Beliefs and Practices Levels Associated with Use of Performance Enhancing Substances and Methods among Mixed Martial Arts Athletes in Kenya

Mixed Martial Arts (MMA) has seen a surge in popularity in Kenya, with athletes from various backgrounds participating in the sport. However, with this growth comes an increased risk of performance-enhancing substances (PES) use. The intense physical demands of MMA may drive athletes to seek an edge through these substances, leading to significant concerns about health risks and sports integrity. The aim of this study is to assess the practices and beliefs regarding PES, traditional herbs (TH), and food supplements (FS) among Kenyan MMA athletes. Additionally, the study explores the sources of PES, the factors motivating their use, and the efficacy of current Anti-Doping testing practices. To conduct the study, a cross-sectional survey design was employed, sampling 800 athletes from a target population of 4,000 across six MMA federations. Data were collected using structured questionnaires adapted from the World Anti-Doping Agency (WADA) and the Performance Enhancement Attitude Scale (PEAS), with pre-testing to ensure reliability. Data analysis involved descriptive statistics and One- and Two-Way Analysis of Variance (ANOVA) using SPSS version 22. The results indicate that the majority of MMA participants are male (79.9%), with a median age of 25 years and a mean age of 26.8±4.1 years. Over half of the athletes perceived PES as a problem, but less than one-third viewed traditional herbs as a concern. Food supplements were used by nearly a fifth of the athletes, with bodybuilders showing the highest usage rate (44.4%). Coaches, team doctors, and physiotherapists were primary sources of these substances, while some athletes reported chemists and medical practitioners as suppliers of PES. The study found that the primary reasons for using PES and FS were to boost economic status through prize money, with additional pressures from coaches, family, and colleagues. Anti-doping testing revealed that 20.6% of athletes had been tested out of competition, while 34.4% believed they could provide a sample that wasn't theirs. The study concludes that while many MMA athletes recognize the risks associated with PES, there is a lack of consistent understanding regarding traditional herbs and food supplements. This inconsistency, combined with external pressures, may lead to risky behavior, compromising the athletes' health and the sport's integrity. To address these issues, the study recommends implementing comprehensive education programs for MMA athletes, coaches, and support personnel to raise awareness of PES risks. Strengthening anti-doping regulations and monitoring sources of PES and FS is also crucial. Additionally, promoting ethical coaching practices and addressing external pressures can foster a safer environment and uphold the values of fair competition in Kenyan MMA.