Health Culture and Running: Non-Elite Runners’ Understandings of Doping and Supplementation
Keywords:amateur sport, health, running, doping, supplements
Participants at the non-elite level of road running often take up the sport for purposes of health, as a way of taking responsibility for their own well-being. Often, these runners use dietary supplements as a way to improve health and to potentially enhance running performance. Supplements are distinct from banned performance enhancing drugs (PEDs), as they are legal and widely available, though very loosely regulated. Research demonstrates that the line between supplements and banned PEDs is increasingly blurry as cases of cross-contaminated and mislabeled supplements continue to be found. Such products may pose health risks to unsuspecting consumers. Despite anti-doping agencies’ warnings to elite runners about these risks, non-elite runners are rarely told by any sport or anti-doping body to be wary of supplements. They are, however, inundated with media coverage of doping scandals usually involving only a few of the substances banned in sport. In short, these runners are often left to navigate supplement use on their own and many conflate supplement availability with safety. This article explores these routine dietary supplement practices among non-elite runners. Drawing from interviews with 28 non-elite runners in New York City, I discuss the perceptions and understandings of doping and dietary supplement use within the context of health culture. Interview data reveal that the social acceptance of dietary supplements and their widespread use among the broader public reinforce the notion among non-elite runners that such products are objectively safe and healthy. I argue that based on their assumptions of supplement safety, non-elite runners view dietary supplements as distinctly different from PEDs and that this difference encourages their use as health and performance aids.
Ahern, J., Stuber, J., & Galea, S. (2007). Stigma, discrimination and the health of illicit drug users. Drug and alcohol dependence, 88(2), 188-196.
Albert, E. (1999). Dealing With Danger: The Normalization of Risk in Cycling. International Review for the Sociology of Sport, 34, 157-171.
Ayo, Nike. (2012). Understanding Health Promotion in a Neoliberal Climate and the Making of Health Conscious Citizens. Critical Public Health, 22(1), 99-105.
Backhouse, S. H., Whitaker, L., & Petróczi, A. (2013). Gateway to doping? Supplement use in the context of preferred competitive situations, doping attitude, beliefs, and norms. Scandinavian journal of medicine & science in sports, 23(2), 244-252.
Backhouse, S., McKenna, J., & Patterson, L. (2009). Prevention through education: a review of current international social science literature. A focus on the prevention of bullying, tobacco, alcohol and social drug use in children, adolescents and young adults. Retrieved from https://www.ncjrs.gov/App/Publications/abstract.aspx?ID=263102.
Bailey, B.J. (2013). Ethnopharmacology and Male Bodybuilders’ Lived Experience With Consuming Sports Nutrition in Canada. Sport in Society, 16(9), 1105-1119.
Baume, N., L. Hellemans, & M. Saugy. (2007). Guide to Over-the-Counter Sports Supplements for Athletes. International Sport Medicine Journal, 8(1), 2-10.
Beamish, R. (2011). Steroids: A New Look at Performance-Enhancing Drugs. Santa Barbara: Praeger.
Carr, C. L. (2008). Fairness and performance enhancement in sport. Journal of the Philosophy of Sport, 35(2), 193-207.
Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. London: Sage.
Cohen, P. A. (2009). American Roulette—Contaminated Dietary Supplements. New England Journal of Medicine, 361(16), 1523-1525.
Cohen, P. A. (2012). Assessing supplement safety—the FDA's controversial proposal. New England Journal of Medicine, 366(5), 389-391.
Cohen, P.A., Travis, J.C. & Venhuis, B.J. (2013). A methamphetamine analog (N,?-diethylphenylethylamine) identified in a mainstream dietary supplement. Drug Testing and Analysis. DOI 10.1002/dta.1578
Culbertson, L. (2005). The paradox of bad faith and elite competitive sport. Journal of the Philosophy of Sport, 32(1), 65-86.
Culbertson, L. (2009). Genetic enhancement in the dark. Journal of the Philosophy of Sport, 36(2), 140-151.
Cuneen, J. and C.L. Claussen. (1999). Gender Protrayals In Sports-Product Point-Of-Purchase Advertising. Women in Sport & Physical Activity Journal, 8(2), 73.
