Use Of Performance-enhancing Substances Research Articles

Young networked athletes and performance-enhancing substances: who are the actors in their network, and how do the actors shape athletes’ meaning-making?

Ambitious youth athletes continually strive to enhance their performance, and as they age, more people are involved in this process. Athletes are immersed in a network of actors who wield significant influence over their performance-enhancing endeavours, encompassing training, nutrition, and at times, the use of various performance-enhancing substances. Our study predominantly revolves around various permitted substances, primarily in the form of nutritional supplements of various kinds. Also relevant in this regard is anti-doping, as knowledge of and a critical attitude towards supplements are a central part in this preventative educational work. More specifically, in this study, we explore the actors that contribute to young athletes meaning-making of nutritional supplements and anti-doping and examine how the young athletes describe these actors’ contribution. Twenty-four athletes from private elite upper secondary sport schools (PEUSS) in Norway were interviewed, with a semi-structured approach to facilitate the various tales. Our analysis revealed seven actors/actor groups in athletes’ network. The actors/actor groups were diverse and contributed to athletes meaning-making in different ways. We argue that the diversity of actors illustrates the relevance of the networked athlete concept and that the concept should be further developed by interactionist perspectives.

Performance-enhancing substances in sport: A scientometric review of 75 years of research.

The use of performance-enhancing substances not only undermines the core values of sports but also poses significant health risks to athletes. In a fast-evolving doping environment, where sport professionals are constantly seeking novel and illegal means to bypass doping tests, and new substances are regularly detected on the drug market, it is crucial to inform authorities with updated evidence emerging from scientific research. The current study aims to (i) outline the structure of knowledge in the literature on performance enhancers in sports (i.e., most active countries, main sources, most productive authors, and most frequently used keywords); (ii) identify the most impactful documents in the field; and (iii) uncover the main domains of research in the literature. To do so, we conducted a comprehensive scientometric analysis of the literature on doping, sourcing our data from Scopus. Our research involved a document co-citation analysis of 193,076 references, leading to the identification of the 51 most influential documents and seven key thematic areas within the doping literature. Our results indicate that the scientific community has extensively studied the most prevalent doping classes, such as anabolic agents and peptide hormones, and little is still known about the use of contaminated supplements or other types of enhancers identified as emergent trends. Concurrently, technological advancements contributed to the development of more sophisticated doping detection techniques, using blood or urine samples. More recently, the focus has shifted towards the athlete biological passport, with research efforts aimed at identifying biomarkers indicative of doping. The dynamic nature of doping methods underlines the necessity for more robust educational campaigns, aiming at raising awareness among sports professionals and their entourage about the dangers of doping and the intricacies of its control mechanisms.

Sports Governance and Ethics: Investigating Global Efforts to Ensure Fair Play and Integrity in Sports

Purpose: The main objective of the study was to investigate global efforts to ensure fair play and integrity in sports.
 Methodology: The study adopted a desktop research methodology. Desk research refers to secondary data or that which can be collected without fieldwork. Desk research is basically involved in collecting data from existing resources hence it is often considered a low cost technique as compared to field research, as the main cost is involved in executive’s time, telephone charges and directories. Thus, the study relied on already published studies, reports and statistics. This secondary data was easily accessed through the online journals and library.
 Findings: The findings revealed that there exists a contextual and methodological gap relating to sports and ethics- investigating global efforts to ensure fair play and integrity in sports. Preliminary empirical review revealed that ethical leadership sets the tone for an organization's culture and significantly influences the ethical conduct of athletes, officials, and stakeholders. Therefore, it is imperative for sports organizations to prioritize the development and reinforcement of ethical leadership at all levels. In addition to that, the studies have underscored the significance of anti-doping programs in preserving fair play in sports. These programs have proven effective in detecting and deterring the use of performance-enhancing substances. However, there is an ongoing need for continuous improvement in anti-doping strategies, with a particular emphasis on enhancing detection methods and ensuring consistent enforcement across all sports and regions.
 Unique Contribution to Theory, Practice and Policy: The Institutional theory, ethical leadership theory and Diffusion of Innovation theory may be used to anchor future studies relating to sports. The study recommended for strengthening of ethical leadership, enhancing transparency and accountability, continuous improvement of anti-doping measures, promoting of cross cultural sensitivity among others.

