Doping in sport is a well-known phenomenon that has been studied mainly from a biomedical point of view, even though psychosocial approaches are also key factors in the fight against doping. This phenomenon has evolved greatly in recent years, and greater understanding of it is essential for developing efficient prevention programmes. In the psychosocial approach, attitudes are considered an index of doping behaviour, relating the use of banned substances to greater leniency towards doping. The aim of this review is to gather and critically analyse the most recent publications describing elite athletes' attitudes, beliefs and knowledge of doping in sport, to better understand the foundations provided by the previous work, and to help develop practical strategies to efficiently combat doping. For this purpose, we performed a literature search using combinations of the terms "doping", "sport", "elite athletes", "attitudes", "beliefs", "knowledge", "drugs", and "performance-enhancing substances" (PES). A total of 33 studies were subjected to comprehensive assessment using articles published between 2000 and 2011. All of the reports focused on elite athletes and described their attitudes, beliefs and knowledge of doping in sport. The initial reasons given for using banned substances included achievement of athletic success by improving performance, financial gain, improving recovery and prevention of nutritional deficiencies, as well as the idea that others use them, or the "false consensus effect". Although most athletes acknowledge that doping is cheating, unhealthy and risky because of sanctions, its effectiveness is also widely recognized. There is a general belief about the inefficacy of anti-doping programmes, and athletes criticise the way tests are carried out. Most athletes consider the severity of punishment is appropriate or not severe enough. There are some differences between sports, as team-based sports and sports requiring motor skills could be less influenced by doping practices than individual self-paced sports. However, anti-doping controls are less exhaustive in team sports. The use of banned substance also differs according to the demand of the specific sport. Coaches appear to be the main influence and source of information for athletes, whereas doctors and other specialists do not seem to act as principal advisors. Athletes are becoming increasingly familiar with anti-doping rules, but there is still a lack of knowledge that should be remedied using appropriate educational programmes. There is also a lack of information on dietary supplements and the side effects of PES. Therefore, information and prevention are necessary, and should cater to the athletes and associated stakeholders. This will allow us to establish and maintain correct attitudes towards doping. Psychosocial programmes must be carefully planned and developed, and should include middle- to long-term objectives (e.g. changing attitudes towards doping and the doping culture). Some institutions have developed or started prevention or...

Sprinting in curvilinear trajectories is an important soccer ability, corresponding to ~85% of the actions performed at maximum velocity in a soccer league. We compared the neuromuscular behavior and foot contact-time between outside leg and inside leg during curve sprinting to both sides in soccer players. Nine soccer players (age=23±4.12 years) performed: 3×Sprint linear, 3×Sprint right curve, and 3×Sprint left curve. An ANOVA with repeated measures was used to compare the differences between inside and outside leg, and Cohen’s d was used to calculate the effect-size. Considering the average data, the performance classification (from best to worst) was as follows: 1. Curve “good” side (2.45±0.11 s), 2. Linear (2.47±0.13 s), and 3. Curve “weak” side (2.56±0.17 s). Comparing linear with curve sprinting, inside leg recorded significant differences (“good” and “weak”; effect size=1.20 and 2, respectively); in contrast, for outside leg, there were no significant differences (“good” and “weak”; effect size=0.30 and 0.49, respectively). Electromyography activity showed significant differences (p≤0.05) during curve sprinting between outside (higher in biceps femoris and gluteus medius) and inside leg (higher activity in semitendinosus and adductor). In summary, inside and outside leg play different roles during curved sprints, but inside leg is more affected by the change from straight to curve sprint.

Smokeless tobacco (Snus) is a substance that contains nicotine, which has been placed on World Anti-Doping Agency's 2014 Monitoring Program. A proliferation of nicotine use in sport has been observed in recent years, but little is known regarding its effects, especially on football players' performance. Therefore, the aim of this study was to assess the effect of Snus on physical performance, heart rate variability, subjective activation, mental fatigue, and perceived readiness before a physical test in non-smoker, non-Snus user, amateur football players. Participants were administered either Snus or placebo 40 min prior to a fitness test battery (handgrip test, countermovement jump, agility test, and Yo-Yo intermittent recovery test). Results showed that Snus intake (compared with placebo) increased perceived mental fatigue level and mental load, and reduced perceived readiness level and heart rate variability. No significant differences between the two experimental conditions were found in either performance in the physical tests or perceived physical fatigue levels. In light of these results, Snus could not be considered an ergogenic substance. On the contrary, based on the extant evidence linking mental load and fatigue with physical performance, we argue that the observed negative effects on mental fatigue, perceived readiness, and heart rate variability should be considered.

