Hydration 411

Water [n]: a transparent, odorless, tasteless liquid, a compound of hydrogen and oxygen, H2O. A need in life— especially when the weather is hot. Now that summer is in full swing and sport camps are gearing up, staying hydrated is extremely important. Proper hydration is crucial to keep your body moving, thinking, and performing to your highest potential.

Do you often find yourself reaching for water during practice or games; it’s probably because you are dehydrated. Read on to find tips and information about the importance of hydration as an athlete.  

*Graphic from U.S. Geological Survey

Water and the Body

The average human body is made up of 60% water. In fact, most of the body's organs are comprised on water.

• The brain and heart are approximately 73% water.
• 83% of the lungs are water.
• The skin is 64% water. 
• Muscles and kidneys are 79% water.
• Bones are even comprised of water, sitting at 31%.

No wonder our bodies cannot function properly when hydration is limited! Water is pivotal for performing at your capabilities.

Hydration

Hydration should not be forgotten when exercise, practice, or games end. Exercising in the heat without adequate fluid replacement is a sure way to cause dehydration and land you on the bench, watching your teammates practice or play.

               

“How much water is needed?”, you ask.

Well, that’s the million-dollar question. There is not a definite answer; in fact, total fluid needs and replacement protocols are quite specific to the individual. Sports dietitian, Nancy Clark, MS, RD, recommends that athletes:

·         Drink 2-3 mL of water per pound of body weight at least 4 hours before exercise, practice, or games.

·         Use your sweat rate to determine necessary water during exercise (see equation below).

·         Drink 50% more fluid than lost in sweat after exercise ends.

Graphic from the American College of Sports Medicine

Calculating your sweat rate is an important step to determine the amount of fluids you need every hour of exercise. Training with your individualized hydration protocol can not only delay fatigue, but also heighten energy and performance against your dehydrated competitors. For best results, work with a sports dietitian or certified athletic trainer familiar with personalized sweat rate calculations and hydration plans.

Hydration and Performance 

Water makes practice and games easier, and helps performance improve. When fluid is taken in the plasma, volume restores near the pre-exercise levels and assists to avoid adverse effects of dehydration on muscle strength, endurance, and coordination. In addition, pre-exercise hydration assists in improving thermoregulation, heat dissipation, and performance.    

Dehydration

Dehydration is shown when the amount of water (sweat) exiting the body exceeds the amount of water (or electrolytes) entering the body. The risk of dehydration greatly increases when practicing in hot, sunny, intense environments. Dehydration can be shown by a number of signs such as:

·         Thirst—first sign of dehydration

·         Headaches

·         Dry skin

·         Bright yellow urine (see urine color chart)

·         Difficulty concentrating

·         Increase in body temperature

·         Muscle cramps

·         Swollen fingers/toes

Dehydration and Performance

Dehydration can be detrimental to your performance, not only during practice and games but in the classroom/film room as well. Physical and mental performance is impaired when you’re dehydrated as little as 2% of your body weight. When dehydration reaches 5%, there is a 30% decline in performance. Endurance is also greatly impaired when severe dehydration sets in. The greatest danger is to the heart; plasma and blood volume fall, increasing blood thickness while lowering central venous pressure. This, in turn, causes difficulty when the body is trying to return blood to the heart. It is vital not only for exercise, but also for life.

Steps to take when dehydrated

1. Go to a cool or shaded area
2. Seek help from your sports medicine team
3. Drink clear fluids: water, electrolytes, pickle juice, etc.
4. Continue to drink these fluids until and after you are re-hydrated

Grab a water bottle and keep it by your side at all times! If drinking water is difficult for you, add flavors such a lemon, lime, or other fruit you enjoy. Athletes with high sweat rates should also consume fluids that replace electrolytes lost in sweat such as sodium and potassium. Challenge yourself and teammates to see who can meet their fluid needs each day. Drink up!

Summer Drug-Testing

Summer for student-athletes can be a huge temptation for experimenting with steroids to develop muscle and strength. Student-athletes who are, or have been injured, may look to steroids to shorten their recovery time and the drugs clear an athlete’s system before drug-testing resumes in the fall semester.  Often, athletes are not subject to drug-testing in the summer, so they believe they can clear traces of any banned– substance before they return to campus in the fall.

