Risk Level Rating System: A Deeper Look

Contributed by Anna Filardo, MS
Education Program Manager, Drug Free Sport

Drug Free Sport AXIS™ staff review dietary supplements according to the ingredients listed on the product’s supplement facts panel, marketing claims, and related scam warnings or FDA recalls. After our research and evaluation process, a risk level is assigned as Level 1, 2, or 3. There is no Risk Level 0 because Drug Free Sport does not test dietary supplements.

Due to limitations on regulatory oversight of the dietary supplement industry, there can be no guarantees that a product does not contain banned ingredients without testing each individual item. Unfortunately, supplement companies may intentionally or unintentionally contaminate/adulterate products that end up on the market. For these reasons, the risk level rating system cannot guarantee that a product will not cause a positive drug test. For zero risk, athletes are advised to avoid dietary supplements altogether and focus on food as fuel.

Drug Free Sport AXIS serves as a helpful tool in determining supplement safety for athletes, and provides sports nutrition handouts and recipes as alternatives. For a detailed explanation of the different Risk Levels assigned through the Drug Free Sport AXIS Dietary Supplement Inquiry tool, please keep reading. 

Risk Level I:

•  The supplement facts panel does not list banned ingredients or ingredients related to a banned drug class. 
• Product webpage and/or the product label’s marketing is not related to a banned drug class. Example: testosterone is a banned substance; dietary supplements that claim to boost testosterone (and otherwise do not list banned substances) will not be assigned a Risk Level 1.
• Seen as the “safest” risk level. Remember—there is no guarantee that a dietary supplement company did not contaminate/adulterate the product, which in turn could cause a positive drug test.
• Specific to Collegiate Sports: A Risk level 1 does not indicate whether or not the product is permissible for direct distribution to athletes. Permissible items are typically determined by compliance officers on campus according to NCAA bylaws.
• Watch this webinar for more information on NCAA Permissibility of Dietary Supplements.

Risk Level II:

• Ingredients listed on the label have limited scientific evidence regarding the safety, purity, or effects on the body. The ingredient may not be specifically banned, but has a possibility to be detrimental to the athlete’s health.
• The marketing for the product makes claims related to a banned drug class. Example: a product that claims to boost testosterone (and otherwise  may not list banned substances) is a Risk Level 2.
• Specific to organizations that prohibit caffeine: Caffeine or sources of caffeine (green tea, guarana, white tea, etc.) are listed on the label. Caffeine is banned (for specific sport organizations) under the stimulants drug class when urinary concentrations exceed 15 mcg/mL.
• There is no way for us to know what amount of caffeine will cause a positive drug test due to many factors: metabolic rate, other food/drink consumed, age, gender, weight, height, etc.
• There are ingredients listed on the label related to a banned drug class. The ingredient is not strictly banned, but is similar to a banned substance. Example: raspberry ketones may share a similar chemical structure to synephrine, a strictly banned stimulant. Therefore, a product listing raspberry ketones (and no other banned substances) would be categorized as a Risk Level 2.

Risk Level III:

• Ingredients listed are strictly banned. 
• The product has been cited for contamination/adulteration issues with banned substances, or has been recalled by the FDA.

The Drug Free Sport AXIS risk level rating system is a tool to assist athletes and athletic staff to make informed decisions regarding the use of dietary supplements for sports performance. Ultimately, athletes consume dietary supplements at their own risk.

To have a dietary supplement reviewed by our team, login and submit an inquiry to Drug Free SportAXIS. 

Why You Need A Sports Dietitian On Your Sports Medicine Team

Contributed by Lara Gray, MS, RD, CSSD,

Director of Education at Drug Free Sport, Inc.

Full disclosure: I am a sports dietitian (RD). But that is not the only reason I feel compelled to write a brief post on this topic. Through our work and educational outreach at Drug Free Sport, I have observed that the role of sports RDs on the sports medicine team is still largely misunderstood, under-budgeted, missing—or all of these at once. So, let me make a few points to elaborate on why you need a sports RD in your athletic program. If you are a sports RD reading this, use this information to strengthen your case on why you are essential to any athletic programs’ success, and the health and safety of the athletes they serve.

Most athletes have little to no nutrition knowledge.

o   Even a basic understanding of which foods provide carbs, proteins, or fats is primarily absent. A lack of basic nutrition principles immediately limits an athlete’s potential to make adequate fueling decisions for performance. This, in conjunction with issues pertaining to budget, often predisposes athletes to selecting high fat, high sugar options from cheap, grab’n’go conveniences (e.g., fast food, fried foods).

