World Anti-Doping Agency Prohibited List 2019 Released

The World Anti-Doping Agency (WADA) has published the 2019 List of Prohibited Substances and Methods, and UK Anti-Doping (UKAD) has pulled out all the key bits you should know before it comes into effect on 1 January.

Whether you’re an athlete, coach, physio or doctor, it’s vital you are aware of the changes, so you don’t get caught out and end up with a ban from sport.

The List outlines substances and methods which are banned both in and out-of-competition, but it is not exhaustive as most categories only include common examples. It’s updated every October, giving you time to get to grips with any changes before the New Year, but please also be aware that changes can also be made to the Prohibited List throughout the year.

The full List can be quite dry to read unless you’re into chemistry, but it contains vital information you need to know when training, competing or working with athletes. Fortunately, there are no major changes for 2019, but grab yourself a cup of tea, settle into a comfy chair and please take the time to read the summary below.

Several of the changes relate to supplements, or ingredients commonly found within them. UKAD advises athletes to take a food-first approach to nutrition where possible, as no guarantees can ever be made that a supplement is free from banned substances.

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Here are the key things you need to know about the 2019 WADA Prohibited List:

Check your supplements carefully

  • Epiandrosterone has been added as an example of a steroid, which can be found in some dietary supplements.
  • The examples of metabolites of steroids which the body does not naturally produce has been simplified. It now only includes those known to be found in supplements or used as masking agents.
  • More examples of substances which were already prohibited have been added, and these can be found in some supplements, so don’t get caught out. 4-methylpentan-2-amine has been included as another name for DMBA, while 5-methylhexan-2-amine (1,4-dimethylpentylamine) and 3-methylhexan-2-amine (1,2-dimethylpentylamine) were added as examples of substances related to methylhexaneamine.

Don’t let strange names catch you out

  • The following names for substances which were already on the Prohibited List (in brackets below) have been added, so please check ingredients carefully as these may crop up.
  • Dimetamfetamine (dimethylamphetamine)
  • Enobosarm (ostarine)
  • Examorelin (hexarelin)
  • Lenomorelin (ghrelin)
  • More examples of prohibited substances have also been added.
  • Daprodustat (GSK1278863) and vadadustat (AKB-6548) – examples of hypoxia inducible factor (HIF) activating agents.
  • BAY 85-3934 – reference name of molidustat, a HIF activating agent.
  • Macimorelin – example of a growth hormone secretagogue.
  • Tretoquinol (trimetoquinol) – example of a beta-2 agonist.
  • 2-Androstenol, 3-Androstenol and 3-Androstenone – examples of substances related to 2-Androstenone.

Know your agents

  • The title of section 4.4 has changed from “Agents modifying myostatin function(s) including, but not limited, to: myostatin inhibitors” to “Agents preventing Activin receptor IIB activation”.
  • The following examples of prohibited substances have been added to reflect the ways in which the Activin receptor can be affected:
  • activin A-neutralizing antibodies
  • activin receptor IIB competitors such as decoy activin receptors (e.g. ACE-031)
  • anti-activin receptor IIB antibodies (e.g. bimagrumab)
  • myostatin inhibitors such as:
    1. agents reducing or ablating myostatin expression
    2. myostatin-binding proteins (e.g. follistatin, myostatin propeptide)
    3. myostatin-neutralizing antibodies (e.g. domagrozumab, landogrozumab, stamulumab)

Gene doping clarified

  • ‘Gene Doping’ has been changed to ‘Gene and Cell Doping’.
  • The definition of gene doping has changed to include the term ‘post-transcriptional’ to clearly define the processes that can be modified by gene editing.
  • Stem cells are not prohibited for treating injuries if their use restores normal function of the affected area, rather than enhancing function.

Cyclists: Be aware of tramadol

While WADA has elected to keep tramadol on the Monitoring List, rather than move it to the Prohibited List, the International Cycling Union (UCI) has announced plans to start testing athletes for tramadol from January. We are awaiting further information from UCI on this, but current reports indicate cyclists will have a finger pin-prick before a race, which detects the presence, or not, of tramadol and its level of concentration. This could lead to cyclists being banned from starting a race if they have used tramadol, primarily due to health concerns. We will update you when we know more.

More information

If you’re in any doubt about any medications or their ingredients, you can check them on the Global DRO website. Supplements can be checked on the Informed Sport website, but please be aware this only minimises the risk, no guarantee can be given that any particular supplement is free from prohibited substances.