Sport specialisation and performance-enhancing substance use by young athletes

ObjectivesTo investigate the association of reported legal performance enhancing substance (PES) use and consideration of banned PES use among sport-specialised and non-sport-specialised young athletes.Methods and designCross-sectional study of 1049 young...

Theorizing the Use of Performance Enhancing Substances and Methods in Sport as Four Different Types of Deviant Behavior

ABSTRACT The central objective of this paper is to demonstrate that the validity of the Hughes and Coakley (H&C) model of deviance in sport is context specific and depends on the time, place, social groups involved, and the relative power of the audience and deviant(s). H&C argued that performance enhancing substance (PES) use constituted a single type of deviant behavior among athletes (i.e. positive deviance). The Heckert and Heckert (H&H) deviance framework made it possible to theorize performance-enhancing substances and methods (PESM) use as four ideal types of deviant behavior among athletes and in sports collectives. Given the variability in the historical and social contexts where PESM use has occurred in sport, a comprehensive explanatory framework is needed to understand a full range of PESM behaviors. This paper demonstrates that the H&H framework has a clear explanatory advantage over the H&C model.

Emergence and occurrence of performance-enhancing substance use in Australia determined by wastewater analysis

Emergence and occurrence of performance-enhancing substance use in Australia determined by wastewater analysis

Appearance and performance factors associated with muscle building supplement use and favourable attitudes towards anabolic steroids in adolescent boys.

The demand for appearance and performance enhancing substances, including muscle building supplements and anabolic androgenic steroids, is increasing in Australia. However, little is known about the associations between appearance and performance-based factors and appearance and performance enhancing substances (APES), particularly among adolescent boys. This study sought to examine (a) the prevalence of muscle building supplement use in a sample of adolescent boys and (b) how both performance and appearance factors relate to muscle building supplement use and favourable attitudes towards anabolic androgenic steroids in this sample. N = 488 adolescent boys aged 13-16 (Mage = 14.59) from nine Australian schools completed measures of supplement use, favourable attitudes towards using steroids, muscle dissatisfaction, body fat dissatisfaction, mesomorphic ideal internalisation, weight training, and sports participation. Hierarchical logistic regressions were used to examine cross-sectional correlates of muscle building supplement use and favourable attitudes towards using anabolic androgenic steroids. In the past three months, 12.7% of the sample had used muscle building supplements. Both appearance and performance-related factors - mesomorphic ideal internalisation and weight training - were related to muscle building supplement use. Only one appearance-related factor - body dissatisfaction - was related to favourable attitudes towards anabolic androgenic steroids. The findings from this study are important as they may help to guide intervention strategies regarding appearance and performance enhancing substance use by Australian adolescent boys, with the ultimate goal of ensuring this population's safety.

SHOULD I REPORT ABUSE? - ATTITUDES TOWARD DOPING TESTING AND ANONYMOUS REPORTING IN THE WHISTLEBOWER PROGRAMME

Despite all endeavours to prevent it, the use of performance-enhancing substances continues to occur in sports and social science research suggests that doping prevalence is likely much higher than what is found through testing. One of the ways to uncover doping violators is through reporting illicit drug use, through “doping whistleblowing” – the readiness to do so depends highly on the level of our moral development and the motivation to do so. It was exactly this method, which helped uncover some of the biggest doping scandals in sport in the past few years and our purpose in this study was to examine attitudes toward drug testing and anonymous reporting and see, if we can predict an athlete’s intention to report anonymously based on attitudes toward drug testing. 255 top athletes and coaches from Estonia and Slovenia-two small, athletically successful countries-participated in this study, 176 male and 79 female, 156 athletes and 99 coaches from team and individual sports. They filled out an attitudes questionnaire about drug testing and an anonymous report. The participants filled out a questionnaire online. We used t – test to compare subgroups of participants and correlation and linear regression to look for relations between doping attitudes and willingness to make an anonymous report. Comparisons of subgroups of participants revealed that female participants are more likely to believe that taking banned substances should be punished but are less likely to make an anonymous report. We also found that coaches seem to be better informed about the issue of doping than athletes and trust NADO more than athletes. We found several correlations between attitudes toward doping testing and those toward anonymous report and we tried to predict the willingness to make an anonymous report. We found several predictors, which were different for men and women. NADOs play an important role in creating conditions, which will enable people to report doping anonymously, but it has to be done both through education and through rigorous testing. This will ensure that whistleblowing can become an active part of the fight for clean sport.

