>From ACSM:

October 23, 2003

For immediate release


STEROIDS THREATEN HEALTH OF ATHLETES AND INTEGRITY OF SPORTS PERFORMANCE



American College of Sports Medicine Calls for Increased Vigilance in
Identifying and Eradicating Steroid Use



INDIANAPOLIS ?  The American College of Sports Medicine (ACSM) today
condemned the development and use of new “designer” steroids.  ACSM
considers chemicals, such as the recently identified Tetrahydrogestrinone, or THG, 
developed and
cloaked to avoid detection by doping tests, as serious threats to the health and 
safety of athletes,
as well as detriments to the principle of fair play in sports.  Any effort to veil or 
disguise
steroid use in sports through stealth, designer, or precursor means, puts elite, 
amateur and even
recreational athletes at risk.

The health risks associated with steroid use are severe.  Anabolic steroid use has 
been implicated
in early heart disease, including sudden death, the increase of bad cholesterol 
profiles (increased
LDL, lower HDL), an increase in tendon injuries, liver tumors, testicular atrophy, 
gynecomastia
(abnormal enlargement of breasts in males), male
pattern baldness, severe acne, premature closure of growth plates in adolescents, 
emotional
disturbances and other significant health risks.  The health risks of designer 
steroids compared to
or beyond symptoms of anabolic steroid use are currently unknown.

“No one knows the extent of this yet,” said Gary I. Wadler, M.D., FACSM.  “If there is 
one great
concern that THG has exposed, it’s the potential that other non-detectable anabolic 
steroids may be
in the pipeline.  The scientific and public health implications of this issue
are quite disconcerting.”  Wadler, an ACSM sports medicine physician who serves on the 
Health,
Medical and Research Committee of the World Anti-Doping Agency (WADA) and is a leading 
international
authority on doping in sports, says the appearance of these new drugs and their use 
models dangerous
behavior, potentially causing physical and psychological damage to young athletes.

ACSM calls for national compliance with the United States Anti-Doping Agency (USADA) 
regulations and
to the World Anti-doping Code.  Further, the College stresses the need for “clean” 
athletes, those
not taking performance-enhancing drugs or supplements, to publicly deplore the use of 
steroids among
their teammates and peers.  ACSM underscores the critical leadership role clean 
athletes can take in
disavowing performance-enhancing drug use and advocating fair play to protect the 
integrity of
sports competition.  Other individuals who influence young athletes, such as parents 
and coaches,
should establish a no-tolerance policy for performance-enhancing substances, and 
intervene whenever
necessary.

In the past 20 years, sports governing bodies have made substantial efforts to 
eradicate steroid
use.  Drug testing implemented by the National Collegiate Athletic Association, for 
example, has
been instrumental in decreasing the use of steroids among college athletes.  Last 
year, ACSM called
for mandatory testing for steroid use in Major League Baseball.  (ACSM’s Position 
Stand, “The Use of
Anabolic-Androgenic Steroids in Sports,” ACSM condemns the use of these drugs among 
athletes.  To
read a copy of this Position Stand, please visit http://www.acsm-msse.org).  Yet, 
information
gathered very recently, over just the past few years, indicates an upward trend in 
steroid use among
amateur athletes at the college and even high school levels.

ACSM will conduct a national news teleconference, Friday, October 24, 2003 at 1:00 
p.m. EDT to
address the issues of athlete health, the importance of fair play, and the call for 
increased
vigilance on the part of athletes, coaches, parents, and others. Participants will 
include Wadler,
ACSM President-elect William O. Roberts, M.D., FACSM,
and Andrew Pipe, M.D., FACSM, Chairman of the Canadian Center for Ethics in Sport.



The American College of Sports Medicine is the largest sports medicine and exercise 
science
organization in the world.  More than 20,000 International, National, and Regional 
members are
dedicated to advancing and integrating scientific research to provide educational and 
practical
applications of exercise science and sports medicine.


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