Daddario, G. (1994). Chilly Scenes Of The 1992 Winter Games: The Mass Media And The Marginalization Of Female Athletes. Sociology of Sport Journal, 11(3), 275-288.
de Hon, O., & Coumans, B. (2007). The continuing story of nutritional supplements and doping infractions. British journal of sports medicine, 41(11), 800-805.
Denham, B. E. (2011). When science, politics, and policy collide: On the regulation of anabolic-androgenic steroids, steroid precursors, and “dietary supplements” in the United States. Journal of Sport & Social Issues, 35(1), 3-21.
Erickson, K., McKenna, J., & Backhouse, S. H. (2015). A qualitative analysis of the factors that protect athletes against doping in sport. Psychology of Sport and Exercise, 16, 149-155.
Gahache, J., R. Bailey, V. Burt, J. Hughes, E. Yetley, J. Dwyer, M. F. Picciano, M. McDowell, C. Sempos. (2011). Dietary Supplement Use Among U.S. Adults Has Increased Since NHANES III (1988-1994). NCHS Data Brief, 61.
Gillick, M. R. (1984). Health promotion, jogging, and the pursuit of the moral life. Journal of Health Politics, Policy and Law, 9(3), 369-387.
Gleaves, J. (2010). No harm, no foul? Justifying bans on safe performance-enhancing drugs. Sport, ethics and philosophy, 4(3), 269-283.
Guthman, J., & DuPuis, M. (2006). Embodying neoliberalism: economy, culture, and the politics of fat. Environment and planning D, 24(3), 427.
Hamilton, M. 2013. “Marathoner’s Death Highlights Risk of Some Supplements.” Runner’s World. Accessed April 2, 2013.
Harel, Z., Harel, S., Wald, R., Mamdani, M., & Bell, C. M. (2013). The frequency and characteristics of dietary supplement recalls in the United States. JAMA internal medicine, 173(10), 929-930.
Harris Interactive. (2002). Widespread ignorance of regulation and labeling of vitamins, minerals and food supplements. Health Care News 2(6), 1-5.
Harviainen, J. T., & Lieberoth, A. (2011). Similarity of social information processes in games and rituals: Magical interfaces. Simulation & Gaming, 43(4), 528-549.
Henning, A. D. (2014). Run for Health: Health(icization), Supplements, and Doping in Non-Elite Road Running. Doctoral Dissertation. Available from http://works.gc.cuny.edu/etd/223/
Henning, A. D., & Dimeo, P. (2015). Questions of fairness and anti-doping in US cycling: The contrasting experiences of professionals and amateurs. Drugs: education, prevention and policy, (0), 1-10.
Hochstetler, D. (2007). Can we experience significance on a treadmill? In M. Austin (Ed.), Running and philosophy: A marathon for the mind. Malden, MA: Blackwell Publishing.
Isin, Engin F. (2004). The Neurotic Citizen. Citizenship Studies 8(3), 217-235.
James, R., Naughton, D. P., & Petróczi, A. (2010). Promoting functional foods as acceptable alternatives to doping: potential for information-based social marketing approach. Journal of the International Society of Sports Nutrition, 7(1), 1-11.
Johnson, J., Butryn, T., & Masucci, M. A. (2013). A focus group analysis of the US and Canadian female triathletes’ knowledge of doping. Sport in Society, 16(5), 654-671.
Kaczka, K. A. (1999). From herbal Prozac to Mark McGwire's tonic: How the Dietary Supplement Health and Education Act changed the regulatory landscape for health products. Journal of Contemporary Health Law & Policy, 16(2), 463.
König, E. (1995). Criticism of doping: The nihilistic side of technological sport and the antiquated view of sport ethics. International Review for the Sociology of Sport, 30(3-4), 247-260.
Lavrence, C., & Lozanski, K. (2014). “This Is Not Your Practice Life”: lululemon and the Neoliberal Governance of Self. Canadian Review of Sociology/Revue canadienne de sociologie, 51(1), 76-94.
López, B. (2013). Creating fear: The social construction of human Growth Hormone as a dangerous doping drug. International Review for the Sociology of Sport, 48(2), 220-237.
López, B. (2014). Creating fear: the ‘doping deaths’, risk communication and the anti-doping campaign. International Journal of Sport Policy and Politics, 6(2), 213-225.
