Prevalence and Perceptions Toward Anabolicandrogenic Steroid Use Amongst University Students

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Anabolic-androgenic steroids (AASs) are highly sought-after in order to achieve muscle growth and better physical attributes. The study was conducted to measure the prevalence and attitudes towards the use of AASs among university students. 1008 male students from Isfahan University, Iran, between the ages of 18 and 25 years (23.3 ± 1.2 years) completed a questionnaire that investigated participation in bodybuilding, level of sport competition, participation in sports and recreational activities, AASs use, prevalence, knowledge among users, attitudes, as well as intent to continue using AASs in the future. 8% of respondents had used AASs and 6% currently use AASs. 71% of users believed using only a small amount of AASs or using AASs with anti-toxic drugs would not result in any harm, 10% indicated that AASs were harmless and 19% admitted to taking AASs despite knowing the adverse effects. 33% of respondents believed that they needed to use AASs to ensure athletic success and 26% believed that athletes should be allowed to use AASs without consequence. The prevalent use of AASs is a public health concern which implies that educational programmes at university level are needed to educate students about the adverse effects of AASs use

1. Acevedo, P., J. C. Jorge, A. Cruz-Sánchez et al. A ten-year assessment of anabolic steroid misuse among competitive athletes in Puerto Rico. - West Indian Med J, 60, 2011, 531-535.

2. Baker, J. H., L. M. Thornton, P. Lichtenstein, C. M. Bulik. Pubertal development predicts eating behaviors in adolescence. - Int J Eat Disord, 45, 2012, 819-826.

3. Berning, J. M. et al. Anabolic androgenic steroids: Use and perceived use in nonathlete college students. - J Am Coll Health, 56, 2008, 499-504.

4. Bloodworth, A., M. McNamee. Clean Olympians? Doping and anti-doping: The views of talented young British athletes. - Int J Drug Policy, 21, 2010, 276-282.

5. Björk, T., K. Skårberg, I. Engström. Eating disorders and anabolic androgenic steroids in males-similarities and differences in self-image and psychiatric symptoms. - Subst Abuse Treat Prev Policy, 8, 2013, 30.

6. Brower, K. J. Anabolic steroid abuse and dependence in clinical practice. - Phys Sportsmed, 37, 2009, 130-140.

7. Buell, J. L. et al. National Athletic Trainers‘ Association. National athletic trainers‘ association position statement: Evaluation of dietary supplements for performance nutrition. - J Athl Train, 48, 2013, 124-136.

8. Darvishi, L. et al. The use of nutritional supplements among male collegiate athletes. - Int J Prev Med, 4, 2013, S68-S72.

9. Dunn, M., V. White. The epidemiology of anabolic-androgenic steroid use among Australian secondary school students. - J Sci Med Sport, 14, 2011, 10-14.

10. Faigenbaum, A. D., L. D. Zaichkowsky, D. E. Gardner, L. J. Micheli. Anabolic steroid use by male and female middle school students. - Paediatr, 101, 1998, e6.

11. Gårevik, N., A. Rane, L. Björkhem-Bergman, L. Ekström. Effects of different doses of testosterone on gonadotropins, 25-hydroxyvitamin D3, and blood lipids in healthy men. - Subst Abuse Rehabil, 10, 2014, 121-127.

12. Garcia-Esperon, C. et al. Ingestion of anabolic steroids and ischaemic stroke. A clinical case report and review of the literature. - Rev. Neurol., 56, 2013, 327-331.

13. Geramian, N., S. Akhavan, L. Gharaat, A. M. Tehrani, Z. Farajzadegan. Determinants of drug abuse in high school students and their related knowledge and attitude. - J Pak Med Assoc, 62, 2012, S62-S66.

14. Green, G. A., F. D. Uryasz, T. A. Petr, C. T. Bay. NCAA study of substance use and abuse habits of college student-athletes. - Clin J Sport Med, 11, 2001, 51-56.

15. Goldfi eld, G. S. Body image, disordered eating and anabolic steroid use in female bodybuilders. - Eat Disord, 17, 2009, 200-210.

16. Haddad, L., A. Shotar, M. Umlauf, S. Al-Zyoud. Knowledge of substance abuse among high school students in Jordan. - J Transcult Nurs, 21, 2010, 143-150.

