Hospital Médica Sur, Ciudad de México, México.
Actas Urol Esp (Engl Ed). 2020 Jun;44(5):309-313. doi: 10.1016/j.acuro.2019.10.011. Epub 2020 Feb 26.
Common abuse of anabolic androgenic steroids (AAS) is no longer confined to high performance athletes, as it has spread among the general population. Epidemiological data about the abuse of these substances show that it is a common practice in young populations. Its use is based on the desire to increase muscle mass and strength, as well as improving physical performance. The ease of acquisition of this type of substances has developed a "sophisticated" knowledge of steroid pharmacology based on subjective and anecdotal analysis with no adverse event information, which translates into a public health crisis. Unfortunately, athletes seem to be more influenced by these experiences than by their physician's advice. The abuse of AAS by the athlete and non-athlete population and its adverse events ought to be evaluated in order to improve routine clinical practice on this regard.
滥用 anabolic-androgenic steroids(AAS)不再局限于高表现运动员,因为它已经在普通人群中蔓延。关于滥用这些物质的流行病学数据表明,它在年轻人群中是一种常见做法。它的使用基于增加肌肉质量和力量以及提高身体表现的愿望。这种物质的获取容易,导致了一种基于主观和传闻分析的“复杂”的类固醇药理学知识,而没有不良反应信息,这转化为公共卫生危机。不幸的是,运动员似乎比他们的医生的建议更受这些经验的影响。运动员和非运动员人群滥用 AAS 及其不良事件应该加以评估,以便改善这方面的常规临床实践。