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Preventing and treating the adverse health conditions of androgenic-anabolic steroids: An online survey with 883 users in the United Kingdom 预防和治疗雄激素合成代谢类固醇的不良健康状况:一项对英国883名使用者的在线调查
Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2023-10-01 DOI: 10.1016/j.peh.2023.100267
JMX Amaral, A Kimergård, P Deluca

The use of use of androgenic-anabolic steroids (AAS) is associated with an increased risk of several health conditions. Health-related behaviours to prevent and treat these conditions include the use of needle exchange services, having blood tests to monitor one's health and seeking information and support from health professionals and other sources. This study investigates the prevalence of adverse health conditions and health behaviours in a cohort of AAS users from the United Kingdom taking part in an online survey, as well as behavioural factors impacting the likelihood of reporting a health condition in the last 12 months. The sample was composed of 883 adults (72.1 % males, 27.9 % females; Med age = 26, min = 16, max = 65). The most common health problems were dermatological (68.1 %) and neuropsychiatric (63.1 %) conditions. Although the majority of participants monitored their health with blood tests (86.4 %) and sought a General Practitioner (GP) to treat health problems (55.0 %), only a minority of LGBTQIA+ males sought a GP for information (12.8 %) or to treat health conditions (18.7 %). Participants who sought a GP for information about AAS were 74 % less likely to report a health condition in the last 12 months (OR = 0.26, 95 % CI 0.18 to 0.40, p < 0.001). These findings can be used to support research and interventions aiming to improve the access of AAS users to the health system by identifying health conditions and health-related behaviours adopted by subpopulations of AAS users.

使用雄激素合成代谢类固醇(AAS)与几种健康状况的风险增加有关。预防和治疗这些疾病的与健康有关的行为包括使用针头交换服务,进行血液检查以监测个人健康,并向卫生专业人员和其他来源寻求信息和支持。本研究调查了来自英国的一组AAS用户的不良健康状况和健康行为的流行程度,以及影响过去12个月报告健康状况可能性的行为因素。样本由883名成年人组成,其中男性占72.1%,女性占27.9%;年龄= 26,最小= 16,最大= 65)。最常见的健康问题是皮肤病(68.1%)和神经精神疾病(63.1%)。尽管大多数参与者通过血液检查监测自己的健康状况(86.4%),并寻求全科医生(GP)治疗健康问题(55.0%),但只有少数LGBTQIA+男性寻求全科医生获取信息(12.8%)或治疗健康状况(18.7%)。向全科医生寻求有关AAS信息的参与者在过去12个月内报告健康状况的可能性降低了74% (OR = 0.26, 95% CI 0.18至0.40,p < 0.001)。这些发现可用于支持旨在通过确定AAS用户亚群所采用的健康状况和健康相关行为来改善AAS用户对卫生系统的可及性的研究和干预措施。
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引用次数: 0
An evolutionary perspective on sport and performance enhancement 从进化的角度看运动和表现的提高
Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2023-10-01 DOI: 10.1016/j.peh.2023.100263
Jo Morrison

Evolutionary pressures have shaped human biology and culture. These concepts can also be applied to the progression of elite sports performance, and the recognizable, constitutive characteristics of individual sports over the last ∼120 years. Athletic performance has improved as the population of participants has increased in both number and visibility. Technology and techniques have emerged and improved, and the science of performance and recovery has expanded to drive elite performance close to physiological limits. Detailed examination of decades of elite performance suggests that with athletic performance near the limits of human physiology, technological, biomedical, or rule changes will be necessary for continued world record progression in some sports. The idea that performance-enhancing substances have not had a substantial impact on the evolution of elite performance is introduced.

