Alcohol and the Athlete

Abstract

Alcohol and the athlete have been linked together since ancient times. It continues to be the most commonly consumed drug among the athletic population. Alcohol use carries significant potential adverse effects for both the health and welfare of the individual. It is suggested that alcohol related problems may be more prevalent in the athletic population due to their risk taking mentality and the age profile of athletes (18- to 24-year-old males). Alcohol consumption also appears to have a causative effect in sports related injury, with an injury incidence of 54.8% in drinkers compared with 23.5% in nondrinkers (p < 0.005). This may be due in part to the hangover effect of alcohol consumption, which has been shown to reduce athletic performance by 11.4%. Alcohol is a potentially lethal drug and is a banned substance for certain Olympic sports. Education is the cornerstone for appropriate social use of this drug. Athletes and coaches need to be aware of the sports related adverse effects of alcohol consumption and its role in sports injury and poor physiological performance. It is recommended that alcohol should be avoided by the serious athlete.

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References

  1. 1.

    Li GH, Baker SP. Alcohol in the fatally injured bicyclist. Accid Anal Prev 1994; 26: 543–8

    PubMed  Article  CAS  Google Scholar 

  2. 2.

    Gilman AG, Goodman LS, Rawl TW. et al., editors In: Goodman & Gilman’s the pharmacolgical basis of therapeutics. 7th ed. New York (NY): McMillan, 1985

    Google Scholar 

  3. 3.

    Anderson WA, McKeagh DB. Substance use and abuse habits of college student athletes. Mission (KS): National Collegiate Athletes Association, 1989

    Google Scholar 

  4. 4.

    Lyons FP. Can regular alcohol consumption increase the risk of injury [thesis]? Exeter: University of Exeter, 1998

    Google Scholar 

  5. 5.

    O’Brien CP. Alcohol and sport: impact of social drinking on recreational and competitive sports performance. Sports Med 1993; 15 (2): 71–7

    PubMed  Article  Google Scholar 

  6. 6.

    Royal College of Physicians. The medical consequences of alcohol abuse: a great and growing evil. London: Royal College of Physicians, 1987

    Google Scholar 

  7. 7.

    Steel DW. Social aspects of alcohol. Med Int 1985; 5: 657–9

    Google Scholar 

  8. 8.

    Thornley A. Psychiatric aspects of problem drinking. Med Int 1985; 2: 645

    Google Scholar 

  9. 9.

    Anderson DB, Albreacht RR, Mckeag DB. A national survey of alcohol and drug use by college athletes. Physician Sports Med 1991; 19 (2): 91–104

    Google Scholar 

  10. 10.

    O’Brien CP. The demon drink. Rugby News 1991 Mar: 22–4

  11. 11.

    Reilly T. Alcohol, anti-anxiety drugs and exercise. In: Mottram E, Spon FN, editors. Drugs in sport. Champaign (IL): Human Kinetics, 1988: 127–56

    Google Scholar 

  12. 12.

    Nattiv A, Puffer JC. Lifestyles and health risks of collegiate athletes. J Fam Pract 1991; 33: 585–90

    PubMed  CAS  Google Scholar 

  13. 13.

    Singleton VA, Turnquist A. Betty Ford Centre series: peer pressure to drink alcohol worries parents of freshman. National Collegiate Athletic Association Sport Sciences Education Newsletter 1995 Fall: 1

    Google Scholar 

  14. 14.

    Buchsbaum DG, Buchanan RG, Center RM, et al. Screening for alcohol abuse using CAGE scores and likelihood ratios. Ann Intern Med 1991; 115: 774–7

    PubMed  CAS  Google Scholar 

  15. 15.

    Fox EL. Sports physiology. Philadelphia (PA): CBS College Publishing, 1984

    Google Scholar 

  16. 16.

    American College of Sports Medicine. American College of Sports Medicine position statement on the use of alcohol in sport. Med Sci Sports Exerc 1982; 14: ix-x

    Article  Google Scholar 

  17. 17.

