When should you suspect if your patient is an Anabolic-Androgenic Steroid User? Evidence-Based literature review of usage patterns changes and clinical implications for medical practice (2005-2025)

Authors

DOI:

https://doi.org/10.12775/JEHS.2026.88.68269

Keywords

AAS, adverse effects, clinical practice

Abstract

Background: Anabolic-androgenic steroid (AAS) use has evolved into a significant public health concern affecting diverse populations beyond elite athletics.

Objective: To examine evidence-based changes in AAS usage patterns including demographics, motivations, and health consequences from 2005-2025 using systematic reviews and peer-reviewed research.

Methods: Literature review of peer-reviewed studies and systematic reviews from PubMed and National Health Institute Library focusing on AAS epidemiology, demographic changes, and health consequences published between 2005-2025.

Results: Global lifetime prevalence of AAS use is estimated at 6-29%. Female participation is estimated to be constantly growing. Evidence indicates expansion beyond traditional athletic populations with significant cardiovascular, psychiatric, and reproductive health consequences.

Conclusions: AAS use represents a widespread public health concern requiring enhanced clinical awareness and evidence-based management approaches among medical practitioners.

References

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Published

2026-02-13

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1.
PIELECH, Adrianna, DADYŃSKA, Patrycja, WILCZYŃSKI, Marek, KWIECIEŃ, Paweł, KWIECIEŃ, Michał and ZIELSKA, Julianna. When should you suspect if your patient is an Anabolic-Androgenic Steroid User? Evidence-Based literature review of usage patterns changes and clinical implications for medical practice (2005-2025). Journal of Education, Health and Sport. Online. 13 February 2026. Vol. 88, p. 68269. [Accessed 14 February 2026]. DOI 10.12775/JEHS.2026.88.68269.

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Vol. 88 (2026)

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Medical Sciences

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Copyright (c) 2026 Adrianna Pielech, Patrycja Dadyńska, Marek Wilczyński, Paweł Kwiecień, Michał Kwiecień, Julianna Zielska

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