University Clinic for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Campus East-Westphalia Lippe, Ruhr-University Bochum, Luebbecke, Germany.
University Clinic for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Campus East-Westphalia Lippe, Ruhr-University Bochum, Luebbecke, Germany.
Neurosci Biobehav Rev. 2024 Aug;163:105772. doi: 10.1016/j.neubiorev.2024.105772. Epub 2024 Jun 13.
The prevalence of anabolic androgenic steroids (AAS) is rising, especially in recreational sports and the general population. While body image significantly influences AAS use, gender differences remain unclear. We examined gender-related connections between AAS use, body image, eating behavior, and physical activity. Following PRISMA guidelines, we analyzed 22 studies: 14 with male-only samples, 5 mixed-gender, 2 with sexual and gender minorities, and 1 with a female-only sample. FINDINGS: confirm body image as a key predictor of AAS use. Though AAS use correlates with eating disorders, outcomes vary by context; for instance, no discernible difference in eating behavior was observed between AAS users and non-users in bodybuilding. Physical activity findings varied, with some studies showing no significant differences between AAS users and non-users. Due to limited gender-comparison studies, conclusive gender-related differences cannot be drawn. This systematic review underscores the complex interplay between AAS use, body image, eating behavior, and physical activity, emphasizing the necessity for further research to develop targeted interventions for diverse populations, addressing AAS-related concerns and promoting overall well-being.
合成代谢雄激素类固醇（AAS）的流行率正在上升，尤其是在娱乐性运动和普通人群中。虽然身体形象对 AAS 的使用有重大影响，但性别差异仍不清楚。我们研究了 AAS 使用、身体形象、饮食行为和身体活动之间与性别相关的联系。根据 PRISMA 指南，我们分析了 22 项研究：14 项仅包含男性样本，5 项混合性别样本，2 项包含性少数群体和 1 项仅包含女性样本。结果证实，身体形象是 AAS 使用的一个关键预测因素。虽然 AAS 使用与饮食失调相关，但结果因背景而异；例如，在健美运动中，AAS 使用者和非使用者之间的饮食行为没有明显差异。身体活动的研究结果各不相同，一些研究表明 AAS 使用者和非使用者之间没有显著差异。由于性别比较研究有限，无法得出明确的性别相关差异。这项系统评价强调了 AAS 使用、身体形象、饮食行为和身体活动之间的复杂相互作用，强调需要进一步研究，为不同人群制定有针对性的干预措施，解决与 AAS 相关的问题，促进整体健康。
