Steroids - Side Effects
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Athletes, whether they are young or old, professional or amateur, are always looking to gain an advantage over their opponents. The desire for an "edge" exists in all sports, at all levels of play. Successful athletes rely on practice and hard work to increase their skill, speed, power, and ability. However, some athletes resort to drugs to improve their performance on the field or the court.
Some high school and even middle school students are using steroids to gain an edge, improve their skill level, or become more athletic. Steroid use is not limited to males. More and more females are putting themselves at risk by using these drugs. It is important to know that using anabolic steroids not only is illegal, but it also can have serious side effects.
What are steroids?
You may have heard them called 'roids, juice, hype, or pump. Anabolic steroids are powerful drugs that many people take in high doses to boost athletic performance. Anabolic means "building body tissue." Anabolic steroids help build muscle tissue and increase body mass by acting like the body's natural male hormone, testosterone.
Lower doses of anabolic steroids sometimes are used to treat a handful of
very serious medical conditions. They should not be confused with corticosteroids,
which are used to treat common medical conditions such as asthma and arthritis.
Corticosteroids are strong medications, but do not have muscle-building effects.
Anabolic steroids are the ones abused by athletes and others who want a shortcut
to becoming bigger and stronger.
Who uses steroids?
In the past, steroid use was seen mostly in college, Olympic, and professional sports. Today, steroids are being used by athletes as well as nonathletes, in high schools and middle schools. Most major professional and amateur athletic organizations have banned steroids for use by their athletes. These organizations include the International Olympic Committee, National Collegiate Athletic Association (NCAA), and the National Football League (NFL).
Most commonly, steroid use can be found among the following groups:
- Athletes involved in sports that rely on strength and size, like football, wrestling, or baseball
- Endurance athletes, such as those involved in track-and-field and swimming
- Athletes involved in weight training or bodybuilding
- Anyone interested in building and defining muscles
How are steroids used?
Steroids can be taken in the following two ways:
- By mouth (pills)
- Injected with a needle (Athletes who share needles to inject steroids also are at risk for serious infections including Hepatitis B and HIV, the AIDS virus.)
Some athletes take even higher doses, called "megadoses," to produce faster results. Others gradually increase the amount they take over time, which is called "pyramiding." Taking different kinds of anabolic steroids, possibly along with other drugs, is a particularly dangerous practice known as "stacking."
Will steroids make me a better athlete?
No. Steroids cannot improve an athlete's agility or skill. Many factors
help determine athletic ability, including genetics, body size, age, sex, diet,
and how hard the athlete trains. It is clear that the medical dangers of steroid
use far outweigh the advantage of gains in strength or muscle mass.
What are the side effects of steroids?
Steroids can cause serious health problems. Many changes take place inside the body and may not be noticed until it is too late. Some of the effects will go away when steroid use stops, but some may not.
For both sexes
Possible side effects for males and females include the following:
- High blood pressure and heart disease
- Liver damage and cancers
- Stroke and blood clots
- Urinary and bowel problems, such as diarrhea
- Headaches, aching joints, and muscle cramps
- Nausea and vomiting
- Sleep problems
- Increased risk of ligament and tendon injuries
- Severe acne, especially on face and back
- Baldness
A special danger to adolescents
High school and middle school students and athletes need to be aware of the effect steroids have on growth. Anabolic steroids, even in small doses, have been shown to stop growth too soon. Adolescents also may be at risk for becoming dependent on steroids. Adolescents who use steroids are also more likely to use other addictive drugs and alcohol.