The aim of this study was to understand the attitudes, beliefs and knowledge among technical staff members of Spanish football teams regarding doping. The sample was drawn from 88 football teams that ranged from elite to under-18 categories. The 237 stakeholders (34.45 ± 8.59 years) were categorised as follows: coaches (COA) (n = 101), physical trainers (PT) (n = 68) and rest of technical staff (RTS) (n = 68). The descriptive exploratory design used an instrument that combined a validated questionnaire (Performance Enhancement Attitude Scale; PEAS) with specific, qualitative open-ended questions. The overall mean score from the PEAS (range, 17-102, with higher scores representing more permissive attitudes towards doping) was 31.64 ± 10.77; for COA, 31.91 ± 11.42; for PT, 31.28 ± 9.44; and for RTS, 31.58 ± 11.18. Regarding participants' knowledge and beliefs, most respondents (57.6%) did not know the meaning of WADA (World Anti-Doping Agency); 84.9% did not know the prohibited list; and 39.2% had used/recommended supplements. In addition, 87.2% recognised "differential treatment of doping among sports," with cycling considered most affected (62.6%) and team sports least (27.2%, with football at 15%). The dangerous lack of knowledge highlights the necessity for anti-doping education and prevention programs for all football stakeholders, not just athletes.

Attitudes towards doping are considered an influence of doping intentions. The aims of the present study were 1) to discover and compare the attitudes towards doping among Spanish national team cyclists from different Olympic disciplines, as well as 2) to get some complementary information that could better explain the context. The sample was comprised of seventy-two cyclists: mean age 19.67±4.72 years; 70.8% males (n = 51); from the different Olympic disciplines of Mountain bike -MTB- (n = 18), Bicycle Moto Cross -BMX- (n = 12), Track -TRA- (n = 9) and Road -ROA- (n = 33). Descriptive design was carried out using a validated scale (PEAS). To complement this, a qualitative open-ended questionnaire was used. Overall mean score (17–102) was 36.12±9.39. For different groups, the data were: MTB: 30.28±6.92; BMX: 42.46±10.74; TRA: 43.22±12.00; ROA: 34.91±6.62, respectively. In relation to overall score, significant differences were observed between MTB and BMX (p = 0.002) and between MTB and TRA (p = 0.003). For the open-ended qualitative questionnaire, the most mentioned word associated with “doping” was “cheating” (48.83% of total sample), with “responsible agents of doping” the word “doctor” (52,77%), and with the “main reason for the initiation in doping” the words “sport achievement” (45.83%). The major proposed solution was “doing more doping controls” (43.05%). Moreover, 48.67% stated that there was “a different treatment between cycling and other sports”. This study shows that Spanish national team cyclists from Olympic cycling disciplines, in general, are not tolerant in relation to doping. BMX and Track riders are a little more permissive towards the use of banned substances than MTB and Road. Results from the qualitative open-ended questionnaire showed interesting data in specific questions. These results empower the idea that, apart from maintaining doping controls and making them more efficient, anti-doping education programs are needed from the earliest ages.

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This study addresses performance-enhancement drug (PED) consumption in amateur sport by investigating the relationship between psychosocial factors and PED use in amateur cyclists. Participants were asked whether they had ever taken PED. They were also asked whether they had any experience in competitive cycling, and the degree to which they participated in the event with a competitive aim. In addition, they completed the Performance Enhancement Attitude Scale, the Rosenberg self-esteem scale, and a bespoke self-efficacy questionnaire, and they rated the percentage of cyclists they believed took PED. Between-groups comparisons and two multiple regression analyses were performed. Overall, the results of our study point to adult amateur cyclists in general, and amateur cyclists with experience in competition in particular, as groups at risk for PED use. This study highlights the value of measuring psychosocial variables as a tool to assess PED use, a current issue at both sport performance and health levels.

Anterior cruciate ligament (ACL) is one of the most concerning injuries for football players. The aim of this review is to investigate the effects of exercise-based interventions targeting at reducing ACL injury rate or mitigating risk factors of ACL injury in adult football players. Following PRISMA guidelines, a systematic search was conducted in CINAHL, Cochrane Library, PubMed, Scopus, SPORTDiscus and Web of Science. Studies assessing the effect of exercise-based interventions in ACL injury incidence or modifiable risk factors in adult football players were included. 29 studies evaluating 4502 male and 1589 female players were included (15 RCT, 8 NRCT, 6 single-arm): 14 included warm-up, 7 resistance training, 4 mixed training, 3 balance, 1 core stability and 1 technique modification interventions. 6 out of 29 studies investigated the effect of interventions on ACL injury incidence, while the remaining 23 investigated their effect on risk factors. Only 21% and 13% studies evaluating risk of injury variables reported reliability measures and/or smallest worthwhile change data. Warm-up, core stability, balance and technique modification appear effective and feasible interventions to be included in football teams. However, the use of more ecologically valid tests and individually tailored interventions targeting specific ACL injury mechanisms are required.