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Increased atherothrombotic markers and endothelial dysfunction in steroid users.

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Androgenic anabolic steroid (AAS) users exhibit elevated cardiovascular risk markers and impaired endothelial function compared to non-users. This study highlights significant changes in lipids, inflammation, and blood vessel function in AAS users.

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Area of Science:

  • Cardiovascular Science
  • Endocrinology
  • Sports Medicine

Background:

  • Androgenic anabolic steroid (AAS) use is linked to potential atherothrombotic and endothelial function alterations.
  • Understanding these effects is crucial for assessing cardiovascular health in AAS users.

Purpose of the Study:

  • To compare atherothrombotic markers and endothelial function between AAS users and non-users.
  • To evaluate the impact of AAS on cardiovascular risk factors.

Main Methods:

  • Cross-sectional study comparing 10 AAS users and 12 non-user athletes.
  • Evaluated body mass, blood pressure, CBC, platelets, fibrinogen, lipids, hs-CRP, hormones, and endothelial function via brachial artery ultrasound.

Main Results:

  • AAS users showed higher body mass, blood pressure, platelets, and hs-CRP.
  • AAS users had lower HDL-cholesterol and suppressed follicle-stimulating hormone.
  • Endothelium-dependent function (flow-mediated dilation) was reduced in AAS users, correlating positively with HDL-cholesterol.

Conclusions:

  • AAS users display altered blood lipids and inflammatory markers, indicating increased cardiovascular risk.
  • AAS use is associated with impaired endothelial function.
  • These findings underscore the cardiovascular implications of AAS consumption.