The purpose of any drug-testing program is to deter use, protect the clean athlete, and ensure a level playing field.  Summer testing was an obvious expansion of the good and effective drug-testing program in effect during the fall and spring semesters and in 2006, Drug Free Sport began testing a random selection of Division I student-athletes during the summer.  The program has expanded to Division II with emphasis on football and baseball participants because they are at a higher risk for abusing performance-enhancing drugs.

Initially, there were many questions about how the student-athletes would be notified, what would happen if the student-athletes were not on campus, etc.  In reality, many student-athletes are on campus during the summer, taking classes, working out in facilities, or working in the local community.  Student-athletes also must fill out a form before leaving campus in the spring letting Drug Free Sport know where they could be found during the summer.

In the beginning, summer drug-testing was challenging for Drug Free Sport staff because collectors were traveling all over the country to conduct the tests. Some of the top baseball players were playing in summer leagues all over the country and Drug Free Sport staff had to find them.  Then Drug Free Sport developed a system, where they would send collectors to summer leagues where a variety of Division I and II student-athletes were located.  The collectors spent a week at a summer league focusing on their roster for the random testing rather than focusing on a particular institution.

One example of a successful summer league testing schedule involved the Cape Cod summer baseball league.  Testing at the Cape Cod summer league provides the opportunity to test ten teams in five days.  When the student-athletes show up for a game, they are notified that they have been selected for a random drug-test.  Testing at summer leagues demonstrates the flexibility of the summer program.  Drug Free Sport collectors still go to campuses, but the process is much smoother now that a fair number of the testing can be done where the student-athletes are clustered.

Since 2006, the number of student-athletes tested in the summer has increased each year. As schools have become used to summer testing and the Drug Free Sport staff adapted to it, they have been able to increase the numbers.

To inquire about our sport drug-testing services for your organization, please contact us by phone at 816-474-8655.

Beat The Summer Heat By Staying Hydrated

As temperatures begin to rise this summer, I think it's a good time to revisit the importance of maintaining proper hydration before, during and after exercise. Whether you are strength training in a gym or participating in a casual jog, it's important to make sure that you are consuming the right amount of water. This in turn, will help you perform at your highest level and will keep your body in a healthy state as you train. Here are a few tips to keep in mind this summer:

How much water should I be drinking?

- Due to variables such as heat, humidity, body composition and exercise intensity, it is very difficult to determine a universal amount of water that should be consumed by each individual. Since everyone is built differently, a simple way to make sure that you are staying properly hydrated is by checking the color of your urine. Whereas colorless or light yellow urine typically suggests proper hydration, dark yellow or amber-colored urine could be a sign of dehydration.

- According to the American Council on Fitness, the following basic water intake guidelines are suggested for individuals performing moderate-to-high intensity exercise:

• Drink 17 to 20 ounces of water 2 to 3 hours before you start exercising
• Drink 8 ounces of water 20 to 30 minutes before you start exercising or during your warm-up
• Drink 7 to 10 ounces of water every 10 to 20 minutes during exercise
• Drink 8 ounces of water no more than 30 minutes after you exercise

What are some signs of dehydration?

- Dark yellow or amber-colored urine
- Nausea or dizziness
- Vomiting
- Muscle Cramps
- Heart palpitations
- Dry mouth or sticky saliva
- Mental confusion
- Weakness
- Loss of consciousness

Severe dehydration or heat illness can be very serious and sometimes life threatening. If you or a teammate experiences any of the above symptoms, seek medical attention immediately.

Are there any sites that I can check out to learn more about staying properly hydrated this summer?

- http://www.mensfitness.com/training/pro-tips/the-fit-5-hydration-for-athletes
- http://sportsmedicine.about.com/od/hydrationandfluid/a/ProperHydration.htm
- http://www.eatright.org/Public/content.aspx?id=7084

As you continue your off-season workouts this summer, remember to eat right and stay HYDRATED. Proper hydration is one of the most important aspects of performing healthy physical activity and ensuring that your body is able to perform at its highest level.

Prescription and Over-The-Counter Drug Abuse

You may remember the days of childhood. It was common to get a cold, flu bug, or other type of illness. Trips to the doctor were never fun, but you knew that the word medicine meant a way to get better. Medicine helped get over the illness and back to school, back to the playground, and back with your friends. You knew that a doctor was prescribing you with the medication to help you recover. However, as you get older, you start to realize that some people abuse these same medications.

According to drugs.com, drugs that are safe and effective for use by the general public, without a prescription, are defined as over-the-counter (OTC) drugs. These drugs are often located on shelves in pharmacies, as well as non-pharmacy outlets. A few examples include grocery stores, convenience stores, and large discount retailers. In the U.S., there are more than 80 classes of OTC drugs. These range from allergy medications, to pain relievers, to weight loss products.

