Psychosocial aspects of sports medicine in pediatric athletes: Current concepts in the 21st century.
Dis Mon
; 69(8): 101482, 2023 Aug.
Article
en En
| MEDLINE
| ID: mdl-36100481
ABSTRACT
Behavioral aspects of organized sports activity for pediatric athletes are considered in a world consumed with winning at all costs. In the first part of this treatise, we deal with a number of themes faced by our children in their sports play. These concepts include the lure of sports, sports attrition, the mental health of pediatric athletes (i.e., effects of stress, anxiety, depression, suicide in athletes, ADHD and stimulants, coping with injuries, drug use, and eating disorders), violence in sports (i.e., concepts of the abused athlete including sexual abuse), dealing with supervisors (i.e., coaches, parents), peers, the talented athlete, early sports specialization and sports clubs. In the second part of this discussion, we cover ergolytic agents consumed by young athletes in attempts to win at all costs. Sports doping agents covered include anabolic steroids (anabolic-androgenic steroids or AAS), androstenedione, dehydroepiandrostenedione (DHEA), human growth hormone (hGH; also its human recombinant homologue rhGH), clenbuterol, creatine, gamma hydroxybutyrate (GHB), amphetamines, caffeine and ephedrine. Also considered are blood doping that includes erythropoietin (EPO) and concepts of gene doping. In the last section of this discussion, we look at disabled pediatric athletes that include such concepts as athletes with spinal cord injuries (SCIs), myelomeningocele, cerebral palsy, wheelchair athletes, and amputee athletes; also covered are pediatric athletes with visual impairment, deafness, and those with intellectual disability including Down syndrome. In addition, concepts of autonomic dysreflexia, boosting and atlantoaxial instability are emphasized. We conclude that clinicians and society should protect our precious pediatric athletes who face many challenges in their involvement with organized sports in a world obsessed with winning. There is much we can do to help our young athletes find benefit from sports play while avoiding or blunting negative consequences of organized sport activities.
Palabras clave
Amputee athletes; Atlantoaxial instability; Autonomic dysreflexia; Behavioral aspects; Blood doping; Boosting; Disabled athletes; Down syndrome; Ergolytic drugs; Gene doping; Intellectual disability; Mental health of athletes; Pediatric sports medicine; Reaction to injuries; Sports attrition; Sports doping; Wheelchair athletes
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Medicina Deportiva
/
Doping en los Deportes
/
Anabolizantes
Límite:
Child
/
Humans
Idioma:
En
Revista:
Dis Mon
Año:
2023
Tipo del documento:
Article