Prevalence and awareness of Anabolic Androgenic Steroids (AAS) among gymnasts in the western province of Riyadh, Saudi Arabia

Authors

  • Khaled Abdullah Al Bishi M.B.B.S, Resident in Saudi Board of Family Medicine, Prince Sultan Military Medical City, Riyadh, Saudi Arabia

Keywords:

Gymnastics, Androgens, Synthetic, AAS, Substance abuse, Performance enhancing drugs

Abstract

Background: Anabolic Androgenic Steroids (AAS) are synthetic derivatives of the male sex hormone (testosterone) that are increasingly used by athletes as performance enhancing drugs to increase muscle mass and strength. Multiple health adverse effects may be caused by its non-medical use. Several international and regional studies showed the high prevalence of AAS usage and low level of awareness of it among different populations. Objective: To estimate the prevalence of AAS and to determine the level of awareness toward it among gymnasts in the western province of Riyadh.  Methods: This cross-sectional survey was conducted using a self-administered questionnaire distributed on 400 male gymnasts from 10 different fitness centers which have been chosen randomly from 23 centers in the western province of Riyadh city (Kingdom of Saudi Arabia) during 2016. Data analysis was performed by SPSS version 21, using descriptive statistics and Chi-square test. Results: Among the 400 gymnasts who participated in the survey, a total of n=363 questionnaires were received completed. Of the responders, (n=89) were AAS users with a percentage 24.50%. The testosterone was the most commonly used type followed by Methandrostenolone then Stanozolol. The major sources for obtaining AAS were online shopping (45%) and gym-coach (22.5%). Regarding awareness, 74% of AAS users had an inadequate perception about AAS concept versus 55% of non-users with no significant difference (p=0.076). In addition, 82% of AAS users and 83% of non-users had inadequate knowledge of AAS adverse effects with no significant difference between the two categories (p=0.087). Conclusion: The usage of AAS is high amongst gymnasts in the western province of Riyadh city considering they are prohibited. The level of awareness toward AAS is low among most gymnasts. We recommend for educational programs to be established in order to increase public awareness, in addition to a tightening of control by the responsible authorities over the sources of AAS procurement.

 

References

Evans NA. Current concepts in anabolic-androgenic steroids. Am J Sports Med. 2004; 32(2): 534-42. doi:

1177/0363546503262202. PMID: 14977687.

Kishner S. Anabolic Steroid Use and Abuse. Medscape website. 2015.

Parkinson AB, Evans NA. Anabolic androgenic steroids: a survey of 500 users. Med Sci Sports Exerc.

; 38(4): 644-51. doi: 10.1249/01.mss.0000210194.56834.5d. PMID: 16679978.

Hartgens F, Kuipers H. Effects of androgenic-anabolic steroids in athletes. Sports Med. 2004; 34(8): 513- 54. doi: 10.2165/00007256-200434080-00003.

Dodge T, Hoagland M. The use of anabolic androgenic steroids and polypharmacy: a review of the

literature. Drug Alcohol Depend. 2011; 114(2-3): 100-9. doi: 10.1016/j.drugalcdep.2010.11.011. PMID:

, PMCID: PMC3062678.

Volkow ND. Anabolic Steroid Abuse. National institute on Drug Abuse; National Institutes of Health; U.S

Department of Health and Human Services. Printed July 2001, Revised August 2006. 06-3721.

World Anti-Doping Agency. The World Anti-Doping Code Prohibited List. 2017. Available from:

https://www.wada-ama.org/en/prohibited-list.

The Saudi Arabia Anti-Doping Committee. 2015. Available from: http://saadc.com/en/

Hall RC, Hall RC. Abuse of supraphysiologic doses of anabolic steroids. South Med J. 2005; 98(5): 550-5.

doi: 10.1097/01.SMJ.0000157531.04472.B2. PMID: 15954512.

Baker JS, Graham MR, Davies B. Steroid and prescription medicine abuse in the health and fitness

community: A regional study. Eur J Intern Med. 2006; 17(7): 479-84. doi: 10.1016/j.ejim.2006.04.010.

PMID: 17098591.

Abrahin OS, Sousa EC, Santos AM. Prevalence of the use of anabolic-androgenic steroids in Brazil: a

systematic review. Subst Use Misuse. 2014; 49(9): 1156-62. doi: 10.3109/10826084.2014.903750. doi:

3109/10826084.2014.903750.

Woerdeman J, de Hon O, Levi M, de Ronde WP. Anabolic androgenic steroids in amateur sports in the

Netherlands. Ned Tijdschr Geneeskd. 2010; 154: A2004. PMID: 20858322.

Alsaeed I, Alabkal J. Usage and perceptions of anabolic-androgenic steroids among male fitness center

attendees in Kuwait--a cross-sectional study. Subst Abuse Treat Prev Policy. 2015; 10(1). doi:

1186/s13011-015-0030-5. PMID: 26296560, PMCID: PMC4546264.

Al-Falasi O, Al-Dahmani KH, Al-Eisaei KH, Al-Ameri S, Al-Maskari F, Nagelkerke N, et al. Knowledge,

Attitude, and Practice of Anabolic Steroids Use Among Gym Users in Al-Ain District, United Arab

Emirates. The Open Sports Medicine Journal. 2008; 2: 75-81. doi: 10.2174/1874387000802010075.

Tahtamouni LH, Mustafa NH, Alfaouri AA, Hassan IM, Abdalla MY, Yasin SR. Prevalence and risk

factors for anabolic-androgenic steroid abuse among Jordanian collegiate students and athletes. Eur J

Public Health. 2008; 18(6): 661-5. doi: 10.1093/eurpub/ckn062. PMID: 18603598.

Razavi Z, Moeini B, Shafiei Y, Bazmamoun H. Prevalence of anabolic steroid use and associated factors

among body-builders in Hamadan, West province of Iran. J Res Health Sci. 2014; 14(2): 163-6. PMID:

Nilsson S, Spak F, Marklund B, Baigi A, Allebeck P. Attitudes and behaviors with regards to androgenic

anabolic steroids among male adolescents in a county of Sweden. Subst Use Misuse. 2004; 39(8): 1183-97.

doi: 10.1081/JA-120030060. PMID: 15461017.

Fayyazi Bordbar MR, Abdollahian E, Samadi R, Dolatabadi H. Frequency of use, awareness, and attitudes

toward side effects of anabolic-androgenic steroids consumption among male medical students in Iran.

Subst Use Misuse. 2014; 49(13): 1751-8. doi: 10.3109/10826084.2014.880175. PMID: 25026387.

Al Ghobain M, Konbaz MS, Almassad A, Alsultan A, Al Shubaili M, AlShabanh O. Prevalence,

knowledge and attitude of prohibited substances use (doping) among Saudi sports players. Substance

Abuse Treatment, Prevention, and Policy. 2016; 11: 14. doi: 10.1186/s13011-016-0058-1.

Al Romaih F. Prevalence of use of performance enhancing drugs by adult fitness center members in

Riyadh. 2016.

Jabari M, Al-Shehri H, Al-Faris A, Al-Sayed M, Algaeed F, Al-Sobaie N, et al. The prevalence of anabolic

androgenic steroid use amongst athletes in Riyadh (Saudi Arabia). Electron Physician. 2016; 8(12): 3343-7.

doi: 10.19082/3343. PMID: 28163846, PMCID: PMC5279964.

Published

2022-02-12