Some medications have psychoactive (mind-altering) properties and, because of that, they are sometimes abused. You could define abusing medications as someone taking a medication in ways or amounts other than what has been instructed in directions or by a doctor, or taken by someone other than the person for whom they are prescribed to. In fact, prescription and over-the-counter (OTC) drugs are, after marijuana (and alcohol), the most commonly abused substances by Americans, ages 14 and older. This is according to the National Institute on Drug Abuse.

 According to a study conducted by the University of Michigan, the most commonly abused prescription drugs are: opioid pain relievers, stimulants for treating ADHD (Attention Deficit Hyperactivity Disorder), and CNS (Central Nervous System) depressants for relieving anxiety. The most commonly abused OTC drugs are cough and cold remedies containing dextromethorphan.

Many people believe that prescription drugs and OTC drugs are safer to use than illicit drugs. This is only true when they are taken exactly as prescribed and for the purpose intended. When these prescription and OTC drugs are abused, they can become addictive and put abusers at risk for other adverse health effects. This includes overdose, especially when taken along with other drugs or alcohol.

There is more than one way for prescription and OTC drugs to be abused. These include taking a medication that has been prescribed for somebody else, taking a drug in a higher quantity or another manner than prescribed, and taking a drug for another purpose than prescribed.

We usually think of drug abuse issues as illicit drugs. However, licit drugs (legal for prescription) are a huge abuse issue. Whether they are being deliberately abused, or accidentally abused while taking them for a medical purpose, the results are disturbing.  People abuse over-the-counter (OTC) products to get high, zone out, hallucinate, etc.  Often times this abuse involves youth since these products are so readily available, either in the home medicine cabinet or simply for purchase.

The importance of educating our youth about the risks associated with the use and abuse of prescription and over-the-counter drugs need not go overlooked. Some of the same “medicines” that we have come to lean on during periods of illness, can harm our kids, family, and friends.

Challenging Student-Athlete Perceptions

According to the National Survey on Drug Use and Health (NSDUH), an adolescents perception of the risks associated with substance use is an important determinant of whether he or she engages in substance use. For example, youths who perceive high risk of harm are less likely to use drugs than youths who perceive low risk of harm. Thus, providing adolescents with credible, accurate, and age-appropriate information about the harm associated with substance use is a key component in prevention.

Social norms represent our perceptions of the behaviors and attitudes of others. Expectations about alcohol, marijuana, and other harmful substances can be powerful influences on behavior. Would you say most student athletes engage in the use of harmful substances? Would you say that most student athletes engage in alcohol, marijuana, or cigarette use? Our perceptions vary among individuals. Data from Prevention Strategies shows that 12.30% of student athletes use marijuana and 7.90 use cigarettes. The data that was provided validates that a very small percentage of student athletes are using tobacco products, marijuana, and alcohol.

Student athletes reported being drunk on an average of 1.4 times in the past 30 days. However, there were a range of answers on this question from 0 to 30 days and the most common answer was 0 days of getting drunk. This shows you that the perception should be shed in a positive light that most student athletes don’t engage in the use of harmful substances. You can also look at it from how you feel about teammates engaging in harmful substances. Out of 5,000 student athletes, 76.1% disapprove of their teammates getting intoxicated frequently.

Some other facts regarding alcohol may not surprise you. In a 2009 NCAA Study of Substance Use of College Student Athletes, overall (Division I, II, III), 83.1% of respondents indicated drinking within the last 12 months. This is factual evidence for both men and women. This is an increase from the 2005 study that showed 77.5%. This leaves the perception, and social norm, that there is an increase in young students engaging in alcohol use over the years. Only 12.6% of these students reported never using alcohol, 47% used alcohol less than two days per week, 54% indicated drinking during both their competitive and off season. The scary part about these statistics is that the majority of respondents indicated obtaining alcohol from a friend, family member, or teammate.

Student athletes are expected to be great at what they do. They are asked to maintain a high level of performance, both athletically and academically. All of this occurs under the constant scrutiny of coaches, teammates, fans, and media. Many problems start well before college and some escalate to levels that require intervention from coaches, parents, etc. Student athletes are different from the rest of the student population and because of their constant exposure and elevated status on campus, college student athletes are typically placed in situations that cause stress and anxiety.