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Males
One of the more disturbing effects of steroid use for males is that the body begins to produce less of its own testosterone. As a result, the testicles may begin to shrink. Following is a list of some of the other effects of steroid use for males:
- Reduced sperm count
- Impotence
- Increase in nipple and breast size (gynecomastia)
- Enlarged prostate (gland that mixes fluid with sperm to form semen)
Females
Since steroids act as a male hormone, females may experience the following side effects:
- Reduced breast size
- Enlarged clitoris (a very sensitive part of the genitals)
- Increase in facial and body hair
- Deepened voice
- Menstrual problems
Emotional effects
Steroids also can have the following effects on the mind and behavior:
- "Roid rage" - severe, aggressive behavior that may result in violence, such as fighting or destroying property
- Severe mood swings
- Hallucinations - seeing or hearing things that are not really there
- Paranoia - extreme feelings of mistrust and fear
- Anxiety and panic attacks
- Depression and thoughts of suicide
- An angry, hostile, or irritable mood
A word about… Supplements
Over-the-counter supplements such as creatine and androstenedione
("andro") are gaining popularity. Though these supplements are not steroids,
manufacturers claim they can build muscles, and improve strength and stamina,
without the side effects of steroids.
It is important to know that these substances are
not regulated by the Food and Drug Administration (FDA) and are not held
to the same strict standards as drugs. Like steroids, they are also banned
by the NFL, NCAA, and International Olympic Committee.
Although both creatine and androstenedione occur
naturally in foods, there are serious concerns about the long-term effects
of using them as supplements. These products may be unsafe. Remember,
there is no replacement for a healthy diet, proper training, and practice.
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Play safe, play fair
Success in sports takes talent, skill, and most of all, practice and hard work. Using steroids is a form of cheating and interferes with fair competition. More importantly, they are dangerous to your health. There are many healthy ways to increase your strength or improve your appearance. If you are serious about your sport and your health, keep the following tips in mind:
- Train safely, without using drugs.
- Eat a healthy diet.
- Get plenty of rest.
- Set realistic goals and be proud of yourself when you reach them.
- Seek out training supervision, coaching, and advice from a reliable professional.
- Avoid injuries by playing safely and using protective gear.
- Talk to your pediatrician about nutrition, your health, preventing injury, and safe ways to gain strength.
If you, your friends, or teammates are using steroids, get help. Share this information with friends and teammates. Take a stand against the use of steroids and other drugs. Truly successful athletes combine their natural abilities with hard work to win. There is no quick and easy way to become the best.
For more information, contact the following organizations:
National Institute on Drug Abuse (NIDA)
888/644-6432
Web site: http://www.nida.nih.gov/
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There is overwhelming evidence which shows that creatine supplementation does cause an increase in the amount of creatine phosphate in muscles. Harris et al (1992) conducted a study examining creatine content in the quadriceps femoris muscle in 17 subjects after supplementation of 5 g of creative monohydrate 4-6 times a day for two days. The results found a significant increase in the total creatine level in all subjects but the results were especially noticeable in those with the lowest muscle creatine store at the start of the study. To determine whether exercise could affect the amount of creatine absorbed by muscles, some of the participants followed a unique training program. During supplementation, they pedaled a bicycle ergometer for one hour each day while using only one leg to supply the pedaling force. With supplementation, the unexercised legs increased their creatine levels by about 25 percent, but the exercised legs increased their creatine levels by 37 percent. It is hypothesized that exercise increases the flow of blood to the muscles or changes the rate at which muscles absorb creative from the blood, thus improving the creatine loading effect. Another study conducted by Febbraio replicated the results obtained by Harris.
Several studies also show that creatine supplementation does cause an increase in muscle strength. Earnest et al (1995) conducted a study investigating the influence of creatine monohydrate supplementation on muscular power and strength in 10 experienced weight trained male subjects. Three series of high intensity, anaerobic type muscular workouts were used. The first series consisted of three consecutive 30 second Wingate bike tests, followed by five minuets of rest. Peak anaerobic power was defined as the greatest power achieved in a given five second work interval. Anaerobic work was defined as the total amount of work performed in a 30 second period. The second series used a one repetition maximum (lRM) free weight bench press as a test of muscular strength. The third series utilized complete lifting repetitions at 70% of the bench press IRM until fatigue. Fatigue was defined as the inability to complete one lifting repetition or the inability to maintain a lifting cadence of one second eccentric and one second concentric (lifting and lowering the weight). Total lifting volume was calculated as 70% of pre-test IRM multiplied by the number of complete lifting repetitions. Subjects received either a glucose placebo or creatine monohydrate supplement in a double blind fashion. (After 14 days of supplementation, each subject was re-tested on the Wingate bike tests. Re-testing for the weight lifting trials was done after 28 days of supplementation.
