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Chapter 4 – Muscular Strength and Endurance

Supplements and Performance Enhancing Drugs

Many active people use nutritional supplements and drugs in the quest for improved performance and appearance. Some supplements can be a safe addition to a healthy diet and balance training program. Others are ineffective and expensive, and many are dangerous. A balanced diet and consistent training should be your primary  strategy.

Below is information about a few of the better known supplements and training aids. Descriptions should be considered a very abbreviated form of information for basic knowledge. Any person considering supplementation should perform their own independent research from a variety of reliable sources without influence from manufactures or peers.

Nutritional Suppliments

The best source of nutrients for any level of training is through a healthy and balanced diet. Nutrients in whole foods are most easily absorbed, in the proper concentrations and ratios for a body to use.  However, busy lifestyle, budget, or other factors may have a person considering nutritional supplements.

Dietary Supplements for Exercise and Athletic Performance – National institute of Health

Protein

Eating enough protein is not just for athletes. It is necessary for a healthy immune system and required for organs like your heart, brain, and skin to function properly. This nutrient is also touted for its ability to help control appetite and enhance muscle growth. To make protein supplements/powders, protein is extracted from animal or plant-based sources, which range from cow’s milk and eggs to peas, rice, and soy. During processing, naturally occurring carbohydrates, fats, minerals, and fiber are often removed, while supplementary nutrients, herbs, and even sweeteners may be added. Anyone considering protein powder should understand that it is classified as a dietary supplement, which means it is not regulated in the same way as food or medicine. Responsibility falls on manufacturers to ensure that their products are not hazardous, though many companies do not test for safety or efficacy before their offerings hit shelves. Though the FDA created Good Manufacturing Practices (GMPs) to help minimize adverse issues, compliance with these procedures remains a concern. In 2017, roughly a quarter of supplement-manufacturing companies whose products were tested received citations related to purity, strength, and ingredient content.

Training Aids

Creatine

Creatine is one of the most thoroughly studied and widely used dietary supplements for exercise and sports performance. Creatine is a naturally occurring substance in the body used to help generate ATP to supply muscles with energy, particularly for short-term events. (Remember the  ATP-PC -Phosphocreatine cycle for energy production discussed in Chapter 3.)

Creatine might improve muscle performance in four ways:

  • by increasing stores of phosphocreatine used to generate ATP at the beginning of intense exercise
  • accelerating the re-synthesis of phosphocreatine after exercise
  • depressing the degradation of adenine nucleotides and the accumulation of lactate
  • enhancing glycogen storage in skeletal muscles

Supplementation with creatine over weeks or months helps training adaptations to increased workloads over time, predominately for activities using the immediate and non-oxidative energy systems. Creatine supplementation does not seem to have training or performance benefits for endurance sports, such as distance running or swimming, that do not depend on the short-term ATP-creatine phosphate system to provide short-term energy.

Caffeine

Caffeine is commonly used in energy drinks, gels and pre-workout supplements marketed to improve training or performance. It is often combined with carbohydrates and electrolytes as well. Many studies have shown that caffeine might enhance performance in athletes when they ingest about 2–6 mg/kg body weight before exercise by improving endurance, strength, and power in high-intensity team sports activities

Caffeine supplementation is more likely to help with endurance-type activities (such as running) and activities of long duration with intermittent activity (such as soccer) than more anaerobic, short-term bouts of intense exercise (such as sprinting or lifting weights)Heavy caffeine use (500 mg/day or more) might diminish rather than enhance physical performance and could also disturb sleep and cause irritability and anxiety.

Anabolic Steroids

Anabolic steroids are medications that are manufactured forms of testosterone. Though both men and women have testosterone, this androgen stimulates the development of male characteristics so it naturally much higher in men than in women.

Anabolic steroids are the most common appearance- and performance-enhancing drugs (APEDs).  Some athletes, bodybuilders and others misuse testosterone in an attempt to enhance performance and/or improve their physical appearance.  For athletes, increasing muscle mass may also promote strength, which can improve strength-based sports performance.  Anabolic steroid misuse can be associated with a form of body dysmorphia called muscle dysmorphia as well.

Side effects and complications of anabolic steroid misuse for anyone include:

  • High blood pressure.
  • Blood clots.
  • Heart issues, including heart attack.
  • Stroke.
  • Liver damage.
  • Short stature (if you’re an adolescent).
  • Severe acne and cysts.
  • Male-pattern baldness.
  • Aggression.
  • Mania.
  • Delusions.
  • Major depressive disorder.

Side effects and complications of anabolic steroid misuse in men include:

  • Decreased sperm production.
  • Enlarged breasts.
  • Decrease in testicle size.
  • Increased risk of testicular cancer.

Side effects and complications of anabolic steroid misuse in women include:

  • Voice deepening.
  • Decreased breast size.
  • Excessive body hair growth.

 

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Health and Fitness for Life Copyright © 2019 by Dawn Markell and Diane Peterson is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.