Here are some examples of pressures that student athletes face:

· Balancing sports and academics

· Adapting to social challenges

· Success and failure on field and in the classroom

· Injuries

· Weight management

· Sports career ends due to injury or eligibility.

According to the Drug & Alcohol Addiction Recovery Magazine, coping strategies are tools for dealing with stress without returning to substance abuse. A coping strategy is a personal action plan. It identifies a particular stressor or trigger for substance use, includes an understanding of why or how that particular situation encourages an individual to use, and articulates specific physical and mental actions to counter this influence. It is highly recommended that individuals looking to avoid substance use should avoid places, people, and situations that are connected to their social challenges. Small things such as the time of day and music can also make a difference.

For example, if a recovering alcoholic returns to his favorite bar at night (his habitual time for drinking), sees all his old buddies drinking, and hears his favorite drinking song on the jukebox, his ability to avoid relapse becomes seriously compromised. The place, time of day, people and music are all triggering emotional responses that encourage him to drink. An effective coping strategy, in this case, is to avoid a situation that holds such strong triggers.

Student athletes need to realize that there will always be challenges you face in life. Athletes have a lot to lose. We see it all the time in amateur, collegiate, and professional athletics. There are harmful substances around us, people engage in them, but what will you do? What decisions will you make knowing the affects it can cause? The time will come when you will face challenging decisions. There are supporters around you; use them wisely and always remember that the decision is in your hands.

NCAA Championship Drug Testing

Drug-testing in the NCAA began in 1986 when testing at championship events began.  In 1990, it expanded to a year-round program in Divisions I and II and today, 90 percent of Division I, 65 percent of Division II and 21 percent of Division III schools conduct their own drug-testing programs in addition to the testing that occurs at the NCAA.  

Each year, approximately 13,500 samples are collected and analyzed through the NCAA's national drug-testing program, with the bulk of those tests focused primarily on performance-enhancing drugs (NCAA year-round testing). The NCAA tests at championship events in all three divisions at least once every five years and with some championships tested every year. During championship events, student-athletes are screened for steroids, diuretics and masking agents, stimulants, peptide hormones, anti-estrogens, beta-2 agonists, beta-blockers and street drugs. 

Recently, the NCAA’s Committee on Competitive Safeguards and Medical Aspects of Sports (CSMAS) voted to adjust the threshold for a positive marijuana test at NCAA championships to a level that is consistent with current best practices in drug testing, which will more accurately identify usage among student-athletes.

Beginning August 1, 2013, the threshold level for marijuana will change from 15 ng/mL to 5 ng/mL.  For years, Drug Free Sport has provided institutional clients the 5 ng/mL threshold in testing for marijuana.  Drug Free Sport has recognized testing at lower thresholds as a best practice for deterrence and we continue to provide our clients the best drug-prevention methods possible.

The CSMAS has also established a testing standard for synthetic cannabinoids (K2, Spice, etc.), which have not previously been tested for at NCAA championship events. The committee approved testing for those substances using the World Anti-Doping Agency (WADA) laboratory testing standard for level of detection.  Testing for synthetic cannabinoids will begin with the 2013 fall championships.

Drug Free Sport also has the ability to test for multiple metabolites of synthetic cannabinoids.  To learn more about testing for synthetic cannabinoids please contact Drug Free Sport at 816-474-8655.

Binge Drinking: Who is at risk and why should we be concerned?

According to the Centers for Disease Control and Prevention (CDC), binge drinking is “the most common pattern of excessive alcohol use in the United States.” Visit almost any campus, on any weekend, and I would be willing to bet that you will find students and student-athletes participating in binge drinking.

Let’s look at a few facts:

-          Binge drinking is said to be more common amongst young adults aged 18-34

-          The prevalence of binge drinking among men is twice as much as women

-          90% of alcohol consumed by youth under the age of 21 in the United States is in the form of binge drinking

We also know, according the 2009 NCAA Study of Substance Use of College Student-Athletes:

-          83.1% of respondents indicated drinking within the year (male and female)

-          47% of those reporting alcohol usage reported drinking six to ten plus drinks in a sitting (binge drinking)

-          54% of the respondents indicated drinking both during their competitive and off season

-          Student-athletes are at a higher risk for such behaviors

As you can see, it’s no mystery that student-athletes are at risk for, or are participating in the act of, binge drinking. Alcohol consumption has been and continues to be an issue at the collegiate level.

So what is “binge drinking” and why should we be concerned?