SHOULD I REPORT ABUSE? - ATTITUDES TOWARD DOPING TESTING AND ANONYMOUS REPORTING IN THE WHISTLEBOWER PROGRAMME

Despite all endeavours to prevent it, the use of performance-enhancing substances continues to occur in sports and social science research suggests that doping prevalence is likely much higher than what is found through testing. One of the ways to uncover doping violators is through reporting illicit drug use, through “doping whistleblowing” – the readiness to do so depends highly on the level of our moral development and the motivation to do so. It was exactly this method, which helped uncover some of the biggest doping scandals in sport in the past few years and our purpose in this study was to examine attitudes toward drug testing and anonymous reporting and see, if we can predict an athlete’s intention to report anonymously based on attitudes toward drug testing. 255 top athletes and coaches from Estonia and Slovenia-two small, athletically successful countries-participated in this study, 176 male and 79 female, 156 athletes and 99 coaches from team and individual sports. They filled out an attitudes questionnaire about drug testing and an anonymous report. The participants filled out a questionnaire online. We used t – test to compare subgroups of participants and correlation and linear regression to look for relations between doping attitudes and willingness to make an anonymous report. Comparisons of subgroups of participants revealed that female participants are more likely to believe that taking banned substances should be punished but are less likely to make an anonymous report. We also found that coaches seem to be better informed about the issue of doping than athletes and trust NADO more than athletes. We found several correlations between attitudes toward doping testing and those toward anonymous report and we tried to predict the willingness to make an anonymous report. We found several predictors, which were different for men and women. NADOs play an important role in creating conditions, which will enable people to report doping anonymously, but it has to be done both through education and through rigorous testing. This will ensure that whistleblowing can become an active part of the fight for clean sport.

Bodybuilding: A Comprehensive Review of Performance-Enhancing Substance Use and Public Health Implications.

The use of performance-enhancing substances in bodybuilding is a well-known and long-standing issue. This comprehensive review article provides a detailed overview of the history of performance-enhancing substance use in bodybuilding, the types of substances commonly used, and the short-term and long-term health effects associated with their use. Additionally, the article discusses the regulation of performance-enhancing substances in various countries and the role of healthcare professionals in preventing substance use. The article also highlights the impact of substance use on society and the importance of prevention and intervention strategies. Finally, the article emphasizes the role of policymakers in addressing performance-enhancing substance use, including the development of regulations, penalties for violating rules, and the provision of resources for prevention and intervention programs. Overall, this review article sheds light on the dark side of bodybuilding and provides insight into the public health implications of performance-enhancing substance use.

Are dietary supplement users more likely to dope than non-users?: A systematic review and meta-analysis.

In the past decade, a body of evidence has reported that dietary supplement use is related to prohibited performance enhancing substance use (i.e., doping). To help international and national sport organisations understand the degree to which dietary supplement use is related to doping, the objectives of this systematic review and meta-analysis were to 1) compare the prevalence of doping between dietary supplement users and non-users and 2) identify whether supplement use is related to doping social cognitive factors. We searched for studies sampling athletes and that measured both dietary supplement use and doping in EMBASE, MEDLINE, PsychINFO, CINAHL and SPORTDiscus from database creation to May 2022. Risk of bias was assessed using JBI Critical Appraisal Checklist for cross-sectional studies and the STROBE checklist. Twenty-six cross-sectional studies, involving 13,296 athletes were included. Random-effect models revealed that doping was 2.74 (95% CI=2.10 to 3.57) times more prevalent in dietary supplement users (pooled prevalence = 14.7%) than non-users (6.7%), and that users reported stronger doping intentions (r=0.26, 0.18 to 0.34) and attitudes (r=0.21, 0.13 to 0.28) compared to non-users. Preliminary evidence also suggests that dietary supplement users were less likely to dope if they were more task oriented and had a stronger sense of morality. Results of the review are limited by the cross-sectional design used in all studies and lack of consistency in measurement of dietary supplement use and doping. Data indicate that athletes using dietary supplements are more likely to self-report doping Anti-doping policy should, therefore, target dietary supplement use in anti-doping education programmes by providing alternative strategies for performance enhancement or highlighting the safest ways they can be consumed. Similarly, as a large proportion of athletes use dietary supplements without doping, further research is needed to understand the factors that protect a dietary supplement user from doping. No funding was received for the review. A study protocol can be found here: https://osf.io/xvcaq.