Maughan, R. J., Greenhaff, P. L., & Hespel, P. (2011). Dietary supplements for athletes: emerging trends and recurring themes. Journal of sports sciences, 29(sup1), S57-S66.
Miah, A. (2004). Genetically modified athletes: Biomedical ethics, gene doping and sport. New York, NY: Routledge.
Møller, V. (2009). The ethics of doping and anti-doping: Redeeming the soul of sport?. New York, NY: Routledge.
Monaghan LF. (2001). Bodybuilding, Drugs And Risk. London, UK: Routledge.
Mottram, D., Chester, N., Atkinson, G. & Goode, D. (2008). Athletes’ Knowledge and Views on OTC Medication. International Journal of Sports Medicine, 29, 851-855.
National Institutes of Health (NIH). (2011). Dietary Supplements: Background Information. Available from: http://ods.od.nih.gov/factsheets/DietarySupplements-HealthProfessional/
Outram, S. M., & Stewart, B. (2015). Condemning and Condoning: Elite Amateur Cyclists’ Perspectives on Drug Use and Professional Cycling. International Journal of Drug Policy.
Outram, S. & Stewart, B. (2013). Enhancement drug use in society and in sport: the science and sociology of stimulant use and the importance of perception. Sport in Society, 16(6), 789-804.
Pipe, A. & C. Ayotte. (2002). Nutritional Supplements and Doping. Clinical Journal of Sport Medicine 12, 245-249.
Pluim, B. (2008). A doping sinner is not always a cheat. British journal of sports medicine, 42(7), 549-550.
Rose, Nikolas. (1999). Powers of Freedom: Reframing Political Thought. Cambridge: Cambridge University Press.
Running USA. (2014). 2014 State of the Sport - Part III: U.S. Race Trends. Retrieved from http://www.runningusa.org/2014-state-of-the-sport-part-III-us-race-trends
Semaan, S., Lauby, J., & Liebman, J. (2002). Street and network sampling in evaluation studies of HIV risk-reduction interventions. AIDS Reviews 4(4), 213-223.
Schensul, J. J., & LeCompte, M. D. (1999). Enhanced ethnographic methods: Audiovisual techniques, focused group interviews, and elicitation techniques. Walnut Creek, Calif.: Altamira Press.
Shipway, R., & Holloway, I. (2010). Running free: Embracing a healthy lifestyle through distance running. Perspectives in public health, 130(6), 270-276.
Suzic Lazic, J., N. Dikic, N. Radivojevic, S. Mazic, D. Radovanovic, N. Mitrovic, M. Lazic, S. Zivanic, & Suzic., S. (2011). Dietary Supplements and Medications in Elite Sport – Polypharmacy or Real Need? Scandinavian Journal of Medicine and Science in Sports 21, 260-267
United States Anti-Doping Agency (USADA). (2014). Supplement 411: Realize, Recognize, Reduce. Retrieved from http://www.usada.org/substances/supplement-411/
US Public Law 103-417, 103rd Congress, 25 October 1994. Dietary Supplement Health and Education Act of 1994.
Van Hilvoorde, I., Vos, R., & de Wert, G. (2007). Flopping, Klapping and Gene Doping Dichotomies Between ‘Natural’and ‘Artificial’in Elite Sport. Social studies of science, 37(2), 173-200.
Van Thuyne, W., Van Eenoo, P., & Delbeke, F. T. (2006). Nutritional supplements: prevalence of use and contamination with doping agents. Nutrition research reviews, 19(01), 147-158.
Veber, M. (2014). The Coercion Argument Against Performance-Enhancing Drugs. Journal of the Philosophy of Sport, 41(2), 267-277.
World Anti-Doping Agency (WADAa). (2015). World Anti-Doping Code. Retrieved from https://www.wada-ama.org/en/resources/the-code/world-anti-doping-code
World Anti-Doping Agency (WADAb). (2015). List of Prohibited Substances and Methods. Retrieved from https://www.wada-ama.org/en/resources/science-medicine/prohibited-list
Zhang, Y. & Wildemuth, B. M. (2009). Qualitative analysis of content. In B. M. Wildemuth (Ed.), Applications of social research methods to questions in information and library science, (p. 308-319). Westport, CT: Libraries Unlimited.
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