What ethical issue is a concern in the context of enhancing performance in sports?

The concern regarding the use of drugs in sports is primarily associated with the ethics of fair competition and the health risks posed to athletes. Using performance-enhancing substances undermines the principles of fair play, as it provides an unfair advantage to those who choose to use them over their competitors who do not. This practice can erode the integrity of sporting events, as outcomes can be influenced more by drug use than by actual skill and training.

Moreover, the health implications of using such drugs can be severe, ranging from short-term side effects to long-term health complications, which raises moral questions about the responsibilities of coaches, athletes, and the sporting community as a whole. The ongoing efforts by various sporting organizations to combat doping reinforce the importance of maintaining ethical standards in athletics, ensuring that all competitors have an equal opportunity to succeed based on their natural abilities and hard work, rather than artificial enhancements.

In contrast, the other options listed, such as authorized training methods, standardized coaching techniques, and personalized nutrition plans, are generally recognized as ethical practices aimed at improving performance while respecting the principles of fairness and athlete well-being.