If you’re still uncertain, you can contact substanceenquiry@ukad.org.uk.

Athletes who have a legitimate medical reason for using a prohibited substance or method which is on the List, can apply for a Therapeutic Use Exemption (TUE).

The full 2019 Prohibited List can be viewed here.

A summary of the major modifications and explanatory notes can be viewed here.

New physical activity resource for health professionals

Launched at the International Society for Physical Activity and Health Congress (ISPAH) , the new digital Moving Medicine tool will help healthcare professionals advise patients on how physical activity can help to manage their conditions, prevent disease and aid recovery.

It is produced by the Faculty of Sport and Exercise Medicine (FSEM) in partnership with Public Health England (PHE) and Sport England with support from National Lottery funding.

Currently one in four of the population in England does less than 30 minutes of moderate intensity physical activity a week and are classified as inactive.

Physical inactivity is in the top 10 greatest causes of ill health nationally, with negative impacts on health, wellbeing, social and economic outcomes for individuals and communities.

Evidence shows that one in four patients would be more active if advised by a GP or nurse, yet nearly three quarters of GPs do not speak about the benefits of physical activity to patients due to either lack of knowledge, skills or confidence.

The tool focuses on helping to address the most common long term health conditions affecting the population, such as cancer, depression, musculoskeletal pain and type 2 diabetes.

Developed in consultation with over 300 healthcare professionals and patients and using evidence-based step-by-step guidance, Moving Medicine is designed to provide healthcare professionals with the latest evidence to address this knowledge and skills gap in the NHS and support healthier outcomes for patients as a result.

Rt Hon Matt Hancock MP, Secretary of State for Health and Social care said:

There is a mountain of evidence to suggest that patients with all kinds of conditions – from depression to diabetes – would benefit from more exercise, yet understandably those suffering with chronic illness are more likely to be inactive.

That’s why it’s so important healthcare professionals have the information they need at their fingertips to advise patients with complex health needs on how to get more active – and this doesn’t have to mean joining a gym. It can be doing more of the things we love, whether that’s playing football, swimming or going for long walks. I am delighted to launch this brilliant web tool for healthcare professionals – I hope it will help pave the way for a culture shift in medicine where referrals for exercise are just as common as prescriptions for medication.

Dr Alison Tedstone, Head of Physical Activity at Public Health England, said:

With millions accessing the NHS every day, healthcare professionals play a vital role in helping people to better understand the benefits of physical activity on their health.

Taking the time to have these conversations has the power to inspire people to move more and make a big difference to their health.

Dr Paul D Jackson, President, Faculty of Sport and Exercise Medicine (UK) said:

The development of the Moving Medicine platform has been a truly collaborative effort, drawing on the expertise of many across a wide range of different disciplines and professional bodies as well as medical Royal Colleges, associated charities and patient groups.

We all believe that introducing more physical activity into every care pathway across the NHS is an essential, cost-effective intervention to improve people’s health. Moving Medicine will ensure that all health care professionals have up to date information on physical activity presented in a useable, easy to understand format, enabling them to inform their patients and motivate them to become more active.

Sarah Ruane, Strategic Lead for Health, Sport England said:

We know that it can be difficult to fit being active into busy lives. But for people who are dealing with illness or injury the thought of being active can be even more daunting. That’s why healthcare professionals have such a vital role to play.

Moving Medicine is a simple idea with huge potential to transform the lives of the millions of people who are inactive and living with health conditions. Equipping healthcare professionals with the practical information that they need to have supportive conversations with their patients, will help many more people to experience the range of health benefits that being active can bring.

Moving Medicine is a major component of the Moving Healthcare Professionals Programme, which is designed to support healthcare professionals embed physical activity into their approach to treating patients for common conditions in line with existing National Institute for Health and Care Excellence guidance.

The resource has been launched at the seventh ISPAH congress in London this week (15 to 17 October 2018), which aims to bring the best minds together to bridge the gap between physical activity research, policy and practice to support healthier nations across the world.

Government Consultation: Review of GCSE, AS and A level physical education activity list

Government consultation: Review of GCSE, AS and A level physical education activity list

The government is seeking views on the review of the PE activity list in schools.

In 2015 the Government committed to reviewing the GCSE, AS and A Level PE activity list in autumn 2018, following the first award of the reformed qualifications in summer 2018.

Accordingly, the Department for Education is now inviting proposals to add activities to the published list.

