Bierly J R
Postgrad Med. 1987 Sep 1;82(3):67-8, 71-2, 74. doi: 10.1080/00325481.1987.11699949.
The use of anabolic steroids by both competitive and noncompetitive athletes has reached alarming proportions. Although use is most common in bodybuilders and weight lifters, athletes participating in track and field events and football also take the steroids. The recent resurgence in physical fitness awareness has only exacerbated the problem, and the physician needs to acknowledge the potential for abuse in any athlete. Despite the difficulties and ethical problems in designing good controlled studies with high-dose steroids, evidence suggests that steroids do increase muscular strength in certain subgroups of athletes. Unfortunately, numerous side effects and permanent damage may occur, and the athlete may be at risk for the development of fatal liver tumors or cardiovascular disease.
竞技运动员和非竞技运动员使用合成代谢类固醇的情况已达到令人担忧的程度。虽然使用类固醇在健美运动员和举重运动员中最为常见，但参加田径项目和足球运动的运动员也会使用。最近人们对身体健康意识的再度关注只会使这个问题更加严重，医生需要认识到任何运动员都有滥用类固醇的可能性。尽管在设计关于高剂量类固醇的良好对照研究时存在困难和伦理问题，但有证据表明类固醇确实能增加某些运动员亚组的肌肉力量。不幸的是，可能会出现许多副作用和永久性损伤，而且运动员可能有患致命性肝肿瘤或心血管疾病的风险。
