Supplement use in able-bodied athletes during major championships was reported to be around 80 to 90%. In contrast, the prevalence of supplement use in Paralympic athletes according to surveys from 2004 and 2012 was lower with around 40 to 58%. This study aimed to investigate the supplement use in Swiss wheelchair athletes. All Swiss wheelchair athletes were asked to complete a retrospective survey on supplement use during training and competition.
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In 2008, the World Anti-Doping Agency officially launched the biological passport. The first validated module to operate was the blood module to fight erythropoietin (EPO) and blood transfusion abuse. It has been quite efficient to catch some doped athletes, but above all, was very good in reducing the prevalence of doping. It is unclear if athletes stopped doping or have adapted and are taking micro doses of EPO or transfusing small blood volumes. More recently, the steroid module was released, but until now, the number of urine adverse passport cases is very low.
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