A.I. Burnasyan FMBC clinical bulletin. 2025 № 2
A.A. Derevoedov1, N.V. Rylova1,3, A.V. Zholinsky1, V.S. Feshchenko1, I.E. Vysotsky1, I.T. Vykhodets2, A.A. Pavlova1
Prevention of Anti-Doping Rule Violations in the Most Common Diseases Among Athletes
1Federal State Budgetary Institution “Federal Scientific and Clinical Center for Sports Medicine and Rehabilitation of the Federal Medical and Biological Agency”, Moscow, Russia
2Federal Medical and Biological Agency, Moscow, Russia
3International Office, State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency, Moscow, Russiа
Contact person: Rylova Natal’ya Victorovna: rilovanv@mail.ru
Abstract
The organization of the anti-doping work of a sports medicine specialist requires constant analysis and improvement. At the same time, the directions of this work are constantly being clarified and expanded. Recently, special attention has been paid to the task of a doctor, such as assisting an athlete in preparing a request for therapeutic use. Judging by the analysis presented in the paper, the quality of TUE requests has increased significantly, and the number of refusals decreased.
Tougher penalties for violations and increased testing volumes have not led to a reduction in the number of anti-doping rule violations by athletes and athlete support staff. The paper highlights the need for regular training on anti-doping issues by sports medicine specialists, interaction of participants in the process, and knowledge control. The analysis revealed a wide range of diseases in which substances and methods prohibited in sports can be used.
Over the past time, the FMBA of Russia has developed a three-tier anti-doping system, including all medical professionals who provide assistance to athletes. The created system makes it possible to improve anti-doping work at each of the levels, while the main role belongs to sports medicine specialists directly involved in providing assistance.
The developed proposals for improving the effectiveness of anti-doping measures are relevant and will contribute to further improving the quality of anti-doping work and preventing violations of anti-doping rules by both athletes and athlete support staff.
Keywords: body anti-doping in sports, therapeutic use of substances and methods prohibited in sports, athletes of sports national teams of the Russian Federation
For citation: Derevoedov AA, Rylova NV, Zholinsky AV, Feshchenko VS, Vysotsky IE, Vykhodets IT, Pavlova AA. Prevention of Anti-Doping Rule Violations in the Most Common Diseases Among Athletes. A.I. Burnasyan Federal Medical Biophysical Center Clinical Bulletin. 2025.2:13-21. (In Russian) DOI: 10.33266/2782-6430-2025-2-13-21
REFERENCES
- International Standard “Prohibited List”. URL: https://rusada.ru/upload/iblock/7a8/55eg1m5g398vffwpbcl192drij8atcuh/%D0%97%D0%B0%D0%BF%D1%80%D0%B5%D1%89%D0%B5%D0%BD%D0%BD%D1%8B%D0%B9%20%D1%81%D0%BF%D0%B8%D1%81%D0%BE%D0%BA%202024.pdf. (In Russ.).
- Guidelines for Doctors on TI. URL: https://rusada.ru/substances /tue/rukovodstva-po-ti/ (In Russ.).
- Vernec A., Healy D. Prevalence of Therapeutic Use Exemptions at the Olympic Games and Association with Medals: an Analysis of Data from 2010 to 2018. Br J Sports Med. 2020;54:920–924. doi:10.1136/bjsports-2020-102028.
- Vernec A., Healy D., Banon T., Petroczi A. Prevalence of Therapeutic use Exemptions at the Olympic Games and Paralympic Games: an Analysis of Data from 2016 to 2022. Br J Sports Med. 2024 Jul 9;2024:108266. doi: 10.1136/bjsports-2024-108266.
- On Physical Culture and Sports in the Russian Federation. Federal Law of 04.12.2007 No. 329-FZ (as amended on 12.06.2024). URL: http://www.kremlin.ru/acts/bank/26631 (In Russ.).
- On the Fundamentals of Health Protection of Citizens in the Russian Federation. Federal Law of 21.11.2011 No. 323-FZ. URL: http://www.kremlin.ru/acts/bank/34333 (In Russ.).
- On Amendments to Articles 26 and 26.1 of the Federal Law on Physical Culture and Sports in the Russian Federation and Article 42.1 of the Federal Law on the Fundamentals of Protecting the Health of Citizens in the Russian Federation. Federal Law of 28.04.2023 No. 174-FZ. URL: http://publication.pravo.gov.ru/Document/View/0001202304280019?ysclid=lyoa67s9t0835513604
- On Approval of the Procedure for Organizing Medical and Biological Support for Athletes of National Sports Teams of the Russian Federation. Order of the Federal Medical and Biological Agency of Russia dated 09.08.2023 No. 178. URL: http://publication.pravo.gov.ru/document/0001202310030004?ysclid=lyoa3qcwrf365967728 (In Russ.).
- On Counteracting the Use of Doping in Sports and the Fight Against it. Order of the FMBA of Russia dated 05.04.2016 No. 49. URL: https://rulaws.ru/acts/Prikaz-FMBA-Rossii-ot-05.04.2016-N-49/?ysclid=m24j2t4lh710482350 (In Russ.).
- All-Russian Anti-Doping Rules. URL: https://rulaws.ru/acts/Prikaz-FMBA-Rossii-ot-05.04.2016-N-49/?ysclid=lyoae2gu8x649431104 (In Russ.).
- On Approval of the Professional Standard Sports Medicine Physician. Order of the Ministry of Labor and Social Protection of the Russian Federation dated January 30, 2024 No. 27n. URL: http://publication.pravo.gov.ru/document/0001202403010037?ysclid=lv6i7c968w260152584 (In Russ.).
- On Approval of the Procedure for Registration of Medical Documents for a Request for Therapeutic Use of a Prohibited Substance and (or) Method. Order of the FMBA of Russia No. 262. URL: https://legalacts.ru/doc/prikaz-fmba-rossii-ot-25092020-n-262-ob-utverzhdenii/?ysclid=lywtu693ui511817862 (In Russ.).
Conflict of interest. The authors declare no conflict of interest.
Financing. The study had no sponsorship.
Contribution. Article was prepared with equal participation of the authors.
Article received: 11.01.2025. Accepted for publication: 15.02.2025