Muscle Dissatisfaction in Adult Young Men
Men are increasingly concerned about the way they look: a moderately or extremely muscular body is widely accepted as an ideal body shape for young men, creating discrepancy between the actual and desired body size and shape [1-5].
Young men who are dissatisfied with their body shape and musculature may be more likely to turn to bodybuilding, dietary supplements, and anabolic steroids to shape their bodies [6,7]. The pursuit of muscularity has been associated with significant behavioural and psychological problems [4]. However, it is also plausible that exercise, weight training, and even competitive bodybuilding may actually improve men's body image [8-10].
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Athletes are Not the Predominant AAS Users
Rule violations among elite-level sports competitors and tragedies among adolescents have largely defined the issue of non-medical anabolic-androgenic steroid (NMAAS) use for the public and policy makers. However, the predominant and oft-ignored segment of the NMAAS community exists in the general population that is neither participating in competitive sports nor adolescent. A clearer profile of NMAAS users within the general population is an initial step in developing a full understanding of NMAAS use and devising appropriate policy and interventions. This survey sought to provide a more comprehensive profile of NMAAS users by accessing a large sample of user respondents from around the United States.
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AAS Abuse Not Only An Elite Performance Issue
The use of anabolic androgenic steroids (AAS) affects numerous risk factors associated with the development of cardiovascular disease (CVD) [1]. There are also cases of sudden death associated with their use [2]. Anabolic steroids are a powerful group of natural or synthetic compounds similar in chemical structure to the natural male steroid hormone testosterone. Synthetic steroids differ from the natural androgenic steroid testosterone by alterations in basic structure. These alterations include the addition of methyl, hydroxyl, ethyl or benzoyl at one or more sites along the synthetic steroid structure. The balance between androgenic functions and anabolic functions differ in each steroid hormone, and there is no anabolic-androgenic steroid that affects an athlete anabolically without an androgenic affect [3]. The principal physiological action of anabolic steroids is the stimulation of a protein anabolic or constructive phase of metabolism in the body and they have been demonstrated to increase muscle mass and strength [4].
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