Assesment of Use of Performance-Enhancing Substances and Methods among Wrestlers, Boxers, and Bodybuilders in Kenya

Measuring prevalence of usage of performance enhancing drugs in Boxing, wrestling, and bodybuilding is difficult. However, to fit their initiatives, National Anti-Doping Organizations are interested in knowing the numbers so that their scarce resources are not wasted. The purpose of this study was to establish knowledge levels, attitudes towards the use of performance enhancing substances (PES), among athletes from boxing, wrestling, and bodybuilding federations in Kenya. The study utilized cross-sectional analytical research design. The study population comprised of 1900 athletes from the three sports disciplines with a sample size of 384 athletes. Close ended questionnaires were used as the data collection instrument. Data obtained from the respondents was coded and organized for analysis by use of SPSS version 25. Hypotheses were tested using one-way ANOVA and t-test at confidence level of 0.05. Post hoc analysis was carried out using Duncan Multiple Range Test where differences were found to be significant. Results on usage showed that majority of the respondents (74.2%) never used food supplements (FS) to improve sports performance. Many of the respondents (93.8%) had never used traditional herbs (TH) to improve sports performance. 91.9% never used PES to improve sports performance. Majority of the respondents (96.6%) indicated as never having been given food supplements by a coach, doctor, or physiotherapist to enhance performance. On supply of PES, 91.7% of the respondents had no information of if medical practitioner, local chemist, or sports agents supplied PES and methods. The results of one-way ANOVA showed that there was a significant difference in the use of FS, TH, PES, and Methods by athletes from the three sports disciplines, [F (2, 381) = 24.050, p < 0.000]. In conclusion and in light of the limitations of this study generally majority of the respondents did not use PES and methods. There were also significant differences in use of PES and methods across the different sports. The study recommended that sports federation officials from boxing, wrestling and bodybuilding should have a put proper structures for imparting knowledge and proper attitude on use of performance enhancing substances among athletes.

Recreational Athletes’ Use of Performance-Enhancing Substances: Results from the First European Randomized Response Technique Survey

Background and AimMeasuring the prevalence of doping in recreational sport is difficult. However, to fit their initiatives, National Anti-Doping Organizations are interested in knowing the numbers, so their scarce resources are not wasted. The present study aimed to estimate the prevalence of doping and over-the-counter medicine use for performance enhancement among recreational athletes in eight European countries.DesignA survey covering + 200 sports aimed at recreational athletes 15 years and older was distributed via social media to sports clubs and individuals in eight European countries. To overcome social desirability bias, we applied indirect questioning by using the Randomized Response Technique and asked for the use of over-the-counter medicine and doping for the year 2019.ResultsThe prevalence of the use of over-the-counter medications for performance enhancement was estimated at 10.4%. We differentiated between the concept of “doping” as the behavior to enhance performance in a certain sport and the concept of “a doper” as a property of a person. The prevalence of dopers in recreational sport was found to be 0.4%, with 3.1% male and 0% female dopers. Responses were separated into four categories: “Artistic sports,” “Combat sports,” “Games,” and “CGS sports” (i.e., sports measured in centimeters, grams, and seconds). The overall prevalence of doping in recreational sports was found to be 1.6%, and the results from Artistic and CGS sports did not differ significantly from this. However, in Games we found an estimated doping prevalence of 6.9%.DiscussionThe estimates for the prevalence of dopers and doping in this study do not equal Anti-Doping Rule Violations as stipulated by the World Anti-Doping Agency. Still, while doping is not absent in recreational sport in Europe, it appears to be a low frequent phenomenon. Also, the differences in doping prevalence between the sports categories might reflect structural and competition-related differences, rather than differences in the logic of the sporting competition or discipline-related subcultures.ConclusionWhile few recreational athletes appear to use illegal drugs to enhance performance, those who do use them are more often men than women. Yet, 1 in 10 recreational athletes uses over-the-counter medication for performance enhancement and more than 4 out of 10 use medication for other reasons than performance enhancement when doing sports. The highest doping prevalence was found in the sub-category of Games, which can likely be attributed to competition-related differences between the categories. Therefore, research on doping in recreational sports needs tailored approaches to come to a better understanding of the phenomenon.

