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Performance-enhancing substances: is your adolescent patient using?

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Adolescents use performance-enhancing substances like anabolic-androgenic steroids and creatine. This guide helps physicians assess and counsel young athletes on safe substance use.

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Area of Science:

  • Sports Medicine
  • Adolescent Health
  • Substance Use

Background:

  • Adolescents increasingly use performance-enhancing substances (PES) for appearance or athletic gains.
  • Anabolic-androgenic steroids (AAS) and creatine are common examples.
  • Physicians need guidance for assessing and discussing PES use with young patients.

Purpose of the Study:

  • To provide primary care physicians with a framework for assessing adolescent PES use.
  • To outline strategies for identifying at-risk adolescents.
  • To offer methods for comfortable and effective communication regarding sensitive topics.

Main Methods:

  • Focus on office-based assessment strategies.
  • Emphasize risk identification and targeted questioning.
  • Highlight building provider credibility on PES topics.

Main Results:

  • Physicians can identify adolescents at risk for PES use through specific questioning.
  • Creating a comfortable environment facilitates open discussion.
  • Establishing credibility as an information source is crucial for effective counseling.

Conclusions:

  • Primary care physicians play a vital role in addressing adolescent PES use.
  • Effective assessment involves risk identification and sensitive communication.
  • Providers should be knowledgeable resources for adolescent athletes regarding performance enhancement.