17. Hakansson, A., K. Mickelsson, C. Wallin, M. Berglund. Anabolic androgenic steroids in the general population: User characteristics and associations with substance use. - Eur Addict Res, 18, 2012, 83-90.

18. Hoffman, J. R. et al. Position stand on androgen and human growth hormone use. - J Strength Cond Res, 23, 2009, S1-S59.

19. Irving, L. M., M. Wall, D. Neumark-Sztainer, M. Story. Steroid use among adolescents: Findings from Project EAT. - J Adolesc Health, 30, 2002, 243-252.

20. Kanayama, G., J. I. Hudson, H. G. Jr. Pope. Features of men with anabolic-androgenic steroid dependence: A comparison with nondependent AAS users and with AAS nonusers. - Drug Alcohol Depend, 102, 2009, 130-137.

21. Kutscher, E. C., B. C. Lund, P. J. Perry. Anabolic steroids. - Sports Med, 32, 2002, 285-296.

22. Mason, B. C., M. E. Lavallee. Emerging supplements in sports. - Sports Health, 4, 2012, 142-146.

23. Mohammadpoorasl, A. et al. Substance abuse in high school students in association with sociodemographic variables in northwest of Iran. - Iran J Public Health, 41, 2012, 40-46.

24. Mohammad Poorasl, A., R. Vahidi, A. Fakhari, F. Rostami, S. Dastghiri. Substance abuse in Iranian high school students. - Addict Behav, 32, 2007, 622-627.

25. Momtazi, S., R. Rawson. Substance abuse among Iranian high school students. - Curr Opin Psychiatry, 23, 2010, 221-226.

26. Morente-Sánchez, J., M. Zabala. Doping in sport: A review of elite athletes - attitudes, beliefs, and knowledge. - Sports Med, 43, 2013, 395-411.

27. Nakhaee, M. R., F. Pakravan, N. Nakhaee. Prevalence of use of anabolic steroids by bodybuilders using three methods in a city of Iran. - Addict Health, 5, 2013, 77-82.

28. Nilsson, S., P. Allebeck, B. Marklund et al. Evaluation of a health promotion programme to prevent the misuse of androgenic anabolic steroids among Swedish adolescents. - Health Promot Int, 19, 2004, 61-67.

29. Nilsson, S., A. Baigi, B. Marklund, B. Fridlund. The prevalence of the use of androgenic anabolic steroids by adolescents in a county of Sweden. - Eur J Public Health, 11, 2001, 195-197.

30. Pittock, S. J. et al. Chronic lymphocytic infl ammation with pontine perivascular enhancement responsive to steroids (CLIPPERS): Postmortem fi ndings. - Brain, 133, 2010, 2626-2634.

31. Rohman, L. The relationship between anabolic androgenic steroids and muscle dysmorphia: A review. - Eat Disord, 17, 2009, 187-199.

32. Sepehri, G., M. M. Fard, E. Sepehri. Frequency of anabolic steroids abuse in bodybuilder athletes in Kerman city. - Addict Health, 1, 2009, 25-29.

33. Shariat, A., M. Kargarfard, M. Danaee, S. Bahri Mohd Tamrin. Intensive resistance exercise and circadian salivary testosterone concentrations among young male recreational lifters. - J Strength Cond Res, 29, 2014, 151-158.

34. Shaw, B. S., I. Shaw. Compatibility of concurrent aerobic and resistance training on maximal aerobic capacity in sedentary males. - Cardiovasc J Afr, 19, 2009, 316-319.

35. Tahtamouni, L. H. et al. Prevalence and risk factors for anabolic-androgenic steroid abuse among Jordanian collegiate students and athletes. - Eur J Public Health, 18, 2008, 661-665.

36. Tan, R. S., M. C. Scally. Anabolic steroid-induced hypogonadism-Towards a unified hypothesis of anabolic steroid action. - Med Hypotheses, 72, 2009, 723-728.

37. Wroble, R. R., M. Gray, J. A. Rodrigo. Anabolic steroids and preadolescent athletes: Prevalence, knowledge, and attitudes. - Sport J, 5, 2002, 1-8.

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