Prevalence of performance enhancing substance use among elite football players in two super league teams in Blantyre, Malawi.

Use of performance enhancing substances (PES) is common among athletes with a worldwide prevalence ranging from 5% to 31%. There has been little knowledge of PES use in African athletes with no available data for Malawian football players. This study aimed to determine the prevalence of PESs use among elite football players in two super league teams in Blantyre, Malawi. This was a cross-sectional study conducted in two super league football teams in Blantyre, Malawi. A modified standard questionnaire obtained from the World Anti-Doping Agency (WADA) Social science research package was administered to collect data from a convenient sample of 43 elite football players on the characteristics of participants, prevalence of PESs use and reasons for using PES. Data were analysed using descriptive statistics and Chi-square test. Out of 86 eligible football players, 43 with a mean age of 24 ± 4 years participated in the study. Many players (60%) had secondary education as their highest level of education and most players (86%) had played football for more than five years. Out of 43 participants, 39 (91%) had been using PESs while four (9%) had never used PESs. Out of 13 substances, caffeine (77%), herbal products (40%), and energy bars (40%) were the commonly used PESs while cocaine (2%) was the least used substance among the players. Improving performance was the most common reason (81%) why participants were using PESs followed by increase in lean body mass (35%). The prevalence of PESs use among elite football players in two super league teams in Blantyre, Malawi is high. The most used PES are caffeine, herbal products and energy bars. Participants mainly use PESs for improved performance in football. Therefore, awareness among elite football athletes and stakeholders on adverse health effects of PES use should be promoted.

Assessment of knowledge, perception, attitude, and use of performance-enhancing substances among students of Faculty of Medicine, Alexandria University, Egypt: a pilot study

BackgroundThe market for performance enhancement substances (PESs) is currently one of the fastest expanding sectors. Most studies have always concentrated on athletes in terms of PESs’ misuse, ignoring a critical segment of the community: the future health-care workers. Thus, the aim of the study was to probe the knowledge, perception, and attitude of medical students regarding the misuse of PESs in sports and medical academic study. A cross-sectional study was conducted among students of Alexandria Faculty of Medicine, Egypt. Data were collected via self-administered electronic survey from 208 students of both sexes (aged from 18 to 26 years old). Analysis of factors affecting the consumption of PESs like gender differences, and their prior knowledge and perception was performed using logistic regression models.ResultsMore than half of the participants have no idea about law concerning the use of doping substances. There were no significant disparities in knowledge and perception between males and females. Female students, on the other hand, consistently reported having a better understanding of the negative impacts of PESs’ misuse. Surprisingly, females are more prone to consume PESs for cognitive enhancement rather than the physical performance.ConclusionsThe study is the first to explore the awareness of the medical students, their attitude, and perception towards different ethical scenarios confronted in the daily practice. This finding pinpoints that the common trend of striving for fitness and an ideal body shape and weight has produced a shift in the prevalence of the PESs use according to gender in Egypt. Moreover, females in medicine academics are more prone to use PESs to improve the cognitive functions albeit it is nonsignificant statistically. Therefore, efforts should be directed to raise the awareness of medical practitioners of diverse categories of these substances, health hazards, laws, and penalties. More importantly, policy measures for their production, marketing, and misuse among university students should be reconsidered by the government.

