Northern Territory Institute of Sport
Sports Supplement Guidelines
(as at 24 May 2013) Overview
- This NTIS Sports Supplement Guidelines document provides advice and direction on use of supplements for NTIS athletes, coaches and service providers. The Guidelines follow recommendations made by the AIS Sports Supplement Panel, whose membership includes people playing key role in the AIS and Australian Sports Commission (ASC) environments which intersect with supplement use by Australian athletes. - The activities of the AIS Sports Supplement Panel are offered to National Sporting Organisations and member of the National Institute Network in Australia (of which the NTIS is a member) via a non- exclusive, royalty free licence. - The AIS Sports Supplement Panel communicates its activities and resources principally via the AIS Sports Nutrition website which provides free and transparent information to internet users.
The NTIS Sports Supplement Guidelines have been designed for the specific needs of NTIS
athletes. It is recommended that other Northern Territory athletes and groups seek

independent advice before using any supplement.

Supplements can assist NTIS athletes achieve peak performance. However, poor regulation of the
supplement industry allows athletes to be bombarded with marketing hype that exaggerates or completely invents unproven benefits arising from the use of supplements. Unfortunately, the driving force behind the supplement practices of many athletes is not sound science applied to the specific needs of the sport. Instead, some athletes are motivated by fear that their competitors might be taking supplements and they cannot afford to miss out on any ‘performance edge'. The results of the present frenzy of sports supplements are: - a small but real risk of a positive ‘doping' outcome; - money being wasted on products that simply do not work; - time, money and belief being distracted away from the factors that can really enhance health, recovery and performance; and - the use of supplementation before it is truly beneficial when good training and nutritional habits have been established. The NTIS Sports Supplement Guidelines aim to: - Accurately determine if an athlete is ready to consider supplementation; - Allow athletes to focus on sound use of supplementation and special sports foods as part of their special nutrition plans; - Ensure that supplements and sports foods are used correctly and appropriately to deliver maximum benefits to the immune system, recovery and performance; - Give athletes the confidence that they receive appropriately qualified advice and are complying with evidence-based nutritional practices; - Minimise significantly the risk of supplement use leading to an inadvertent doping offence; and - Support approval processes and tracking of supplement use by NTIS athletes.


In line with the AIS Sports Supplement Program, supplements are classified into four groups
according to their effectiveness and safety.
The table below outlines the categories and their associated supplements. Unless otherwise guided by the AIS Sports Supplement Program, only Group A supplements will be considered for use by NTIS NT based athletes. Refer Attachment A for further details on the 4 groups of supplements.
- Supported for use in specific situations in sport. Sports confectionary - May be recommended for use by NTIS athletes if specific criteria are met. Sports bars Calcium supplements Iron supplements Vitamins or minerals Electrolyte replacements - Deserving of further research. Beetroot juice/nitrate - Considered for provision to athletes Anti-oxidants C and E under a research protocol (NTIS Carnatine athletes may potentially be considered HMB in AIS research protocols). Probiotics for immune support Other polyphenols as anti-oxidants and anti-inflammatory - No or insufficient meaningful proof of Lactaway beneficial effects. - Not recommended to NTIS athletes. Vitamins outside of category A use Other herbals (cordyceps, rhodiola rosea) Glucosamine Chromium picolatine Oxygenated waters DEPARTMENT OF SPORT AND RECREATION

- Banned or at a high risk of Strychnine Methylhexanamine Other herbal stimulants 19-norandrostenione/ol Other pro-hormones Tribulus terretris Other testosterone boosters Note: HMB = beta-Hydroxy beta-methylbutyrate; MCT = medium-chain triglyceride; ZMA = Zinc monomethionine and
aspartate and Magnesium Aspartate; DHEA = Dehydroepiandrosterone; ol = 9-norandrostenol
Identifying Athletes for Supplementation
The NTIS Sports Supplement Guidelines do not automatically recommend Group A supplements to athletes. Use of supplements is voluntary and only recommended to athletes that pass strict criteria. Failure to meet all parts of the criteria will result in supplements use not being recommended or supported by the NTIS. The criteria will be evaluated by relevant personnel from all discipline areas within the NTIS Athlete Services unit. The criteria for supplement consideration is the following: - Athlete Driven: As a matter of course, only athletes who show an interest in supplementation
will be considered. No athlete will be expected to use supplements as part of their involvement at the NTIS. - Good Training Habits: The athlete must be identified by the coach as being a committed
trainer with a strong possibility of progressing to higher levels within their sport. The athlete must be consistent in their approach to training. The athlete must be coach-able and willing to work on all aspects of their performance. - Strong Training Base: In addition to the qualities identified by the coach, the athlete must be
identified by his/her strength and conditioning coach as having a strong training base, as well as good stability, mobility and flexibility, and has shown progression in their physical characteristics. - Sound nutritional habits: The athlete must be able to demonstrate to the NTIS sport
nutritionist that he/she has sound dietary habits and has a thorough understanding of the need for good nutrition to improve performance. - Medical Clearance: The athlete must be able to demonstrate that they have no other medical
issues that may be adversely impacted by supplementation, or have injury issues that require
Supplementation Approval Process
All athletes being considered for scholarships with the NTIS will need to declare all therapeutic/prescribed medications, multivitamins, minerals and supplements that are being used. This declaration is to be made on the medical screening form. DEPARTMENT OF SPORT AND RECREATION

