NCAA "Approved" Supplements. Explaining the truth.

Contributed by Anna Filardo, MS, CPT 
Education Program Manager at Drug Free Sport, Inc.

MYTH: The NCAA approves dietary supplements.

Dietary supplement companies might advertise supplements as “NCAA Approved” on brand websites and packaging labels and persuade student-athletes to buy their product. This marketing effort may give sports medicine staff the perception that the supplement is safe and appropriate for their student-athletes. Many believe there is a list of NCAA “approved” dietary supplements— or that there is an approval process.

FACT:   

Image courtesy of NCAA

"There is no list of NCAA-approved supplement products.” [Quote and image from the 2016-17 NCAA Drug-Testing Program.] The NCAA has a food-first mindset: eat whole foods instead of using dietary supplements to achieve performance and recovery goals. Dietary supplements bring uncertainty to consumers. Due to minimal regulation or oversight by the Food and Drug Administration (FDA), supplement companies ARE NOT required to have pre-market approval of safety, efficacy, or purity of their products before selling them to consumers. So, there is no way for the NCAA (or any sport organization) to be 100% certain of what is in a dietary supplement.  

Drug Free Sport AXIS™ is the NCAA’s preferred tool to provide guidance on dietary supplements and assess for banned ingredients and misleading marketing.  The Drug Free Sport AXIS™ team’s role is to compare the NCAA banned substance list with the supplement facts and ingredient list on any dietary supplement. This process does not endorse or indicate any approval for the use of a dietary supplement.

A Risk Level 1 DOES NOT mean the dietary supplement is approved for NCAA athletes. Student-athletes consume dietary supplements at their own risk. Similarly, it is up to the institution to interpret the NCAA bylaw that pertains to the direct distribution of permissible nutritional supplements.

It is important for athletic departments and student-athletes to understand that a supplement categorized as a Risk Level 1 in the Drug Free Sport AXIS™ Dietary Supplement Inquiry resource DOES NOT make the dietary supplement permissible to directly supply to student-athletes. Drug Free Sport does not provide official interpretation of NCAA policies and bylaws.

Let’s recap:

• The NCAA does not approve the use of dietary supplements.
• Dietary supplements are only permissible under four categories and certain ingredients.
• A Drug Free Sport AXIS™ Risk Level 1 supplement assignment does not indicate that the dietary supplement is approved or permissible for use. 

To learn more about NCAA rules regarding dietary supplements or to ask specific questions on the topic, be sure to register for our upcoming webinar on September 14: NCAA Dietary Supplements: Approved, Permissible, or Banned?  The webinar will be presented by Mary Wilfert, Associate Director for the NCAA Sports Science Institute and Lara Gray, Director of Education for Drug Free Sport.

To submit a Dietary Supplement Inquiry on Drug Free Sport AXIS™ visit www.drugfreesport.com/axis

Key Lessons and Outcomes from Sport Exchange Summit 2016

To the day, we are a month after Drug Free Sport’s first “Sport Exchange Summit”, where we gathered thought leaders from sport to discuss the bigger issues that affect “the team behind the team”. For two days, we were inspired and challenged by calls to action to be full resources to the athletic communities that we serve.

A few highlights from this event that continue to resonate:

-         Drug Abuse in Sport: Students are returning to campuses around America right now, each bringing a new set of experiences with them from the summer months. Our presenters that discussed prescription drug abuse and new forms of marijuana consumption shared the risks and access that youth have to these substances. These aren’t the recreational drugs of old – they’re genetically charged, in many cases not prescribed, and widely accessible. Drug Free Sport offers educational options for many levels of sport on how to listen, consult and guide athletes who are experiencing these challenges during an age of experimentation.

-         Race/Diversity in Sport: It’s one of America’s hot topics right now. Sport brings together people of all walks of life, in its best, forming one unit for a greater good. However, there are differences that are to be acknowledges as we embrace the idea that athletes bring their life experiences to the field and court. Learning to listen, understand and embrace these differences, even when they are uncomfortable, is a mentally healthy approach to humanizing your team members.

-         Sport Staff Integration of Ideas: The Sport Exchange Summit brought together career paths that cross each other on campuses and in training centers , but that don’t often speak on a peer level. Throughout many presentations, leaders emphasized the importance of athletic trainers, team psychologists, dietitians, athletic administrations and others sharing ideas for the athletes that they support. It wasn’t lost on anyone in the room that each group often has their individual goals, especially as revenue and performance are frequently hand in hand. To quote Aristotle, “the whole is greater than the sum of its parts.” We need to remember that this is one of the reasons that so many professionals were drawn to a career in sports.  From visiting interns to Pro Football Hall of Famer Will Shields, this message resonated throughout the event and beyond.

-         Self-development. Each of the numerous attendees made an effort to travel to Kansas City, devoting at least two days toward continuing education. It’s important to take care of the people that take care of others – in this case, it’s self-maintenance. Please continue to take care of yourself and each other as this school year starts. We are a support system and a community. To continue these conversations that were started, join the conversations on Twitter using the #SportExchangeSummit hashtag. If you’re new to the event and didn’t attend, review the hashtag to see the great comments and content.

Drug Free Sport will offer continuing educational opportunities, including our free webinar on Tuesday, August 23 on marijuana trends. For more information, including how to register, click here: bit.ly/2aL2zRE 

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!