Binge drinking is typically defined as, for men, consuming five or more drinks within a period of two hours. For women, four or more drinks within the same time period is typically classified as binge drinking.

Some of the common issues that we see associated with binge drinking include:

-          Memory issues – disrupting sleep cycles and prohibiting one’s ability to retain information.

-          Hydration issues – decreasing the body’s state of hydration, which can be a real problem for student-athletes that are trying to perform at the highest level.

-          Injury issues – poor food choices, dehydration and depletion of nutrients can all lead to injuries.

-          Alcohol poisoning – always dangerous and can sometimes lead to death.

-          High blood pressure, stroke or other cardiovascular issues – it can and does happen.

-          Unintended pregnancy and sexually transmitted diseases – it can be prevented.

As you can see, none of the above issues associated with binge drinking is conducive to a student-athletes career. It is our job as educators to make sure that student-athletes are aware of the risks associated with the use of alcohol, and in particular, binge drinking. There is no one method that is a cure-all to this issue, but here are a few links that may be helpful.

myPlaybook

Expert Speakers

Prevention Strategies

Student-Athletes Speak Against Binge Drinking

APPLE Conferences

Following up this week on our May 8th 2012 blog titled "10 reasons why drugs, alcohol and/or supplements are still an issue in athletics," we explore:

           "The NCAA reported a 5.6 percent rise in alcohol consumption since 2005, with 83.1 percent of respondents reporting drinking alcohol in the past 12 months.."

This blog is titled 10 Reasons why drugs, alcohol and/or supplements are still an issue in athletics: Alcohol and it can be found on our myPlaybook blog at: http://myplaybook.drugfreesport.com/?p=717

"We are what we repeatedly do. Excellence then, is not an act, but a habit." Aristotle  

10 reasons why drugs, alcohol and/or supplements are still an issue in athletics: Marijuana 101

Following up this week on our May 8th 2012 blog titled "10 reasons why drugs, alcohol and/or supplements are still an issue in athletics," we explore our first reason:

           "In a 2009 study, the use of Marijuana amongst NCAA student-athletes had increased by   

            nearly 2 points over a period of 4 years. 22.6 percent of respondents claimed to have used 

            Marijuana within the last 12 months."

This blog is titled Marijuana 101 and can be found on our myPlaybook blog at: http://myplaybook.drugfreesport.com/uncategorized/marijuana-101/

"Tell me and I'll forget. Show me, and I may not remember. Involve me, and I'll understand."
-Native American Saying-

 

Introducing myPlaybook: Web-Based Drug and Alcohol Education for Student-Athletes

Drug Free Sport has partnered with Prevention Strategies to bring myPlaybook to colleges, universities, and high schools across the US. myPlaybook is a new, web-based, interactive drug and alcohol education program created specifically for student-athletes.

Background

Prevention Strategies is a research company devoted to providing online education products that aim to prevent alcohol and drug-related harm among teens and young adults. With the support of the NCAA, PS created a program specifically for student-athletes. Over 5,000 current student-athletes have already completed myPlaybook, giving PS data showing the program works to change attitudes, beliefs, and behaviors related to alcohol and drug use.

Because of our involvement with drug testing and the NCAA, Drug Free Sport partnered with Prevention Strategies to make myPlaybook available to institutions across the country.

The Program

myPlaybook is an evidence-based program designed to prevent alcohol and other drug related harm. This interactive, web-based program engages students using state-of-the-art instructional design. There are two separate programs for college and high school. The collegiate program was created specifically for student-athletes. The high school program is designed for the general student population and also includes an extra component for those participating in athletics.

Pilot studies have shown that the program works, with student-athletes demonstrating immediate gains in knowledge of NCAA drug testing procedures and banned substances, negative alcohol expectancies, and negative marijuana expectancies. Over 83% of students felt they benefited from taking myPlaybook.

The core program covers:

• NCAA Banned Substances & Drug Testing
• Alcohol
• Marijuana
• Performance Enhancing Drugs/Dietary Supplements
• Tobacco
• Prescription/Over-the-Counter Drugs

Booster sessions are offered for students who have completed the core program. The boosters contain content that is new and applicable to student-athletes along with content that reinforces the core program. The REC will help choose booster topics based on the questions student-athletes are asking the most.

Want to know more?

You can learn more about myPlaybook by visiting the website (click here) or contacting Ryan Carpenter (816-474-8655). You can also Click here to sign up. Drug Free Sport can set you up with a full user account so that you can see the program the same way student-athletes see it or you can choose to receive a one-on-one tour from a DFS staff member and ask questions as you learn about the program.

