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Background <p>In the pursuit of sporting success, some elite athletes prioritise peak performance over long-term health, frequently resulting in significant and enduring health consequences. The Enhanced Games (TEG) position themselves as a bold experiment in transhumanism, advocating for the use of performance-enhancing drugs (PEDs), including methods banned by World Anti-Doping Agency (WADA), to push the boundaries of human athletic potential.</p> Objectives <p>The aim of this study is to explore the perspectives of sport physicians, sport scientists, physiotherapists and other allied healthcare professionals on treating and supporting “enhanced athletes”, with the view of informing future guidelines.</p> Methods <p>Participants were invited via email and personal contacts within sport medicine communities to complete a brief anonymous survey via QuestionPro™. Descriptive statistics were performed using Excel™ and RStudio™.</p> Results <p>A total of 323 healthcare professionals responded (82% were sport physicians), among whom 74% expressed a willingness to treat acute lesions and/or chronic diseases in “enhanced athletes”. In comparison, a considerable minority (30%) expressed support for assisting athletes in their use of PEDs and methods under medically supervised conditions, with high consistency across professional roles. A relatively high readiness was observed in sport physicians treating acute (77% versus 58%; <i>p</i> &lt; 0.01) and chronic (75% versus 63%; <i>p</i> = 0.11) diseases for “enhanced athletes”. As far as WADA rules and/or national anti-doping laws apply, this support presupposes compliance with the code and the respective national laws to protect physicians from serious professional, legal and personal consequences.</p> Conclusion <p>The preliminary findings align with the broader goal of fostering a sport culture that values both peak performance and the short- and long-term health of all participants. These results emphasise the necessity of implementing professional guidelines and comprehensive support systems designed to safeguard the long-term well-being of all athletes and underscore the urgent need for further research into the impact of TEG on sport and its community.</p>

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Health and Performance Challenges in the Era of Human Enhancement: Insights from Sport Medicine Professionals

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年6月16日

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  • Ke Hu,
  • Christian Schneider,
  • Mark R. Hutchinson,
  • Emin Ergen,
  • Michael Geistlinger,
  • Iain Killoughery,
  • Klaus-Michael Braumann,
  • José Kawazoe Lazzoli,
  • Jane Seto,
  • Xavier Bigard,
  • André Debruyne,
  • Anna Jegier,
  • Theodora Papadopoulou,
  • Pedro Manonelles,
  • Francisco Arroyo,
  • Mourad Ghrairi,
  • Ana V. Cintrón,
  • Petra Zupet,
  • Marcelo Bichels Leitão,
  • Umutcan Kayikci,
  • Daniel Arkader Kopile,
  • Fabio Pigozzi,
  • Chiara Fossati,
  • Alessia Di Gianfrancesco,
  • Luigi Di Luigi,
  • Kirill Micallef Stafrace,
  • Anca Ionescu,
  • Bernd Wolfarth,
  • Metin Ergün,
  • William O. Roberts,
  • Konstantinos Natsis,
  • Camille Tooth,
  • Sandra Rozenštoka,
  • José Antonio Casajús,
  • Borja Muniz-Pardos,
  • Roberto Lohn Nahon,
  • Malav Shroff,
  • Minhao Xie,
  • Demitri Constantinou,
  • Dina CJanse van Rensburg,
  • Bülent Ülkar,
  • Andrew Jowett,
  • Victoriya Badtieva,
  • Jean-François Kaux,
  • Peter Baumgartl,
  • Clea Hadjistephanou Papaellina,
  • Jürgen Steinacker,
  • Julio Motta-Pensabene,
  • Rüdiger Reer,
  • Norbert Bachl,
  • Sergio Migliorini,
  • Maher Zahar,
  • Mark Stuart,
  • James Bilzon,
  • Giuseppe Massazza,
  • Bruno Di Pietro,
  • Khaled Massoud Hassan,
  • Felix Albuquerque Drummond,
  • Bertrand Fincoeur,
  • Andrea Petróczi,
  • Yannis Pitsiladis

摘要

Background

In the pursuit of sporting success, some elite athletes prioritise peak performance over long-term health, frequently resulting in significant and enduring health consequences. The Enhanced Games (TEG) position themselves as a bold experiment in transhumanism, advocating for the use of performance-enhancing drugs (PEDs), including methods banned by World Anti-Doping Agency (WADA), to push the boundaries of human athletic potential.

Objectives

The aim of this study is to explore the perspectives of sport physicians, sport scientists, physiotherapists and other allied healthcare professionals on treating and supporting “enhanced athletes”, with the view of informing future guidelines.

Methods

Participants were invited via email and personal contacts within sport medicine communities to complete a brief anonymous survey via QuestionPro™. Descriptive statistics were performed using Excel™ and RStudio™.

Results

A total of 323 healthcare professionals responded (82% were sport physicians), among whom 74% expressed a willingness to treat acute lesions and/or chronic diseases in “enhanced athletes”. In comparison, a considerable minority (30%) expressed support for assisting athletes in their use of PEDs and methods under medically supervised conditions, with high consistency across professional roles. A relatively high readiness was observed in sport physicians treating acute (77% versus 58%; p < 0.01) and chronic (75% versus 63%; p = 0.11) diseases for “enhanced athletes”. As far as WADA rules and/or national anti-doping laws apply, this support presupposes compliance with the code and the respective national laws to protect physicians from serious professional, legal and personal consequences.

Conclusion

The preliminary findings align with the broader goal of fostering a sport culture that values both peak performance and the short- and long-term health of all participants. These results emphasise the necessity of implementing professional guidelines and comprehensive support systems designed to safeguard the long-term well-being of all athletes and underscore the urgent need for further research into the impact of TEG on sport and its community.