More Smokers Lighting Up Worldwide than in 1980
On Monday, the World Anti-Doping Association released a report describing a pervasive doping culture among Russia's athletic programs. The agency alleges that doping cover ups are so widespread in Russia that Russian athletes should be banned from competition — possibly even next year's Olympics -- until the country cleans up its act, according to a report in theNew York Times
. Liliya Shobukhova, shown here crossing the finish line to come in second in the women's London marathon April 17, 2011, said she paid the Russian Athletics Federation 450,000 euros to cover up a positive doping test. Part of the new report describes the possibility that Russia uses a laboratory on the outskirts of Moscow to help cover up widespread doping by pre-screening athletes' doping samples and ditching those that test positive. Such widespread, state-sponsored doping hark back to the notorious days when East Germany oversaw a decades-long program to funnel performance-enhancing drugs to their athletes, known officially as State Plan 14.25. Doping among individual athletes, however, has long been reported across many nationalities and sports. Given how prevalent cheating is these days, it can be difficult to sort out the range of substances that athletes abuse to get ahead. And although different sporting disciplines have their own regulations in terms of regulations and controls, the same drugs seem to keep coming back.Does Athletic Doping Even Work?
Erythropoietin (EPO) is a banned substance that didn't get a lot of attention before the scandal over disgraced cyclist Lance Armstrong. EPO is naturally produced in the body and stimulates the production of red blood cells in bone marrow.
Although it's typically used in patients who are severely anemic, athletes competing in endurance events like cycling can receive injections to boost their performance. The elevated levels of red blood cells deliver more oxygen to the muscles, which allows them to do more work.
EPO is one of the substances Armstrong admitted to using.
Tour de France Doping: Should It Be legal?
Human-growth hormone, among the most popular steroid used by cheating professional athletes, including Armstrong, does exactly what its name would imply: promotes muscle growth. The steroid has the added benefit of strengthening bones and tendons, which is why its often administered to patients coping with range of conditions from children with growth hormone deficieny to adults dealing with muscle atrophy as a result of aging or disease.
Profesional athletes use it to boost their strength and muscle mass. Baseball players, including Jason Giambi (pictured here), who later apologized in a press conference for steroid use, were among the most frequent users of HGH.
Using Tetrahydrogestrinone, also known as "THG" or "the Clear," didn't make Barry Bonds the most hated player in baseball of his time. He managed to do that all by himself.
It did, however, help to fuel a wildly successful baseball career that included 14 All Star appearances, four MVP titles and several home run records. By lying to a grand jury about his use, he also winded up before a judge and almost in jail.
THG was a synthetic steroid designed by Bay Area Laboratory Co-Operative (BALCO), the California-based company that provided a number of athletes with a once undetectable performance-enhancing drug.
Human Chorionic Gonadotropin, or "HCG," was another steroid that proved popular among baseball players, most notably Jose Canseco, who was caught by authorities trying to smuggle the hormone across the border from Mexico.
HCG isn't used by itself, but rather after a steroid cycle. Steroids can shut down the bodies natural testosterone production, and HCG is a drug that helps men produce testosterone and sperm. HCG is also used medically to help women get pregnant.
A steroid popular among bodybuilders (almost guaranteeing athletes will abuse it as well), Winstrol is a steroid much like HCG in that athletes typically don't use it by itself.
Winstrol is another hormone athletes might take when off-cycle from another steroid. The purpose of the drug among athletes and bodybuilders isn't so much to build muscle, but retain it after a "bulking cycle" and cut fat.
Ben Johnson, the Canadian sprinter who beat Carl Lewis at the 1988 Olympics, might be the most famous user of Winstrol, and had his gold medal stripped as a result of testing positive for the compound. Johnson never denied using, and alleged that other athletes in the competition had all been cheating with performance-enhancing drugs.
How Do Olympians Keep Getting Better?
Although banned today, amphetamines, also known as speed, were once common in sports, ranging from baseball and football to gymnastics and wrestling.
These potentially addictive performance enhancers give a boost with heightened alertness and increased confidence, and can reduce perception of pain. These drugs also comes with a wide range of negative potential side effects from increased blood pressure to hallucinations to heart attack.
Last November, Baltimore Orioles shortstop Ryan Adams was suspended after he tested positive for amphetamines.