Does seeking the brawns impact the brain?: An investigation of muscularity-oriented disordered behaviors and cognitive function

Shifts in body-image ideals over the past 30 years towards leaner, muscular bodies have revealed new health behaviors that may be related to cognitive function. This study objective was to investigate prospective associations between a drive for muscularity and/or muscularity-oriented disordered behaviors (MODBs) with cognition. Data were drawn from Add Health, a nationally representative longitudinal cohort dataset. Drive for muscularity and MODB engagement were assessed in emerging adulthood (ages 18–26). Cognition was measured via immediate word recall, delayed-word recall, and number recall at 7-years later (ages 24–32). Analyzes were conducted in 1976 participants with available data. A one-way ANCOVA revealed that those with a drive for muscularity had lower immediate word recall (F(3, 12,819) = 3.845, p = .009) and delayed word recall (F(3, 12,807) = 5.933, p < .001) scores than other weight goal groups adjusting for covariates. Hierarchical linear regressions between individual MODBs and cognitive outcomes showed that legal performance-enhancing substance use (βs = 0.06–0.07, p < .05) and exercise (β = 0.06, p < .05) were positively associated with some cognition scores. Conversely, lifting weights (β = − 0.06, p < .05) and eating different foods than usual (β = − 0.05, p < .05) exhibited negative associations with some of the cognitive outcomes. Future research should be conducted to examine other potential outcomes related to the drive for muscularity and associated MODBs.

Use, Perceptions and Attitudes of Cognitive and Sports Performance Enhancing Substances Among University Students.

The use of prohibited performance enhancing substances (PESs) is well-documented among athletes, and includes student athletes in institutions of higher learning. In addition to using PESs to enhance sporting performance, they may be used for cognitive and academic achievement, specifically through the use of neuroactive substances. The latter in particular is under-researched and poses public health risks. Understanding the extent and reasons for using or not using PESs by university students will assist in addressing further research, and means to deter their use. This study aimed to explore the prevalence, attitude, and perceptions of the use of both sport and academic performance-enhancing substances by students at two universities in Johannesburg, South Africa. The study utilized a cross-sectional, descriptive survey design using a self-administered online questionnaire. All registered students were invited to participate via email using the university communications modes, with a link to a Google Forms questionnaire. Ethical approval was granted for the study and data were collected anonymously. The sample size of responses with completed data was 548, comprising predominantly female and undergraduate students, with 32 (6%) indicating current or past use of PESs. Among the prohibited substances used, neuroactive drugs were mostly used, with cannabis the highest followed by stimulants. The most popular reasons reported were for academic and cognitive performance. Most responded with what would be deemed ethically appropriate answers on the perception of PES use and 72% of the participants believe that a drug-testing program will prevent their use in the university, and further, that educational programs will help improve students' knowledge of PES. Although relatively low usage, university students use performance enhancing substances, mostly for cognitive enhancement using neuroactive stimulants. Most believe that the use of all forms of PESs is high among their peers; and favor education and testing programs, suggesting that intervention programs may be effective. Better defined research should be conducted to unpack the broad findings in this study.

Performance-Enhancing Substance Use and Intimate Partner Violence: A Prospective Cohort Study.

