Efectos adversos asociados al uso de anabolizantes en deportistas: revisión sistemática

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

RESUMEN Objetivo: Revisar la documentación científica sobre los efectos adversos de los agentes anabolizantes en las personas adultas que practican deporte. Método: Estudio descriptivo transversal y análisis crítico de los trabajos recuperados mediante revisión sistemática. Los datos se obtuvieron de la consulta directa y acceso, vía Internet, a las siguientes bases de datos bibliográficas del ámbito de las ciencias de la salud: MEDLINE (vía PubMed), The Cochrane Library, Scopus, Cumulative Index to Nursing and Allied Health Literature (CINHAL), Web of Science y PsycINFO hasta octubre de 2017. Se consideró adecuado el uso de los Descriptores «Sports», «Anabolic Agents/Adverse effects», utilizando los filtros: «Clinical Trial», «Comparative Study», «Humans» y «Adult:19+years». Resultados: De las 108 referencias recuperadas, tras aplicar los criterios de inclusión y exclusión, se seleccionaron para la revisión 15 artículos. En los listados bibliográficos se encontró 1 trabajo. Al evaluar la calidad de los artículos seleccionados para la revisión mediante el cuestionario CONSORT, las puntuaciones oscilaron entre 11,5 y 15,5 sobre una puntuación máxima de 25. Conclusiones: Los trabajos revisados presentaban una obsolescencia superior a lo esperado en el área de las ciencias de la salud. Los artículos estaban redactados preferentemente en inglés. Se observó, en la revisión, que los EAA presentaban efectos adversos, sobre todo a nivel cardiovascular, conductual y aparición de efectos secundarios asociados al consumo de anabolizantes. Si bien, existen discrepancias entre la magnitud de los mismos a nivel cardiovascular y su potencial daño.

Translated abstract

ABSTRACT Objective: Review the scientific documentation on the adverse effects of anabolic agents in adults who practice sports. Method: Descriptive cross-sectional study and critical analysis of the works recovered through systematic review. The data were obtained from direct consultation and access, via the Internet, to the following bibliographic databases in the field of health sciences: MEDLINE (vía PubMed), The Cochrane Library, Scopus, Cumulative Index to Nursing and Allied Health Literature (CINHAL), Web of Science y PsycINFO until October 2017. The use of Descriptors was considered appropriate «Sports», «Anabolic Agents/Adverse effects», using the filters: «Clinical Trial», «Comparative Study», «Humans» y «Adult:19+years». Results: Of the 108 recovered references, after applying the inclusion and exclusion criteria, 15 articles were selected for review. One job was found in the bibliographic listings. By evaluating the quality of selected articles for review using the CONSORT questionnaire, scores ranged from 11,5 to 15,5 on a maximum score of 25. Conclusions: The revised work presented a higher obsolescence than expected in the area of health sciences. The articles were written preferably in English. It was observed, that the AAS had adverse effects, especially at the cardiovascular, behavioral level and appearance of side effects associated with the consumption of anabolic agents. Although there are discrepancies between the magnitude of them at the cardiovascular level and their potential damage.

Related collections

Most cited references 41

Record: found
Abstract: found
Article: found

Is Open Access

Anabolic-androgenic Steroid use and Psychopathology in Athletes. A Systematic Review

Daria Piacentino, Georgios D. Kotzalidis, Antonio Casale … (2015)

The use of anabolic-androgenic steroids (AASs) by professional and recreational athletes is increasing worldwide. The underlying motivations are mainly performance enhancement and body image improvement. AAS abuse and dependence, which are specifically classified and coded by the DSM-5, are not uncommon. AAS-using athletes are frequently present with psychiatric symptoms and disorders, mainly somatoform and eating, but also mood, and schizophrenia-related disorders. Some psychiatric disorders are typical of athletes, like muscle dysmorphia. This raises the issue of whether AAS use causes these disorders in athletes, by determining neuroadaptive changes in the reward neural circuit or by exacerbating stress vulnerability, or rather these are athletes with premorbid abnormal personalities or a history of psychiatric disorders who are attracted to AAS use, prompted by the desire to improve their appearance and control their weights. This may predispose to eating disorders, but AASs also show mood destabilizing effects, with longterm use inducing depression and short-term hypomania; withdrawal/discontinuation may be accompanied by depression. The effects of AASs on anxiety behavior are unclear and studies are inconsistent. AASs are also linked to psychotic behavior. The psychological characteristics that could prompt athletes to use AASs have not been elucidated.

0 comments Cited 51 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Hepatocellular adenomas associated with anabolic androgenic steroid abuse in bodybuilders: a report of two cases and a review of the literature.

L Socas, M Zumbado, O Pérez-Luzardo … (2005)

Anabolic androgenic steroids (AAS) are used illicitly at high doses by bodybuilders. The misuse of these drugs is associated with serious adverse effects to the liver, including cellular adenomas and adenocarcinomas. We report two very different cases of adult male bodybuilders who developed hepatocellular adenomas following AAS abuse. The first patient was asymptomatic but had two large liver lesions which were detected by ultrasound studies after routine medical examination. The second patient was admitted to our hospital with acute renal failure and ultrasound (US) studies showed mild hepatomegaly with several very close hyperecogenic nodules in liver, concordant with adenomas at first diagnosis. In both cases the patients have evolved favourably and the tumours have shown a tendency to regress after the withdrawal of AAS. The cases presented here are rare but may well be suggestive of the natural course of AAS induced hepatocellular adenomas. In conclusion, sportsmen taking AAS should be considered as a group at risk of developing hepatic sex hormone related tumours. Consequently, they should be carefully and periodically monitored with US studies. In any case, despite the size of the tumours detected in these two cases, the possibility of spontaneous tumour regression must also be taken in account.

0 comments Cited 50 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Effects of supraphysiologic doses of testosterone on mood and aggression in normal men: a randomized controlled trial.

H Pope, E Kouri, J Hudson (2000)

Field studies of illicit anabolic-androgenic steroid users suggest that some develop manic or aggressive reactions to these drugs-a potential public health problem. However, controlled laboratory evaluations of these effects remain limited. In a randomized, placebo-controlled, crossover trial, we administered testosterone cypionate for 6 weeks in doses rising to 600 mg/wk and placebo for 6 weeks, separated by 6 weeks of no treatment, to 56 men aged 20 to 50 years. Psychiatric outcome measures included the Young Mania Rating Scale (YMRS), the Point Subtraction Aggression Paradigm (a computerized provocation test of aggression), the Aggression Questionnaire of Buss and Perry, the Symptom Checklist-90-R, daily diaries of manic and depressive symptoms, and similar weekly diaries completed by a "significant other" who knew the participant well. Testosterone treatment significantly increased manic scores on the YMRS (P = .002), manic scores on daily diaries (P = .003), visual analog ratings of liking the drug effect (P = .008), and aggressive responses on the Point Subtraction Aggression Paradigm (P = .03). Drug response was highly variable: of 50 participants who received 600 mg/wk of testosterone cypionate, 42 (84%) exhibited minimal psychiatric effects (maximum YMRS score, or =20). The 8 "responders" and 42 "nonresponders" did not differ significantly on baseline demographic, psychological, laboratory, or physiological measures. Testosterone administration, 600 mg/wk increased ratings of manic symptoms in normal men. This effect, however, was not uniform across individuals; most showed little psychological change, whereas a few developed prominent effects. The mechanism of these variable reactions remains unclear.