    Bond V, Franks BD, Howlet ET. Effects of small and moderate doses of alcohol on submaximal cardiorespiratory function, perceived exertion and endurance performance in abstainers and moderate drinkers. J Sports Med Phys Fitness 1983; 23: 221–8

    PubMed  CAS  Google Scholar 

  18. 18.

    Lang RM, Borow KM, Neumann A, et al. Adverse cardiac effects of acute alcohol ingestion in young adults. Ann Intern Med 1985; 102: 742–7

    PubMed  CAS  Google Scholar 

  19. 19.

    Houmard JA, Langenfeld ME, Wiley RL, et al. Effects of the acute ingestion of small amounts of alcohol upon 5-mile run times. J Sports Med Phys Fitness 1987; 27: 253–7

    PubMed  CAS  Google Scholar 

  20. 20.

    Eichner ER. Ergolytic drugs. Sports Sci Exchange 1989; 2 (15): 1–4

    Google Scholar 

  21. 21.

    Strauss RH. Sports medicine. Philadelphia (PA): W.B. Saunders Co., 1991

    Google Scholar 

  22. 22.

    American College of Sports Medicine. ACSM’s guidelines for exercise testing and prescription. 4th ed. Philadelphia (PA): Lea & Febiger, 1991

    Google Scholar 

  23. 23.

    Nichols AW. Exercise-induced anaphylaxis and urticaria. Clin Sports Med 1992; 11: 303–12

    PubMed  CAS  Google Scholar 

  24. 24.

    Heath GW, Ford ES, Craven TE, et al. Exercise and the incidence of upper respiratory tract infections. Med Sci Sports Exerc 1991; 23: 152–7

    PubMed  CAS  Google Scholar 

  25. 25.

    Branche CM, Sniezek JE, Sattin RW, et al. Water recreation-related spinal injuries: risk factors in natural bodies of water. Accid Anal Prev 1991; 23: 13–7

    PubMed  Article  CAS  Google Scholar 

  26. 26.

    Michalodimitrakis E, Patsalis A. Nitrogen narcosis and alcohol consumption: a scuba diving fatality. J Forensic Sci 1987; 32: 1095–7

    PubMed  CAS  Google Scholar 

  27. 27.

    Patetta MJ, Biddinger PW. Characteristics of drowning deaths in North Carolina. Public Health Rep 1988; 103 (4): 406–11

    PubMed  CAS  Google Scholar 

  28. 28.

    O’Brien CP. The changing face of rugby injuries in Ireland, alcohol a preventable cause. London: The Royal London Hospital, 1995

    Google Scholar 

  29. 29.

    Yesavage JA, Leirer VO. Hangover effects on aircraft pilots 14 hours after alcohol ingestion: a preliminary report. Am J Psychiatry 1986; 143: 1546–50

    PubMed  CAS  Google Scholar 

  30. 30.

    Gibbons HL. Alcohol, aviation, and safety revisited: a historical review and a suggestion. Aviat Space Environ Med 1988; 59: 657–60

    PubMed  CAS  Google Scholar 

  31. 31.

    Horn DB. Biochemical aspects of alcohol. Med Int 1985; 2: 649–51

    Google Scholar 

  32. 32.

    Mayes PA. Lipid transport and storage. In: Murray RK, Grammer DK, Mayes PA, et al., editors. Harpers biochemistry. 21st ed. Stamford (CT): Appleton & Lange, 1988: 235–6

    Google Scholar 

  33. 33.

    Juhlin-Dannfelt A, Ahlborg G, Hagenfeldt L, et al. Influence of ethanol on splanchnic and skeletal muscle substrate turnover during prolonged exercise in man. Am J Physiol 1977; 233: E195–202

    PubMed  CAS  Google Scholar 

  34. 34.

    Beckett AH, Cowan DA. Misuse of drugs in sport. Br J Sports Med 1979; 12 185–94

    Article  Google Scholar 

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Correspondence to Conor P. O’Brien.

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O’Brien, C.P., Lyons, F. Alcohol and the Athlete. Sports Med 29, 295–300 (2000). https://doi.org/10.2165/00007256-200029050-00001

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Keywords

  • Athletic Performance
  • Alcohol Related Problem
  • National Collegiate Athletic Association
  • Rugby Player
  • Aerobic Performance