Lack of awareness of food-based solutions leads to increased reliance and trust in potentially harmful dietary supplements.

o   This generation of athletes will not shy away from using technology to source ways to “treat” sports performance issues (read: Google, Facebook, Twitter searches and online influence are at an all-time high). Enter dietary supplements. An athlete's lack of awareness pertaining to nutrition solutions for performance and recovery, and the results of their web search, often leads to dietary supplement products with questionable contents. They are often unregulated, contaminated with prohibited substances, contain heavy metals or toxic pesticides, or fall short of all of these and merely contain almond or soy flour—yet charge $30-$100 per bottle.

To deter supplement use in sport, athletes must receive practical and effective food solutions.

o   Current research estimates the prevalence of dietary supplement use in sport to be within a wide range of 40-75%; higher among those at more elite levels. The expertise of the sport RD can not only provide sound guidance on supplement safety and efficacy, but most importantly, also offer food-first solutions that provide safe, sustainable, and highly effective alternatives.

University of Texas Sports Dietitian, Amy Culp, RD, CSSD, LD, creates teachable moments where most effective—in front of the food.  UT Athletics is an example of a high functioning and collaborative sports medicine team that effectively incorporates sports nutrition for shared success. Photo courtesy of  UT Athletics. 

Sports RDs make nutrition decisions highly approachable, visible, and easy for athletes.

o   Sports RDs are educated and trained in food service operations. This makes them a primary asset when negotiating and determining pre-/post-game meals, stocking and maintaining refueling stations, navigating food options while teams are traveling, and working with catering and food service managers to create/enrich training table meals.

The sports RD can save both time and money.

o   Food costs money. Consider the time saved in human resources if you have someone working with teams, caterers, operations staff, and food service staff who can confidently set menus while competition is both home and away. Recognize cost savings from a professional experienced in ordering and stocking only the appropriate amounts and types of nutrition resources.

Sports RDs effectively support the collective success of any multidisciplinary sports medicine team.

o   The team physician’s efforts in athlete post-surgical care;

The athletic trainer’s efforts to support recovery, injury prevention, and immunity;

The sport psychologist’s efforts addressing athletes with disordered eating;

The coach’s efforts in achieving optimal body composition for performance;

—are all elevated and improved by the work of a sports RD.

Make sure to set their place at the table!

For additional guidance on adding a sports dietitian to your team, or to find a certified specialist in sports dietetics (CSSD) in your area, please email me at lgray@drugfreesport.com. Drug Free Sport advocates for all professional disciplines that support athlete health, performance, and safety. To learn more about the impact of sports dietitians on high performance teams, and experience a new sports industry conference that focuses on maximizing collaborative success of “the team behind the team”, visit www.sportexchangesummit.com.

What impact has a sport dietitian had on your team or athletic program? PLEASE USE THE COMMENTS TO SHARE!

Supplement Certification Programs: State of the Industry and What You Need to Know

Dietary supplement (DS) contamination is a growing concern amongst sports organizations, defined as adding ingredients unlisted on the nutrition label into the supplement. DS are growing in popularity amongst athletes of all levels. However, little is known about these items that are being ingested by athletes. What is really in this supplement and is it banned?  

DS have a lot of unknown variables, due to a lack of government or industry regulation. Most sports organizations do not condone the use of DS, with intentions of protecting an athlete’s health and safety. The Food and Drug Administration (FDA) currently does not regulate DS; therefore, anyone can make a dietary supplement without content restrictions. Many DS can be contaminated with Selective Androgen Receptor Modulators (SARMs), substances that act like steroids. Without knowledge of these ingredients, athletes perceive the DS as harmless. In fact, it’s often quite the contrary. SARMS are strictly banned by most sports organizations, with a positive drug test due to banned substances bringing many perilous consequences.

Third-Party Supplement Certification Programs are fighting to ensure that all DS are safe to use and true to their labels. Meaning, DS companies are not hiding banned ingredients in their products. An excellent educational option for third-party supplement certification programs is the upcoming Sport Exchange Summit, Powered by Drug Free Sport. John Travis (Senior Research Scientist, National Science Foundation), Dave Ellis (first President of the Collegiate and Professional Sports Dietitians Association), and Dr. Dan Fabricant (Executive Director and CEO, Natural Products Association) will address the “what’s” and “why’s” of third-party supplement certification programs that are striving to clean up the supplement industry for athletes and general consumers. From the shared expertise of the panel, attendees will better understand the dynamics of banned substance testing, recognize products of concern, and begin to develop feasible approaches to help athletes make informed decisions about sports supplements.