My first week at Drug Free Sport: Dietary Supplements

Well… My first week at Drug Free Sport was anything but typical. I have been in the Anti-Doping industry for three years now, working primarily with collection protocols, field staff training and athlete testing plans. I have developed a solid foundation in the Anti-Doping movement, but have to admit that I feel like a rookie when it comes to the complex world surrounding dietary supplements, drugs, alcohol and other doping methods in sport.

Barely scratching the surface on information related to the topics presented above now seems like an understatement after a week’s worth of work at Drug Free Sport. For instance, who would have thought that someone could make a dietary supplement out of the back of their car and sell it to consumers like you or I? Wait… What? dietary supplements that I’m putting into MY body could potentially be manufactured in the trunk of a car? According to the U.S. Food and Drug Administration, dietary supplements are regulated under the 1994 Dietary Supplement Health and Education Act (DSHEA). Under this act, manufacturers of dietary supplements or their ingredients “DO NOT need to register their products with the FDA nor get FDA approval before producing or selling dietary supplements” (FDA, http://www.fda.gov/Food/DietarySupplements/default.htm).

Regardless, these supplement companies or manufactures have to be regulated at some point, right? Well that’s actually correct. These companies must comply with cGMPS, which means “Current Good Manufacturing Practices.” These practices are in place essentially for quality control purposes. They act as a measure to ensure that companies are processing supplements in a consistent manner and meeting standards. Under what the FDA calls the “Final Rule,” supplement manufacturers must adhere to the following conditions (not limited to these conditions):

-          The design and construction of physical plants that facilitate maintenance

-          Cleaning

-          Proper manufacturing operations

-          Quality control procedures

-          Testing final product or incoming and in process materials

-          Handling consumer complaints

-          Maintaining records

(FDA, http://www.fda.gov/Food/DietarySupplements/default.htm)

The FDA deploys inspectors to ensure these rules are being followed, but on average, only about 5 inspections take place during a given month. Just go to your local supplement store and see how many different supplements and manufacturing companies there on the shelves; 5 inspections a month doesn’t even make a dent!

Taking this into consideration, how could a supplement that I put into MY body be created in the back of a trunk? Dietary supplements do not have to be approved, show effectiveness or be proven safe before being marketed, as long as they avoid health claims and ingredients that are not GRAS (I also, learned that this means Generally Recognized As Safe).

The point is that dietary supplements are under-regulated and in some cases, we have no idea where these dietary supplements and their ingredients are coming from. I would recommend watching this clip from Dateline’s Chris Hanson on dietary supplements:

(http://www.msnbc.msn.com/id/3032600/vp/46766278#46766278)

It’s only been one week and I could go on and on about some of the things that I’ve learned thus far. If there is one thing to take away from my first week with Drug Free Sport, it’s that no matter how much I’ve learned in my three years of Anti-Doping experience, it’s not enough and every day brings new surprises!

Until next time!

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/

Overtraining Syndrome: Fact or Myth?

Overtraining syndrome is a condition in which an athlete experiences a decline in performance, even though they are training, and also shows symptoms of disturbed eating and sleep patterns and mood changes. They may also feel very fatigued. The idea is that the athlete is not letting their body rest and, in the effort to gain an edge by training constantly, they are actually harming their performance. But does overtraining really exist? Isn't more training better?

Studies have shown, and many experts agree, that overtraining syndrome exists and is an all too real problem for many athletes. More is not always better. However, there is some disagreement on the definition of the syndrome and how to determine if someone has it, but below are some generally accepted symptoms of overtraining.


Decline in performance
Tiredness, lack of energy
Aches and pains or leg soreness
Sleeping problems
Pain in muscles or joints
Increased number of colds, feeling sick more often
Inability to complete training sessions
Moodiness
Depression
Loss of appetite
Increased injury incidence
Reduced maximum heart rate
Elevated resting heart rate

The cause of a decline in performance is not always as easy as overtraining. There can be many other reasons. Overtraining syndrome involves much more than not playing well. If you believe you may have or may be developing the syndrome, the only remedy is rest. The longer you have been in a state of overtraining, the longer your rest period must be.

Be aware of your eating, sleeping and exercise habits. Keep a journal of your activity and watch for warning signs. Your best bet is to pay attention to your body and catch symptoms early so you can take a few extra rest days before you develop full-blown overtraining syndrome. Remember, rest and recovery are just as important for optimal performance as intense training.