Responses to the review should be submitted here: https://www.gov.uk/government/consultations/review-of-gcse-as-and-a-level-physical-education-activity-list.

This review is open to the public and the Department will consider all responses.

The deadline for submissions is 20 December 2018.

 

Government launches new Obesity Plan

The Government has today launched its plan to tackle childhood obesity including details on a Soft Drinks Industry Levy.

Childhood Obesity: A Plan for Action outlines the Government’s goals and actions to cut childhood obesity within the next ten years, a figure that currently stands at a third of children between the ages of 2 and 15.Included in the action plan is more information on the ‘sugar tax’ which the Government announced in the Budget earlier this year. The plan also confirms the commitment the Government made at the Budget to invest the revenue from the soft drinks industry levy, which is targeted at the producers and importers of soft drinks, in ‘programmes to reduce obesity and encourage physical activity and balanced diets for school children’. This will see the doubling of the Primary PE and Sport Premium as well as put a further £10 million a year in to healthy breakfast clubs for schools. The Government has also launched a consultation on the detail of the levy.

The Government has also included in the plan details on how they intendsto increase the duration and quality of physical activity and sport in schools. It recommends that school children should be receiving 60 minutes of moderate to vigorous physical activity every day, in-line with the recommendations of the UK Chief Medical Officers. At least 30 minutes of this should be delivered in school with the remaining 30 minutes supported by parents and carers outside of school time.

To help facilitate this, Government has asked County Sports Partnerships to work with National Governing Bodies and Youth Sport Trust, as well as other national and local providers, to offer high-quality sport programmes to every primary school from September 2017.

The plan also includes:

  • A new healthy rating scheme for primary schools to encourage schools to develop and improve their contributions to the improvement of children’s healthy through their diet and physical activity. This rating scheme will be taken in to account during Ofsted inspections and parent will also be involved in the rating process
  • In addition to inspections, in 2017 Ofsted will undertake a thematic review of obesity, healthy eating and physical activity in schools
  • In early 2017, Government will update the Early Years Foundation Stage Framework to make specific reference to the UK Chief Medical Officers’ guidelines for physical activity
  • Public Health England will produce advice to schools for the academic year 2017/18 on how schools can work with the school nurses, health centres, healthy weight teams and other resources to help children develop a healthier lifestyle
  • Commitment to continued Government investment in walking and cycling to school and the production of a Cycling and Walking Investment Strategy
  • Moves to enable health professionals to support families including strengthening guidance on physical activity for midwives and health visitors

To download a full copy of the report:

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Cerebral Palsy Sport announce partnership with CP TEENS UK

Cerebral Palsy Sport and CP Teens UK have announced a new partnership to get more people with cerebral palsy and physical disabilities into sport and physical activity.  In doing so we also helping to tackle the issue of social isolation that can often be experienced by people with cerebral palsy and to educate people that those with cerebral palsy can still play & participate and enjoy sport.

Cerebral Palsy Sport is the country’s leading National Disability Sports Charity supporting people with cerebral palsy to reach their sporting potential. Our vision is to support people with cerebral palsy to reach their life potential through sport and active recreation.

CP Teens UK aims to provide connections & friendships for teenagers & young people with Cerebral Palsy as well as provide help, support & advice for teenagers & young people with cerebral palsy, and their families.

Ali Talbot, CEO of Cerebral Palsy Sport said “We are extremely delighted that Cerebral Palsy Sport have developed another unique partnership with our work with CP Teens UK. We have seen first-hand through Ellie’s story how the work of our charity can make such an impact on the lives of young people with cerebral palsy and getting them into sport. We look forward to working with CP Teens UK to develop more opportunities for people with cerebral palsy to take up sport and have fun”.

Ellie Simpson, founder of CP Teens UK, said “I am absolutely delighted that CP Teens UK has formed a partnership with CP Sport. On a personal level, CP Sport is an organisation that has helped and supported me massively and it is extremely close to my heart. I am so excited for this partnership going forward and to ultimately get more people like myself into sport at whatever level they choose.”

Cerebral Palsy Sport is the largest national disability sports organisation supporting people with cerebral palsy reach their sporting potential.  Our vision is that everyone with physical disabilities are able to access a sport(s) of their choice. Our mission is to improve the quality of life of people with physical impairments through the provision of appropriate sport and recreational activities.

For further information and images of sporting activities please contact lisa.morton-smith@cpsport.org or call 0115 925 7027

World Games        CP Teens