Within the creatine group, total anaerobic work from the Wingate tests was significantly higher during all post-test trials. The increases were 13% for series one, 18% for series two and 18% for series three. No changes were noted in the placebo group. Greater total anaerobic work resulted from the creatine subject's ability to achieve and maintain higher levels of anaerobic power consistently over- each five second time interval. Bench press IRM increased 6% in the creatine group. Total lifting volume was significantly higher within the creatine group, whether expressed in absolute terms (26%) or relative terms (29%). Increases in the total lifting volume were associated with the ability of the creatine group to perform 26% more lifting repetitions. The authors conclude that the ability of the creatine group to perform a greater total lifting volume demonstrates the effectiveness of creatine as an ergogenic aid.
In Hultman's study (cited in Anderson, 1974) these results were replicated. Each day, creatine was given in six separate doses of five grams a day. During the six-day period, five other Estonian runners of comparable ability received a glucose placebo instead. All runners were unaware of the actual composition of their supplements. Before and after the six-day supplementation, the athletes ran four 300-meter and (on a separate day) four 1000-meter intervals, with three minutes of rest between the 300-meter intervals and four minutes of rest between the 1000-meter intervals. Improvement on the final 300-meter interval (from pre-to-post supplementation) was more than twice as great for creatine users, and improvement was more than three times as great for creatine supplements in the final 1000-meter interval. Total time to run all four 1000-meter intervals improved from 770 to 757 seconds after creatine supplementation. In comparison, the placebo group actually slowed from 774 to 775 seconds.
In Hultman's study (cited by Anderson, 1994) creatine supplementation was very important during the last interval of each workout. Creatine supplementers doubled their advantage during the final 300-meter interval and tripled their advantage in the closing 1000-meter sprint. This supports Hultman's hypothesis that creatine is likely to be most helpful when lactic acid levels are highest and fatigue is greatest. Hultman thus feels that creatine serves as a buffer lowering lactic acid muscle burn and delaying fatigue, thus allowing an athlete to perform longer workouts.
In contrast, Balsom at al (1993) investigated the influence of creatine supplementation on endurance exercise performance in the form of a 6 km run and showed that creatine supplementation does not enhance performance or increase peak oxygen uptake during prolonged continuous exercise. There was actually decreased performance in the creatine supplementation group, which may be attributed to the participants weight gain.
In support of Balsam et al (1993), Febbraio et al (1995) conclude that creatine supplementation "may not increase performance during exercise where a significant proportion of energy is derived form aerobic metabolism." This aerobic metabolism occurs during more prolonged, sustained exercise as opposed to anaerobic metabolism which occurs during fast, nonsustained muscle contractions. It is therefore more likely that if creatine supplementation has an effect it will only be seen during brief, anaerobic exercise such as sprinting or weight lifting.
As you may or may not know, creatine monohydrate will not fully dissolve in liquid. That's why you always get that gritty sand at the bottom of the glass. Look at it this way, if it falls like sand to the bottom of your glass what does it do in your stomach? Maybe that explains why so many complain of stomach discomfort when using regular creatine monohydrate.
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Creatine works by enhancing muscle cell hydration. It is very important to consume adequate fluids while taking creatine to see best results. A good rule of thumb is to drink an EXTRA 16 to 20 ounces of liquid for every 5 grams of creatine you take.
During your Loading Phase you should be drinking an EXTRA 64 to 80 ounces of liquid than you normally drink. During the maintenance phase you should drink an EXTRA 32 to 40 ounces.
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