of time is the number one reason many people give for failing to eat sensibly. Don’t let your on-field shortcomings be a result of a poor diet; time does not need to dictate your diet. Proper planning, educating yourself on performance enhancing foods, and working with a sports nutritionist are all ways to fuel your body and reach your peak athletic goals while meeting your own personal health goals.
If you must eat on the go, eat on the go with a plan! Develop a weekly menu with the “basics,” things are constantly changing so be prepared for change. Include, whole wheat breads, lean meats (vegan alternative), and plenty of produce. Find a cooler that can fit in your bag, and include portable foods and snacks; sliced fruit, low sugar yogurt, string cheeses, and protein bars and nuts make great travel buddies.

Breaking Your Fast
Eating breakfast every morning is key; the level of glycogen in your liver can be substantially lower in the morning, so you need to refuel your body to replace the energy it used while you slept.
• Student-athletes who eat breakfast perform better in the classroom than those who skip. A lot easier to think when your body has energy fuel.
• Eating last night’s left over’s is okay (i.e. pizza, Chinese food with rice or even cheese and crackers)
• Traditional breakfast food choices:
o Instant grits/bowl of cereal
o Fruit or yogurt smoothie
o Egg and cheese sandwich
o Waffles with fruit
o Hard- boiled eggs

Pre-workout
3-4 hours before practice, workout or competition keep these tools in mind:
• Consider choosing foods with lots of carbohydrates, such as
o Rice
o Pasta
o Potatoes
o Yogurt
o Fruit smoothies
o Vegetables
o Muffins
o Crackers
o Bread
• Drink tons of water and sport drinks!

1 hour before a practice, workout or competition keep these tools in mind:
• Have a snack:
o ½ a bagel
o Granola bar
o Large banana
• 12 ounces of sport drink

Breaks/Post-Game/Practice
• Halftime/timeouts
o Drink water and/or your favorite flavor of sport drink.
• Post-workout
o Drink approximately 24 ounces of sport drink or water for every pound of body weight that is lost during competition/practice.
o Monitor you urine color. Apple juice color = dehydration and you need more fluids. Lemonade color = hydrated.
o Eat something within 30 minutes of competition/practice.

What about fast food?
• Pizza with thick crust, vegetables, and Canadian bacon, instead of “meat lover’s”
• Single burgers, instead of “double” or “Monster” with bacon and cheese
• Grilled chicken sandwiches or grilled chicken salads instead of fried chicken
• Stir-fried veggies and steamed white rice, instead of meals with large portions of meat or fried egg rolls.
• Grilled meats verses fried meats
• Waffles, pancakes, grits, scrambled eggs, or grilled ham, instead of bacon, sausage or biscuits.
• Avoid these sandwiches: tuna salad, chicken salad or salami. Try turkey, chicken or roast beef and load up on the veggies.
• Avoid the pasta dishes with large amounts of meat, cheese and cream. Opt for lots of pasta and red sauce.
Remember: Aim to be consistent in your eating habits, go for quality foods and remember timing of meals will impact your performance. Know your schedule and plan ahead by bringing or purchasing appropriate foods and beverages. Try to eat regular meals and snacks throughout the day to maintain energy levels but don’t have a large meal right before an event. Good eating habits are important at all times (before the game, after the game, and during the off-season)

Sports nutrition part 1: Does your food = success?

Superior athletic ability comes from genetics and training. However, witout good food choices and the correct timing of meals, your training and performance will suffer. You need a fueling plan that includes the right balance of carbohydrates, protein, and fat, enough vitamins and minerals, and the correct amount of fluids.

Nutrition is one of the corner stone’s of athletic success, combined with training, skill set and rest. You cannot train harder to make-up for a poor diet, or sleep, less and expect to compete at an elite level. Eating for performance equals eating on a schedule; this does not mean you have to clock in for meals, but it does mean that you should get a better understanding of what, how much, and when you eat for optimal performance.

Eating for Performance Goals:

1. Keep a high energy level throughout workouts

2. Repair and strengthen muscles

3. Avoid illness, infection, or any outside force that could suppress immune
system during training

4. Recover from training and prepare for practice, or event

Athletes must fuel the body with calories and nutrients from “healthy” foods. Sports scientists generally recommend a high-performance diet – in moderation – consisting of carbohydrates, proteins and fats. Carbohydrates and fats provide the raw material that creates ATP (adenosine triphosphate) that is the true energy source inside the cell. Your daily food intake must contain adequate amounts of calories and nutrients to meet this demand.

• Carbohydrates – Play a vital role in many functions of the body, but one of the main functions is to provide energy for the contracting muscle. The storage form of carbohydrates is called Glycogen; found mainly in muscle and the liver. Muscle glycogen is a readily available energy source for the working muscle. Athletes require Carbohydrates in all phases of working out and competition. The brain is highly dependent on glucose as a fuel, so remember carbohydrates are not the enemy.

• Fats – Contrary to belief fat is a contributor to health and performance for athletes. You need fat for energy,and to move substances in and out of cells, and it helps keep your brain and nervous system healthy. Lastly, fat helps your body to use some vitamins as well as plant chemicals known as "phytochemicals."

• Protein – Major functions include build, repair and maintain your body’s muscle tissue and provide energy, if necessary. Protein is also responsible for healthy blood cells, Key enzymes and strengthening the immune system. Protein cannot build muscle alone, it requires carbohydrate calories to provide the body with energy.

•Vitamins and Minerals - do not give you more energy, but they help to unlock the energy stored in food so your body can use it as fuel.

•Fluid - Water is the most important nutrient; be sure to replace the fluids you lose through sweat when you are active.


Aim to be consistent in your eating habits, go for quality foods and remember timing of meals will impact your performance. Know your schedule and plan ahead by bringing or purchasing appropriate foods and beverages. Try to eat regular meals and snacks throughout the day to maintain energy levels but don’t have a large meal right before an event. Good eating habits are important at all times (before the game, after the game, and during the off-season)

Part 2 will focus on foods that = success and when to eat them, stay tuned!

Helpful websites:
www.gssiweb.org
www.eatright.org
www.scandpg.org
www.mypyramid.gov
www.drugfreesport.com/rec
NCAA Nutrition and Performance