During the term of the scholarship, the following process must be adhered to by all athletes considering supplementation: 1) An athlete expresses an interest to their head coach or service provider. 2) The athlete's training base as well as training and nutritional habits are assessed by relevant Athlete Services staff (typically the nutritionist and strength and conditioning coach) and head coach. 3) A recommendation is made and submitted to the NTIS Physiotherapist and Sports Medicine Coordinator (PSMC) who, based on review of all relevant issues, approves supplement use or a. If approved, the following details are determined and recorded, on the NTIS Supplementation Register, by the PSMC: 1. The purpose for which the supplement is required. 2. Actual supplement(s) approved. 3. The recommended dosage. 4. Duration of supplement use and date of review by PSMC. 5. NTIS staff members responsible for monitoring supplement use (e.g. head coach, strength and conditioning coach). b. If not approved, the athlete is informed by the PSMC (with appropriate justification and education provided), and no further action should be required. 4) The athlete, and staff responsible for monitoring, must update the PSMC of any changes to supplement use, including dosage. DEPARTMENT OF SPORT AND RECREATION


Group A Supplements

Group A supplements are supported for use in specific situations in sport and may be recommended
to NTIS athletes.
These supplements:
1. Provide a useful and timely source of energy and nutrients in the athletes diet; 2. Have shown in scientific trials to benefit performance, when used according to a specific protocol in a specific situation in sport; and 3. Are safe for use in recommended doses. The table below outlines current Group A supplements. Fact sheets will be provided if an athlete is identified and shows interest in using the supplementation. These fact sheets can also be found on the AIS Sports Nutrition webp Group A Supplements
Sports confectionary Calcium supplements Iron supplements Multi-vitamins or minerals Electrolyte replacements
Group B Supplements
Group B supplements are deserving of further research and considered for provision to AIS athletes only under official research protocol. These supplements are presently not recommended for NTIS athletes except as part of an approved AIS research project. These supplements: 1. Have received some scientific attention, sometimes in populations other than athletes, or have preliminary data which suggest possible benefits to performance; 2. Are of particular interest to athletes & coaches; and 3. Are safe for use in recommended doses.

The table below outlines current Group B supplements. Fact sheets will be provided if an athlete is identified and shows interest in using the supplementation. These fact sheets can also be found on the AIS Sports Nutrition webp Supplements
Beetroot juice/nitrate Anti-oxidants C and E Probiotics for immune support Other polyphenols as anti-oxidants and anti-inflammatory Group B supplements will only be recommended to NTIS athletes under the following conditions: - As part of an approved, supervised study or trial involving placebo/control groups and adequate monitoring of performance or health benefits; - Clinical management plan overseen by AIS doctor or NTIS medical supervisor, including the provision of the supplement to the athlete and adequate monitoring; and - Inadvertent doping risk of Group B supplements is carefully considered before approval. Although Group B supplements are not illegal, their use by athletes outside of these guidelines is not recommended by the NTIS and their use is the responsibility of the athlete or sporting body. Note. National Institute Network Research Protocols: All research trials carried out by the National Institute Network (state & territory institutes and academies and the AIS) are subject to strict, independent ethics review to ensure safe practices. These trials often require additional university
Group C Supplements
Group C supplements have little proof of beneficial effects and are not recommended to NTIS athletes. This category includes most supplements and sports products promoted to athletes. These supplements, despite enjoying a cyclical pattern of popularity and widespread use, have not been proven to provide a worthwhile enhancement of sports performance. Although it is not possible to categorically state that they do not work, current scientific evidence shows that either the likelihood of benefits are very small or that any benefits that occur are too small to be useful. In fact, in some cases, these supplements have been shown to impair sports performance, with a clear mechanism to explain the results. A number of the products that belong in this category are named here, but many others not named in this supplement system are more than likely to belong here. The table below outlines current Group C supplements. Fact sheets will be provided if an athlete is identified and shows interest in using the supplementation. DEPARTMENT OF SPORT AND RECREATION

