The use of dietary supplements is a ubiquitous and multifaceted phenomenon in the world of sports. Athletes, from high school amateurs to elite professionals, are continuously seeking methods to enhance their performance, accelerate recovery, and gain a competitive edge. However, the landscape of supplement use is complex, with prevalence rates varying dramatically depending on numerous factors. Understanding these trends requires a deeper look into the research, motivations, and common supplements involved. For instance, studies have shown rates as high as 82.2% among young international athletes and 57.9% among a group of fitness athletes in a 2023 survey. A meta-analysis published in 2022 suggests the overall prevalence is in the 40–70% range, while some reports cite nearly 60-80% on a regular basis. This wide variation underscores the need to examine specific groups and their unique circumstances.
Prevalence Varies by Sport and Level
Research consistently shows that the percentage of athletes using supplements is not uniform across all sports or competition levels. Bodybuilders and strength athletes often exhibit very high rates, sometimes approaching 100%, driven by goals related to muscle growth. Elite athletes also tend to show high rates of use due to the demands of their training and the pursuit of a competitive advantage, with some studies reporting up to 85% among elite track and field athletes. Collegiate athletes also show significant supplement use, though studies present varying figures depending on the specific population and methodology. Even young and adolescent athletes use supplements, often influenced by coaches or peers, with one multi-country study of 15-18 year olds showing an 82.2% prevalence.
Key Motivations Behind Supplement Use
Several factors drive the decision to use supplements among athletes, extending beyond just performance enhancement to include health, body image, and convenience. Athletes use supplements to gain a competitive edge by improving endurance, speed, strength, and focus, with creatine being a popular choice for high-intensity activities. Faster recovery is another key motivation, with supplements like whey protein used to aid muscle repair. Some athletes use supplements to address nutrient deficiencies or improve body composition, while the convenience of supplements like protein shakes also plays a role in busy lifestyles.
The Most Common Supplements
Certain supplements are consistently popular among athletes. These include protein supplements like whey, widely used for muscle repair and growth, and creatine, known for enhancing strength and power in short-duration activities. Caffeine is used for alertness and endurance, while various vitamins and minerals such as vitamin D, vitamin C, magnesium, and iron are taken to address deficiencies. Other supplements include beetroot juice and nitrates for endurance, and branched-chain amino acids (BCAAs) for muscle protein synthesis, although research on BCAAs is mixed.
Comparing Common Supplements
| Supplement | Primary Purpose | Level of Evidence (Performance) | Potential Risks / Considerations |
|---|---|---|---|
| Creatine | Increases power and strength for high-intensity, short-duration exercise. | High evidence base for specific uses. | Possible weight gain (water retention), GI issues in some users. |
| Whey Protein | Aids muscle repair, growth, and recovery. | High evidence base for enhancing muscle training response. | Generally safe at recommended doses; potential GI discomfort. |
| Caffeine | Enhances alertness, endurance, and reduces perceived exertion. | High evidence base for endurance activities. | Insomnia, restlessness, GI issues, tachycardia with high doses. |
| Beta-Alanine | Increases muscle carnosine, delaying fatigue during high-intensity exercise. | Mixed evidence; shows benefits in activities lasting 1-4 minutes. | Paresthesia (tingling) is a common side effect. |
| Nitrates (Beetroot) | Improves endurance by increasing oxygen delivery to muscles. | Mixed evidence; shows benefits for endurance and economy. | Minimal risks reported at typical doses. |
Information Sources and Education
Athletes frequently rely on informal sources like coaches and the internet for supplement information, often ahead of qualified nutrition professionals, which can lead to misinformation. This highlights the critical need for education on the nuances of supplementation and the importance of a food-first approach. Qualified dietitians or sports medicine specialists should be the primary resource for guidance.
Risks and Regulations
Supplement use carries risks, including contamination with substances banned by anti-doping agencies like WADA. The NCAA also warns of the lack of strict regulation and the potential for positive drug tests. Health risks, such as hormonal and cardiovascular issues, have also been linked to some products. Third-party testing can help mitigate dangers, though it doesn't eliminate all risks. The cost of supplements can also be a barrier for some athletes.
Conclusion
Determining exactly what percent of athletes use supplements reveals a wide range, influenced by factors like sport and competition level. While supplement use is common, driven by motivations like performance enhancement and dietary needs, reliance on informal information sources and the potential for contamination raise concerns. Athletes should prioritize a food-first approach and seek advice from qualified nutrition experts for safe and effective supplementation.