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June 19, 2026British Journal of Sports Medicine

Substance use patterns in elite athletes: a scoping review of alcohol, performance-enhancing drugs and other psychoactive substances

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Authors

JCJoão Maurício Castaldelli-MaiaARAndré Furtado de Ayalla RodriguesZMZachary L. Mannes

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Overview

Scoping review maps substance use patterns in elite athletes, indicating substantial vulnerabilities and research gaps.

Key Points

  • The study aims to systematically map and synthesize literature on substance use patterns in elite athletes, focusing on recreational substances and performance-enhancing drugs.
  • Conducted a scoping review following JBI guidelines and PRISMA-ScR standards.
  • Comprehensive search across PubMed/MEDLINE, PsycINFO, Scopus, and SportDiscus up to March 2025.
  • Included 119 peer-reviewed original research articles that examined substance use among elite athletes.
  • Alcohol was the most studied substance, especially among collegiate athletes, revealing heavy consumption in specific sports.
  • Performance-enhancing drugs demonstrated sport-specific use patterns but lacked insight into psychosocial mechanisms.
  • Literature primarily consisted of cross-sectional designs, self-reported data, and was dominated by Western populations.

Cite This Study

Castaldelli-Maia et al. (2026) studied this question.

synapsesocial.com/papers/6a34dde465a5b0777af2d666https://doi.org/10.1136/bjsports-2025-111489
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Also Consider

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  4. 4Adolescent elite athletes’ cigarette smoking, use of snus, and alcohol2012 · 67 citations
  5. 5Substance Use in Sports: A Cross‐Sectional Study Among Professional Footballers in Accra, Ghana2026