Drug Free Sport’s Resource Exchange Center (REC) is the premier supplement review resource for NCAA, NAIA, LPGA, PGA Tour, USA Track & Field, and VADA sports organizations. The REC researches supplements submitted for contamination issues along with recalls, working to ensure health and safety of all of our clients’ athletes.

Don’t miss your chance to learn about third-party supplement certification programs at the Sport Exchange Summit, Powered by Drug Free Sport. Early-bird registration has been extended until the end of May! Register today at sportexchangesummit.com to educate yourself via industry leaders.

For more information on dietary supplement safety, visit dfsrec.com.

Drug Free Sport Presents Sport Exchange Summit 2016!

We are gearing up for our first education conference and are thrilled to share our dynamic program featuring sport industry professionals and subject matter experts. From our work, we know that bridging effective communication and collaboration between all of these parties is essential for providing optimal care to athletes AND supporting organizational success. 

The Sport Exchange Summit not only provides current information on topics related to athlete care, but also encourages the opportunity to learn and network from other sport professionals. Attendees will be a multidisciplinary crowd of sport dietitians, athletic trainers, strength & conditioning coaches, team coaches, team physicians, sport psychologists, athletic administrators, and others who directly impact athlete performance and well-being.

This week we are excited to highlight three of our speakers!

Out in Sports: Considerations for Supporting Trans Athlete Identities

Day One, July 12, 2016 at 3:15 pm.

Jonathon T. Pryor, Assistant Director for LGBTQIA Programs and Services at the University of Missouri-Kansas City, will be engaging attendees in a timely discussion on strategies to support transgender athletes. Over the past year, the transgender community has received increased exposure in the media. In anticipation of this social movement, it will be important for athletic organizations to proactively create opportunities that support these individuals while maintaining the integrity and competition of sport. This session will not only cover "transgender basics" such as appropriate terminology, but also provide discussion and considerations for transgender athletes in competitive sport. 

Running Effective Drug Testing Programs

Day Two, July 13, 2016 at 9:30 am.

Mary Wilfert, Associate Director for the NCAA Sport Science Institute,  will join this panel discussion on current trends and perspectives related to the administration of effective drug testing programs in sport. Wilfert will be joined by Dr. Tom Hospel, Medical Director for the PGA Tour, and Dr. Bryan Smith, Medical Representative for the Major League Baseball Drug Program. Attendees will gain a heightened understanding of why drug testing is an effective deterrence model, and explore the new science and technologies being used to identify performance-enhancing substances. This session will also provide an opportunity for attendees to ask the panel questions in an open forum. 

Race & Diversity Issues in Sport: Action and Influence

Day One, July 12, 2016 at 2:30 pm.

  

Dr. Pat Ivey, Assistant Vice-Chancellor for Diversity, Inclusion, and Equity for the University of Missouri-Columbia, will be presenting as a panelist for the Race and Diversity discussions on Day One of the event. Ivey's doctorate in sport psychology effectively folds into his experiences as a professional athlete (signed by the San Diego Chargers in 1996), award-winning strength and conditioning coach, and current work at the University of Missouri to address university programs and partnerships available to athletes of all backgrounds and ages. Given the recent media coverage on racial tensions at the University of Missouri, Ivey and his colleagues are making positive strides to create change on campus, and have much to offer on this important topic affecting sport organizations around the country. 

SESSION TOPICS

INCLUDE:

• Building an Effective "Team Behind the Team"
• High Performance Sports Nutrition: Impact & Influence on Sports Programs
• Innovative and Effective Athlete Engagement Strategies: An Introspective and Synergistic Approach
• Life after Sports: Helping Athletes Transition and Build a New Identity
• Marijuana: Impact of Legalization and New Forms of Consumption
• Out in Sports: Considerations for Supporting Trans Athlete Identities
• Prescription Drug Abuse in Sport
• Race & Diversity Issues in Sport: A Case Study
  (led by University of Missouri officials)
• Race & Diversity Issues in Sport: Action and Influence
(led by University of Missouri officials)
• Running Effective Drug Testing Programs
• Sport Psychology: Professional Issues & Psychological Care of the Athlete
• Supplement Certification Programs:
  State of the Industry and What You Need to Know

Early Bird Registration ends March 31st! 

Get more information and register at sportexchangesummit.com.