dr. essam shaabanmoh.gov.bn/shared documents/my heart your heart... · dr. essam shaaban sports...
TRANSCRIPT
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Dr. Essam SHAABANSports Medicine & Research CentreMinistry of Culture, Youth & SportsBrunei Darussalam
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The word “doping”
derives from “dop”, a
word from a Kaffir
dialect in South-East
Africa, denoting a strong
liquor used as a
stimulant in religious
ceremonies (Prokop,
1970).
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* Doping reaches back at least
3000 years and has roots in
various cultures.
* Drugs and other doping means
have been used by man and
animals, for hard labor,
warfare, sporting contests, re-
creative purpose, and
religious purposes.
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* It is only after the second
World War that there has
been a more determined
action against doping in
sport.
* New doping means
emerge.
* The doping police and the
athletes are caught in
hunter-hunted structure
that may evolve
indefinitely.
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The effectiveness of doping means is specific, not general.
The use of amphetamines, for instance, is not effective in all sports, for all
athletes, on all levels, under all circumstances, etc.
Doping means, according to recent research, often have very specific, restricted
effects. See Chandler and Blair (1980).
* No 100% effective control
of all listed doping means
has been established.
* Even if one should take a
firm stance against doping,
there is at present no
method or technique
effective enough to stop
the use of doping agents.
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• One benefit is that it becomes easier to
win.
• Another benefit, at least in some
sports, is that it is easier to set world
records.
• Discus throwers who dope may, for
instance, throw 5 meters farther than
those who do not.
What are the benefits of doping?
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Performance
Both lead to Recognition & Cash
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The Doping Dilemma
Costs
Of
Doping Benefits
?for whom?
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What can one use to dop?
What are the banned substances ?
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https://www.wada-ama.org/sites/default/files/prohibited_list_2018_en.pdf
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stimulate the development of male sexual characteristics
development of male sex
organs.
Anabolic steroids stimulate growth in many other types of tissues, especially :-
Bone and Muscle.
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Delayed puberty
Hypogonadism
Breast cancer
Osteoporosis
Endometriosis
Medically, androgens and anabolic steroids are used to treat:-
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Side Effects and Safety
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1. severe acne, oily skin and hair.
2. hair loss.
3. liver disease, such as liver tumors and cysts.
4. kidney disease.
5. heart disease, such as heart attack and stroke.
6. altered mood, irritability, increased aggression,
depression or suicidal tendencies.
7. alterations in cholesterol and other blood lipids.
8. high blood pressure.
Side Effects and Safety
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12. menstrual irregularities in women.
13. Infertility.
14. excess facial or body hair (hirsutism),
deeper voice in women.
15. stunted growth and height in teens.
16. risk of viral or bacterial infections due to
unsterile injections.
9. gynecomastia (abnormal development of mammary glands in men
causing breast enlargement).
10. shrinking of testicles.
11. azoospermia (absence of sperm in semen).
Side Effects and Safety
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Why Take the RISK ?????
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Ben Johnson was famously disqualified after winning this 100m final in Seoul 1988, but which five other athletes on the track that day have also been tainted by drugs?
The dirtiest race in history: 1988's Olympic 100m final, the year that steroids
turned sport sour
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365
28
90
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Doping & sports in
Brunei Darusslam
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Brunei Body Building Champion
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Cardiac Side Effects
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1. steroid users had significantly weaker hearts than those who never used steroids.
2. Among steroid users, men that currently used anabolic steroids had significantly worse heart function than past users.
3. Steroid users had significantly more plaque build-up in their arteries than non-users.
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• The longer men reported taking steroids, the worse their arteries were.
• Plaque build-up is a sign of heart disease, which is the No. 1 killer of men and women in the United States.
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Cardiac diastolic or contractile failure might result directly from structural change within the ventricle (such as altered capillary density or matrix deposition).
the association of LVH with cardiovascular disease is more likely dependent upon the increased activity of shared physiological pathways driving both processes.
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Benefit Vs Price
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