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Anabolic-androgenic steroids. Current issues

C E Yesalis1, M S Bahrke

  • 1Health Policy Science, College of Health and Human Development, Pennsylvania State University, University Park, USA.

Sports Medicine (Auckland, N.Z.)
|May 1, 1995
PubMed
Summary
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Anabolic steroid use for performance enhancement is common, but scientific evidence on their effects is limited. More research is needed on long-term health impacts to improve prevention strategies.

Area of Science:

  • Sports Medicine
  • Pharmacology
  • Public Health

Background:

  • Nonmedical use of anabolic-androgenic steroids (AAS) for performance and appearance enhancement persists.
  • Systematic surveys provide estimates of AAS use among athletes and nonathletes.
  • Understanding the ergogenic effects and influencing factors of AAS remains incomplete.

Purpose of the Study:

  • To review the current understanding of anabolic steroid ergogenic effects.
  • To assess the known short-term health effects of anabolic steroid use.
  • To highlight the knowledge gaps regarding long-term health consequences and inform prevention strategies.

Main Methods:

  • Systematic surveys to estimate AAS prevalence.
  • Review of existing scientific literature on ergogenic effects.

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  • Analysis of reported short-term health effects and adverse events.

    • Main Results:

    • While widely believed to enhance performance, the extent and influencing factors of AAS effects are not fully understood.
    • Short-term adverse effects of AAS use have been documented, but serious events are rare.
    • Long-term health effects of AAS use are largely unknown.

    Conclusions:

    • Current evidence does not strongly support significant resource allocation to further investigate ergogenic effects.
    • The lack of data on long-term health effects hinders effective health education and drug abuse prevention.
    • Expanded efforts in prevention and education regarding anabolic steroid use are crucial.