Thursday, 3 October 2013

The Physical and Psychological Effects of Anabolic Steroids on Athletes

The Physical and Psychological Effects of Anabolic Steroids on Athletes


The use of Anabolic steroids for performance enhancement in elite athletes has been evident for over half a century. The use of steroids has many physical and psychological effects on the individual both positive and negative and is used by both males and females. This use is not only found in elite professional athletes but also in amateur’s sportsman and sportswomen as the drug is surprisingly cheap and is readily available on the black market (Bowers, Clark & Shackleton 2009).

Anabolic Steroids are synthetic derivatives of the male hormone testosterone which when injected or taken orally can show strong effects on the human body that can benefit athletic performance (Hartgens & Kuipers 2004). The first recorded use of steroids to enhance athlete’s performance was in the early 1950’s by a doctor called John Ziegler. Dr Ziegler was a physician for the American weight lifting team and became interested in the use of steroids at the 1954 world championship when he learned of the benefits of steroids from the Russian team doctor (Bowers, Clark & Shackleton 2009). He then began trailing the drug on his athletes back in America in 1959 which in turn started a snow ball effect on the uncontrolled use of the drug by athletes. Once the weightlifters learned that this drug was the reason for their rapid increase in strength, demand grew and the regulation of the drug became uncontrollable. Bowers, Clark & Shackleton (2009, p.285) states that Dr Ziegler lost control of the “experiment” and due to the competitive nature of professional sport if ‘two tablets where good, four tablets would be better’ according to the athletes. Over the next decade, the use of steroids in American weightlifters, football players and strength athletes was estimated at 50% (Bowers, Clark & Shackleton 2009). 

For many years, the medical community argued that there was no proof that steroids enhanced athletic performance. It wasn’t until advances in medicine and drug testing that the adverse effects of steroids on the human body became clear; still it wasn’t until the late 1960’s that efforts were made to catch steroid cheats in sport (McBride & Williamson 1993).
The most appealing effect of the use of Anabolic steroids is the predicted increase in muscle mass and strength which far outweighs the increase without the use of the drug. Hartgens & Kuipers (2004) concluded that short term administration of anabolic steroids can increase strength about 5-20% of initial strength and an increase of 2-5kg in body weight. The same study found that there was no reduction of fat mass and no effect on endurance performance. However, George (2003) states that diet and intensive training are equally important in producing the significant increase in strength. Although, no matter how positive these results seem to be on performance, the negative physical and psychological effects, both short and long term, far outweigh the positive effects. Bahrke et al. (1992) found in a study done on weightlifters, that short term psychological effects of steroid use included extreme aggression, high irritability and insomnia. Apart from the increase in muscle mass and strength, the negative physical effects according to Hartgens & Kuipers (2004) include severe acne and the increased growth of body hair. However, it has been found that the short term physical and psychological can be reversed with discontinued use of the drug (George 2003).         

It is the long term effects of constant abuse of steroid use that cause permanent damage. Due to the physiological effect of the body retaining water and salt when exposed to steroid abuse, this has been proven to cause high blood pressure along with high cholesterol (Hartgens & Kuipers 2004). After long term use of steroids it has also been established that the body will begin to have a psychological dependency which in turn, causes further issues. Hartgens & Kuipers (2004) found that once a long term user stops using steroids, the dependence on the drug caused psychological dissatisfaction with their body which is now being called ‘reverse anorexia syndrome’. The discontinued use of long term abuse has also been linked to withdrawal effects which lead to depression and in some cases has lead to criminality and even suicide (George 2003). Also, constant use of steroids has also proven that it disturbs the natural production on testosterone in the body (George 2003). One long term physical effect that has become common among steroid users is the development of gynaecomastia which is an increase of breast tissue on the male and causes their chest to look feminine. This is caused by the steroids creating excess testosterone levels in the body and the bodies reaction to this is to turn the excess testosterone into the female hormone estrogen (George 2003); which also can go on to cause further psychological effects. Almost all studies on the effects of steroids have been conducted on males and there are very few done on the effects on women. One study done solely on women reported results very similar results as studies done on males. Interestingly, apart from finding an increase in muscle mass and masculinity in the subjects, the study predominantly found major psychological changes in the women. 76% of the subjects reported at least one adverse effect of the steroid use which included major depression, development of eating disorders and chronic dissatisfaction and obsession with their physiques (Gruber, A.J & Pope, H.G 2000). However, much more research must be done to further understand these changes in women.                                                                                                                                   

Solid medical research has proven that all these physical and psychological effects are linked to the use of anabolic steroids, but Bahrke, Yesalis & Wright (1990) show that these vary greatly from person to person.
The use of Anabolic steroids for performance enhancement has become a pressing issue in the sporting world. The studies done that have proven the effects of the drug on the human body show there is an appeal for all classes of athletes, from the elite to young men and women in youth development programs, no matter how severe the negative effects of the drug are. Thus, it is clear that more research must go into the use of steroids so that people can be better educated about its dangerous properties and the abuse of the drug to be controlled. However, in the foreseeable future, it’s evident that the misuse of the drug will continue.

By Jordan Reeve   

References
Bahrke, M.S, Wright, J.E, Strauss, R.H & Catlin, D.H (1992). Psychological Moods and Subjectively Percieved Behavioural and Somatic Changes Accompanying Anabolic-Androgenic Steroid use. Journal of Sports Medicine, 20(6), 717-724.

Bahrke, M.S, Yesalis III, C.E, Wright, J.E (1990). Psychological and Behavioural Effects of Endogenous Testosterone Levels and Anabolic-Androgenic Steroids among Males. Journal of Sports Medicine, 10, (5), 303-337.

Bowers, L.D, Clark, R.V & Shackleton, C.H.L (2009). Steriods:A Half Century of Anabolic Steroids in Sport. Detection of Anabolic Steroids Abuse in Sports, 74(3), 285-287.

George, J (2003). The Actions and Side Effects of Anabolic Steroids in Sport and Social Abuse. Journal of Andrologie, 13(4), 354-366.

Gruber, A.J, Pope, H.G (2000). Psychiatric and Medical Effects of Anabolic-Androgenic Steroid use in Women. Psychotherapy and Psychosomatics, 69 (1), 19-26.

Hartgens, F & Kuipers, H (2004). Effects of Androgenic-Anabolic Steroids in Athletes. Journal of Sports Medicine, 34(8), 513-554.


Mcbride, A & Williamson, K (1993). Anabolic Steroids in Sport. British Medical Journal, 307(6897), 204.

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