Ephedrine is a stimulant used by athletes to give themselves an energy boost.
Not only is ephedrine a banned substance by multiple sporting organizations, but it's also illegal to sell the herb from which it is derived, ephedra. Ephedra is potentially dangerous and has been implicated in the deaths of athletes both amateur and professional.
One of the earliest famous cases of ephedrine use in professional sports was Diego Maradona, who was booted from the 1994 World Cup after he tested positive for it. He later claimed that the compound was present in a sports drink and he had only ingested the drug inadvertently.
More people smoke worldwide today than in 1980, as population growth surges and cigarettes gain popularity in countries such as China, India and Russia, researchers said Tuesday.
For instance, China boasted nearly 100 million more smokers in 2012 than it had three decades ago, even though its smoking rate fell from 30 to 24 percent in that span, said the findings in the Journal of the American Medical Association.
The rise in the number of smokers comes despite overall declines in the smoking rate in recent decades, as many people have realized the health dangers of tobacco, said the report.
The data was published as part of a series of tobacco-related articles to coincide with the 50th anniversary of the first US Surgeon General's report on the risks of smoking.
"Since we know that half of all smokers will eventually be killed by tobacco, greater numbers of smokers will mean a massive increase in premature deaths in our lifetime," said co-author Alan Lopez of the University of Melbourne.
The study, led by the Institute for Health Metrics and Evaluation at the University of Washington, measured data from 187 countries.
It found that the global smoking rate among men was 41 percent in 1980, but has since declined to an average of 31 percent.
Among women, the estimated prevalence of daily tobacco smoking was 10.6 percent in 1980, and by 2012 that had fallen to 6.2 percent.
The most rapid decrease began in the mid-1990s, but smoking has actually risen again among men since 2010, said the findings.
"This deceleration in the global trend was in part due to increases in the number of smokers since 2006 in several large countries including Bangladesh, China, Indonesia and Russia," said the study.
China had 182 million smokers in 1980, and nearly 282 million in 2012, it said.
India gained 35 million smokers -- bringing its total to 110 million -- even though the smoking rate fell from 19 to 13 percent of the population.
Russia, where about one third of people smoke, has added one million smokers since 1980.
Globally, the number of smokers has climbed from 721 million in 1980 to 967 million in 2012.
The number of cigarettes smoked annually has also risen 26 percent over the past three decades.
"The greatest health risks are likely to occur in countries with high prevalence and high consumption," said the study.
Sabina Dimitriu / Getty Images
Those countries include China, Greece, Ireland, Italy, Japan, Kuwait, Korea, the Philippines, Uruguay, Switzerland and Russia, it said.
The highest smoking rates among men in 2012 were in Timor-Leste (61 percent) and Indonesia (57 percent), followed by Armenia (51.5 percent), Russia (51 percent) and Cyprus (48 percent).
Top countries for women smokers were Greece (34.7 percent) and Bulgaria (31.5 percent).
Austria had a female smoking rate of 28.3 percent, followed by France (27.7 percent) and Belgium (26.1 percent).
A larger proportion of women in France smoked in 2012 (28 percent) than 1980 (19 percent), while the rate for men went the opposite direction, declining from 42 percent to 34 percent.
In all, France had 14 million smokers in 2012, two million more people than in 1980.
The study also measured how many cigarettes on average were consumed per smoker each day in 2012, and found Mauritania was the highest with 41, or two packs a day.
Saudi Arabia's smokers averaged 35 cigarettes per day, and Taiwan's 32.
"As tobacco remains a threat to the health of the world's population, intensified efforts to control its use are needed," said the study.
The research also examined where the biggest gains against smoking have been made since 1980, particularly in countries where more than one in five people smoked.
Iceland, Mexico and Canada had the most significant declines (three percent), followed by Sweden, Norway and Denmark.
The United States, New Zealand, Australia and Britain rounded out the top 10 for the drop in smoking rates.
The US smoking rate went from 30.6 percent in 1980 to 15.8 percent in 2012. Similar trends were seen in Australia.
"Globally, there has been significant progress in combating the deadly toll of tobacco use," said Matthew Myers, president of the Campaign for Tobacco-Free Kids, who was not involved in the study.
"Where countries take strong action, tobacco use can be dramatically reduced."