These fact sheets can also be found on the AIS Sports Nutrition webpage Supplements
Vitamins outside of category A use Other herbals (cordyceps, rhodiola rosea) Chromium picolatine Oxygenated waters In the absence of proof of benefits, Group C supplements are not recommended to NTIS athletes.
Group D Supplements
Group D supplements should not be used by NTIS athletes under any circumstances. These supplements are banned or are considered to be at very high a risk of being contaminated with substances that could lead to a positive drug test.
The table below outlines current Group D supplements.
Methylhexanamine Other herbal stimulants 19-norandrostenione/ol Other pro-hormones Tribulus terretris Other testosterone boosters DEPARTMENT OF SPORT AND RECREATION


Sports Food and Drinks within Group A Supplements

Certain sports food and drinks within Group A supplements may be recommended to athletes as an
acceptable base-line ‘nutritional strategy' without necessarily going through the supplementation approval process. When indicated and used as directed these can assist to meet the needs of athletes. Some of these include the use of Sports Drinks and Liquid Meal Supplements.
Sports Drinks:
The consumption of sports drinks (e.g. Gatorade and Powerade) as a timely method of fluid and
nutrient replenishment is common place and encouraged in elite sport and at the NTIS. NTIS
scholarship holders are encouraged to consume sports drinks under the following guidelines:
Summary of Fluid Guidelines
• Begin each exercise session in fluid balance. This requires drinking regularly throughout the day leading up to training or competition. Have a drink with all meals and snacks. • Immediately, before exercise commences, consume 200-600 ml of fluid. • Develop a plan for fluid intake for all exercise sessions longer than 30 minutes. • Aim to match previous fluid losses as closely as possible (within 1% of body mass). Take into account all the opportunities within the sport. • Begin drinking early in the exercise session and continue to drink small amounts regularly. Sports drink or water are the best options. • Replace any residual fluid deficit after exercise. You will need to drink 150% of any fluid deficit in the 4-6 hours after exercise to account for ongoing sweat and urinary losses. When fluid losses are high and/or rapid rehydration is required, sodium replacement may be required. Sports drinks, oral rehydration solutions and salty foods can all contribute to sodium replacement.
What can the coach do?
Drinking during exercise does not come naturally to athletes. It is a skill that needs to be developed and practiced. Coaches can help athletes by: • Recognising the importance of fluid replacement during exercise and creating a supportive • Arranging for athletes to be well educated regarding hydration. • Assessing fluid balance during training sessions to help athletes determine individual fluid losses. • Helping athletes prepare a fluid replacement plan for training and competition • Incorporating drink opportunities during training. • Providing cool, flavoured, palatable drinks which are readily accessible during training and competition or establishing team rules designed to encourage fluid intake - i.e. all athletes must bring suitable fluids or a drink bottle to training. • Allowing athletes to practise and fine tune fluid replacement strategies during training in preparation for competition. • Periodically monitoring fluid balance to create an awareness of whether athletes are meeting fluid replacement goals.

Guidelines for how much fluid to drink during exercise
Time Before/During/After Exercise
Amount to Drink
1 to 2 hours and 30min 500 mL of cold fluid 250-500 mL of cold fluid Every 15 to 20min 100-200 mL of cold fluid Immediately post (within 30min) 150% of body mass lost e.g. 1kg fluid loss = 1.5L ingestion of cold fluid After exercise and the next day Have fluid readily available and drink NB. This is a guide only to fluid volumes. With an individualised fluid balance plan prescription of fluids can be more
accurately tailored to specific needs.
Liquid Meal Supplements:
Liquid meal supplements are carbohydrate-rich, moderate protein, low-fat powder (or liquid) products which when mixed with water or milk provide an energy and nutrient-rich dietary There are a range of liquid meal supplements available (e.g. Sustagen powder/tetrapak, Sanitarium Up and Go, Ensure). Products often have differentiating characteristics including the amount/type of key macronutrients protein and carbohydrate, fat and fibre content, flavours, fortification with vitamins and minerals and the presence of other "active ingredients". When used to achieve goals of sports nutrition, liquid meal supplements may enhance training adaptations or competition and can be used in a number of scenarios to provide a practical form of energy and blend of macronutrients. However, they can often be overused due to its convenience factor, leading to inappropriate replacement of whole foods and over-reliance on an expensive alternative. It can also be less satiating than whole foods leading to over-consumption of kilojoules and unwanted weight gain.


Signing Page:

I have read, understood and agree to abide by the terms of the NTIS Sport Supplement

Guidelines (2013).


Full Name:
(Tear off and return this signing page to the NTIS once complete) DEPARTMENT OF SPORT AND RECREATION

Source: https://nt.swimming.org.au/visageimages/About_Us/Constitution_Policies_Rules/NTIS-Sport-Supplement-Guidelines.pdf


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