Research has shown that performance-enhancing substance (PES) use, including anabolic-androgenic steroids (AAS), is associated with interpersonal violence (e.g., fighting). This study aimed to determine whether legal PES use and AAS use are associated with intimate partner violence (IPV) involvement cross-sectionally and over seven-year follow-up in a nationally representative prospective cohort study. Data from the National Longitudinal Study of Adolescent to Adult Health (N = 12,288) were analyzed (2021). Logistic regression analyses were conducted to determine the associations between legal PES use and AAS use at Wave III (2001-2002; ages 18-26) and IPV victimization (five variables) and IPV perpetration (five variables) at Wave III and Wave IV (2008-2009; ages 24-32), adjusting for relevant demographic and confounding variables. Results from cross-sectional analyses showed that legal PES use and AAS use were associated with higher odds of both any IPV victimization and sexual IPV victimization, and both any IPV perpetration and physical IPV perpetration by pushing or shoving a partner. Results from prospective analyses showed that AAS use, but not legal PES use, was associated with higher odds of all five IPV victimization variables (any IPV victimization: adjusted odds ratio [AOR] 1.72, 95% confidence interval [CI]1.04-2.84; two forms of physical abuse: 1: AOR 2.01, 95% CI 1.15-3.50; 2: AOR 2.11, 95% CI 1.06-4.21; incurring an injury from IPV victimization: AOR 4.90, 95% CI 1.71-14.01; and sexual IPV victimization AOR 2.44, 95% CI 1.05-5.65), as well as three IPV perpetration variables (any IPV perpetration: AOR 2.11, 95% CI 105-4.23; one form of physical abuse perpetration: AOR 2.58, 95% CI 1.06-6.27; and sexual IPV perpetration: AOR 3.80, 95% CI 1.44-10.02). These results emphasize the adverse social and interpersonal risks associated with PES use. Continued research, health care, and public health prevention and intervention efforts to reduce the use of PES and occurrence of IPV are warranted.

Use of appearance- and performance-enhancing drugs and substances is associated with eating disorder symptomatology among U.S. college students.

Body ideals for both men and women are continuing to emphasize muscularity and leanness, which has resulted in the high prevalence of appearance- and performance-enhancing drugs and substances (APEDS) use, particularly among young men. Overall, little research has investigated the individual associations between specific APEDS use and eating disorder symptomatology, including among the high-risk population of young adult college students, which was the aim of this study. Data from the 2020-2021 Healthy Minds Study (N = 7394) were analyzed. Five indicators of lifetime APEDS use were assessed, and a cumulative sum score was constructed. Eating disorder symptomatology was assessed via the SCOFF questionnaire. A total of 14 modified Poisson regression analyses were estimated to determine the association between APEDS use and a positive eating disorder screen among women and men. Lifetime use of protein supplements and diuretics or water pills were associated with a positive eating disorder screen among both women and men, while use of non-steroid synthetic muscle enhancers was associated with a positive eating disorder screen among men and creatine supplement use was associated with a positive eating disorder screen among women. The risk of a positive eating disorder screen was highest among men who reported use of five APEDS in their lifetime. Lifetime use of APEDS is associated with eating disorder symptomatology among a national sample of U.S. college and university students. Prevention and intervention efforts are needed to address the link between these potentially harmful behaviors. Level V, cross-sectional descriptive study.

Performance-enhancing substance use and criminal offending: A 15-year prospective cohort study

BackgroundResearch has documented an association between anabolic-androgenic steroid (AAS) use and criminal offending. Still, whether legal performance-enhancing substance (e.g., creatine; PES) use is similarly associated with criminal offending is unknown. The aim of the present study was to determine the prospective associations between legal PES use and AAS use and criminal offending among U.S. adults. MethodsData from three waves over 15 years of the National Longitudinal Study of Adolescent to Adult Health, a prospective cohort study, were analyzed. Legal PES use and AAS use were assessed at Wave III (ages 18−26) and criminal offending was assessed at Wave IV (ages 24−32; N = 10,861) and Wave V (ages 33–43; N = 9,451). Criminal offending was measured using a summed score of six items (range 0–6). Multiple negative binominal regressions were conducted, transformed to incident rate ratios (IRR), adjusting for biological sex, age, race/ethnicity, household income, body mass index, depression, smoking, alcohol, and prior victimization and offending. Main FindingsAmong the sample (51.3 % male; 68.8 % White), legal PES use (Wave IV: IRR 1.46, 95 % confidence interval [CI] 1.15−1.85; Wave V: IRR 1.52, 95 % CI 1.02−2.27) and AAS use (Wave IV: IRR 1.73, 95 % CI 1.09−2.76; Wave V: IRR 2.36, 95 % CI 1.33−4.19) were prospectively associated with criminal offending during young and middle adulthood, while adjusting for demographic and behavioral factors. ConclusionsThese results confirm and expand upon prior research by describing the prospective associations between both legal PES use and AAS use and criminal offending among a nationally representative sample of U.S. adults.