The DOI matches its Crossref record.
Doping Through Supplement Use: A Review of the Available Empirical Data
Abstract
The potential for supplement use to result in doping infringements is likely to be of concern for anyone involved in sports nutrition. The available data indicates that between 40–70% of athletes use supplements, and that between 10–15% of supplements may contain prohibited substances. Such data indicates that there is a considerable risk of accidental or inadvertent doping through using supplements. Accordingly, this paper sets out to provide an overview of the currently available empirical evidence of accidental doping by supplement use. In carrying out this task, the authors refer to press releases and proxy measures associated with nutritional supplement use, as well as statistical data on supplement contamination rates and doping infractions. A number of different indications as to the percentage of doping cases that might be attributed to supplement use are presented, ranging from 6.4% to 8.8%. Such percentages are not comparable; instead they are provided as indications as to how difficult it is to ascertain or estimate the scale of this problem. Although some forms of estimation can be made, it is suggested that it is currently not possible to quantify the scale of the problem. By way of conclusion, it is argued that antidoping regulators may wish to review current data gathering and information provision systems so that the problem of inadvertent doping can be more directly assessed as a factor in sports doping overall.
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In the citing paper
“In addition to widely varying ingredient contents, dietary supplements may also be contaminated with banned substances.”
From How reliable is the labeling of a commercial phytosteroid product? A 12-week randomized double-blind training study (2025) · cites this paper as [31]
In the citing paper
“It is estimated that 6.4–8.8% of positive doping cases can be attributed to the use of contaminated dietary supplements [31–33].”
From How reliable is the labeling of a commercial phytosteroid product? A 12-week randomized double-blind training study (2025) · cites this paper as [31]
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Prevalence of dietary supplement use by athletes: Systematic review and meta-analysis
Knapik, J. J., Steelman, R. A., Hoedebecke, S. S., Austin, K. G., Farina, E. K., & Lieberman, H. R. (2016) · Sports Medicine · doi:10.1007/s40279-015-0387-7 · Cited by 452
“Competitive athletes also need to be concerned with excessive use and possible adverse interactions due to polypharmacy [22, 23], and inadvertent doping due to the inadequate quality control of some dietary supplements [24, 25].”
BackgroundNew strategies in sport nutrition to increase exercise performance
Close, G. L., Hamilton, D. L., Philp, A., Burke, L. M., & Morton, J. P. (2016) · Free Radical Biology and Medicine · doi:10.1016/j.freeradbiomed.2016.01.016 · Cited by 221
“Given the risk of supplement contamination and the potential for failed drug tests [118] supplements are now often only given when there is a clear rationale for their use combined with the availability of independently drug-tested products.”
BackgroundSanz, J. M. M., Sospedra, I., Ortiz, C. M., Baladía, E., Gil‐Izquierdo, Á., & Ortiz-Moncada, R. (2017) · Nutrients · doi:10.3390/nu9101093 · Cited by 211
“The purpose is to produce a reliable source of information in which the athlete can check the safety of the supplement to be consumed [50].”
BackgroundProhibited Contaminants in Dietary Supplements
Mathews, N. M. (2017) · Sports Health A Multidisciplinary Approach · doi:10.1177/1941738117727736 · Cited by 184
“8% of doping cases are caused by tainted dietary supplements.(53)”
BackgroundDietary supplements as source of unintentional doping
Kozhuharov, V. R., Ivanov, K., & Ivanova, S. (2022) · BioMed Research International · doi:10.1155/2022/8387271 · Cited by 108
“8% of reported doping cases are the result of undeclared substances in dietary supplements [96].”
Metadata
- Authors
- Outram, S., & Stewart, B.
- Affiliations
- Victoria University (AU)
- Corresponding author
- Outram, Simon
- ORCID
- Outram, Simon
- Venue
- International Journal of Sport Nutrition and Exercise Metabolism
- Publisher
- Human Kinetics
- Published
- 2015-02
- Volume
- 25
- Issue
- 1
- Pages
- 54-59
- ISSN
- 1526-484X (ISSN-L)
- 1543-2742
- OpenAlex
- W2114251728
- Cited by
- 100
- References
- 0
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 5 · 2023: 14 · 2022: 10 · 2021: 10 · 2020: 10 · 2019: 10 · 2018: 7 · 2017: 8 · 2016: 11 · 2015: 1
- FWCI
- 29.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Sport Nutrition and Exercise Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Victoria University Research Repository (Victoria University) (submittedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Doping in Sports
- Life Sciences › Agricultural and Biological Sciences › Animal Science and Zoology › Pharmacological Effects and Assays
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pharmaceutical Quality and Counterfeiting
- Keywords
- dietary supplements, doping, prohibited substances, supplement contamination, sports nutrition, athletes
- MeSH terms
- Doping in Sports, Food Contamination, Humans, International Agencies, Databases, Factual, Guidelines as Topic, Dietary Supplements, Internet, Athletes, Sports Nutritional Physiological Phenomena
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