堆叠风险:在FAERS数据中滥用类固醇和堆叠物质的致命后果
Ji Won Heo1, Jung Doo Yang2, Sun Kyoung Yum1
1Brain Boutique, Seoul, Korea.
Substance use & addiction journal
|September 5, 2025
概括
滥用类固醇类固醇 (AAS),特别是将多种药物堆叠在一起,显著增加了健康风险. 较年轻的个体和较高的药物数量与更严重的结果有关,需要有针对性的公共卫生干预措施.
科学领域:
- 药理学
- 毒理学
- 公共卫生
背景情况:
- 代谢类固醇 (AAS) 的滥用很普遍,并与严重的健康风险相关.
- 多种AAS和其他物质"堆叠"的做法加剧了这些危险.
- 了解滥用药物使用严重后果的风险因素对于公共健康至关重要.
研究的目的:
- 分析FDA的不良事件报告系统 (FAERS) 关于故意滥用的数据.
- 确定与严重药物不良反应 (ADR) 相关的特定药物组合和人口因素.
- 在滥用AAS的个体中评估危及生命的预测因素.
主要方法:
- 对286个故意滥用AAS的FAERS报告进行了回顾性分析,其中包括218个单一案例.
- 药物的分类,不良反应和人口数据.
- 后勤回归分析以确定物质堆叠与严重结果之间的关联,并确定严重事件的预测因素.
主要成果:
- 严重的结果发生在46. 8%的男性病例中,心血管,内分泌和心理副作用是最常见的.
- 与其他药物,特别是中枢神经系统抑制剂,脂肪燃烧剂和内分泌调节剂相叠加,与严重结果有很强的关联 (P < .001).
- 年龄较小,药物数量较多和最近的报告年份是危及生命的重要预测因素.
结论:
- 蓄意滥用AAS,特别是多种药物 (堆积),显著增加严重健康后果的风险.
- 参与AAS堆叠的年轻人特别容易受到危及生命的事件的影响.
- 公共卫生策略,包括教育,减少伤害和医疗保健提供者的培训,对于减轻滥用AAS的风险至关重要.
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