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[Anabolic steroids in athletes].

C E Yesalis1, J E Wright, J A Lombardo

  • 1Department of Health Policy and Administration, Pennsylvania State University, University Park 16802-6500.

Wiener Medizinische Wochenschrift (1946)
|January 1, 1992
PubMed
Summary

Anabolic-androgenic steroids (AS) use is rising among athletes for performance enhancement. While effects vary, some users gain more strength and muscle than training alone, but long-term health impacts remain unclear.

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Area of Science:

  • Sports Medicine
  • Endocrinology
  • Exercise Physiology

Context:

  • Increasing prevalence of anabolic-androgenic steroid (AS) use across all age groups over four decades.
  • Significant use observed in both elite and recreational athletes, despite inconsistent scientific literature.
  • Societal emphasis on physical appearance and athletic success drives AS demand.

Purpose:

  • To review the scientific literature on the ergogenic effects of AS.
  • To evaluate the documented physiological and behavioral changes associated with AS use.
  • To discuss the societal factors contributing to AS abuse and potential intervention strategies.

Summary:

  • Scientific literature on AS ergogenic effects is inconsistent, conflicting with anecdotal evidence.
  • Individuals using AS with proper training and diet show consistent gains in strength and lean mass beyond training alone.
  • Acute physiological and behavioral changes are often transient and asymptomatic, with long-term health impacts inconclusive.

Impact:

  • AS abuse presents a unique societal challenge due to non-euphoric, appearance-driven demand.
  • Interventions must address societal pressures and environmental factors encouraging AS use, beyond traditional methods.
  • Further research is needed to clarify long-term health consequences and inform effective public health strategies.

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