Department of Medicine, Brigham and Women's Hospital, Boston, MA.
Department of Kinesiology, University of Rhode Island, Kingston, RI.
Med Sci Sports Exerc. 2021 Aug 1;53(8):1778-1794. doi: 10.1249/MSS.0000000000002670.
This consensus statement is an update of the 1987 American College of Sports Medicine (ACSM) position stand on the use of anabolic-androgenic steroids (AAS). Substantial data have been collected since the previous position stand, and AAS use patterns have changed significantly. The ACSM acknowledges that lawful and ethical therapeutic use of AAS is now an accepted mainstream treatment for several clinical disorders; however, there is increased recognition that AAS are commonly used illicitly to enhance performance and appearance in several segments of the population, including competitive athletes. The illicit use of AAS by competitive athletes is contrary to the rules and ethics of many sport governing bodies. Thus, the ACSM deplores the illicit use of AAS for athletic and recreational purposes. This consensus statement provides a brief history of AAS use, an update on the science of how we now understand AAS to be working metabolically/biochemically, potential side effects, the prevalence of use among athletes, and the use of AAS in clinical scenarios.
本共识声明是对 1987 年美国运动医学学院（ACSM）关于使用合成代谢-雄性类固醇（AAS）立场的更新。自上次立场声明以来，已经收集了大量数据，并且 AAS 的使用模式发生了重大变化。ACSM 承认，AAS 的合法和道德治疗用途现在已被广泛接受，可用于治疗几种临床疾病；然而，人们越来越认识到，AAS 被广泛非法用于提高某些人群（包括竞技运动员）的运动表现和外貌。竞技运动员非法使用 AAS 违反了许多体育管理机构的规则和道德规范。因此，ACSM 谴责将 AAS 用于竞技和娱乐目的的非法使用。本共识声明提供了 AAS 使用的简要历史、我们现在如何理解 AAS 在新陈代谢/生物化学方面的作用的最新信息、潜在的副作用、运动员中使用的流行程度以及 AAS 在临床情况下的使用。