进化的压力塑造了人类的生物学和文化。这些概念也可以应用于精英运动成绩的进步,以及过去120年来个人运动的可识别的构成特征。随着参与者人数和知名度的增加,运动成绩也有所提高。技术和技巧已经出现和改进,性能和恢复的科学已经扩展到驱动精英的性能接近生理极限。对几十年来优秀运动员表现的详细研究表明,随着运动员的表现接近人类生理、技术、生物医学或规则的极限,在某些运动项目中,保持世界纪录的进步是必要的。提出了提高成绩的物质对精英成绩的演变没有实质性影响的观点。
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引用次数: 0
The “big red bull” in the esports room: Anti-doping, esports, and energy drinks 电子竞技室里的“大红牛”:反兴奋剂、电子竞技和能量饮料
Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2022-02-01 DOI: 10.1016/j.peh.2021.100205
Francisco Javier Lopez Frias

In this paper, I examine the theoretical foundations of esports anti-doping policies. Specifically, I focus on the health- and integrity-related arguments on which esports organizations rely to justify their anti-doping efforts and how the arguments relate to esports organizations’ partnership with energy-drink companies. First, I briefly explain the creation and development of anti-doping policies in esports. Subsequently, I identify the theoretical foundations of such policies. Then, I expound how the commercial partnership between esports organizations and the energy-drink industry may impact esports anti-doping theoretical underpinnings. I conclude by critiquing this partnership.

在本文中,我研究了电子竞技反兴奋剂政策的理论基础。具体来说,我将重点关注与健康和诚信相关的论点,这些论点是电竞组织为其反兴奋剂努力辩护的依据,以及这些论点与电竞组织与能量饮料公司的合作关系。首先,我简要地解释了电子竞技反兴奋剂政策的创建和发展。随后,我确定了这些政策的理论基础。然后,我阐述了电子竞技组织和能量饮料行业之间的商业伙伴关系如何影响电子竞技反兴奋剂的理论基础。最后,我对这种伙伴关系提出批评。
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引用次数: 6
“Strong, fearless, tough, enduring”: Collegiate male wrestlers’ perceptions of body image and masculinity “强壮、无畏、坚韧、持久”:大学男摔跤手对身体形象和男子气概的看法
Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2022-02-01 DOI: 10.1016/j.peh.2021.100212
Kimberly S. Fasczewski , Sara M. Powell , Nolasco R. Stevens , Jared W. Skinner

Background

Successful wrestling performance is largely dictated by weight. Some wrestlers engage in rapid weight loss methods to maximize performance at lower weight classes. Data from other sports suggest these methods can negatively affect body image (BI) and physical health and put athletes at risk for disordered eating behaviors, but the actual impact in wrestling is unknown. The present study examined the relationship between perceptions of masculinity and BI to eating disorder (ED) risk in male collegiate wrestlers.

Methods

Survey data were collected from active male NCAA wrestlers (n= 63). Wrestlers completed the Eating Attitudes Test, the Multidimensional Body-Self Relations Questionnaire, the Hoffman Gender Scale, and three open-ended response items.

Results

ED risk was positively correlated to appearance self-importance (r= 0.361, p < 0.01) and body weight vigilance (r= 0.618, p < 0.01) and negatively correlated to BI satisfaction (r = -0.328, p < 0.05). Gender self-acceptance was correlated to lower importance placed on BI (r= 0.402, p < 0.01). Additionally, 35 (53.9%) participants reported at least one maladaptive eating behavior (e.g. binging, vomiting, laxative use). Qualitative data indicates similarities in traits associated with successful wrestlers and the traditional ideal male (mental and physical strength, toughness, surpassing limits).

Conclusions

The masculine traits exemplified by the sport of wrestling may negatively impact BI and encourage maladaptive eating and/or weight-control behavior and increase ED risk. The information in this study can be used to inform the development of safer weight loss practices and specialized educational programs for ED risk for wrestlers. This study highlights a need for further qualitative analysis of weight-control behaviors in collegiate wrestling.

成功的摔跤表现在很大程度上取决于体重。一些摔跤运动员采用快速减肥方法,以便在较低的体重级别中发挥最大的作用。来自其他运动项目的数据表明,这些方法会对身体形象(BI)和身体健康产生负面影响,并使运动员面临饮食失调的风险,但对摔跤的实际影响尚不清楚。本研究调查了男性摔跤运动员对男性气质和BI与饮食失调(ED)风险之间的关系。方法收集现役男子NCAA摔跤运动员的调查数据(n= 63)。摔跤运动员完成了饮食态度测试、多维身体-自我关系问卷、霍夫曼性别量表和三个开放式回答项目。结果风险与外表自我重要性呈正相关(r= 0.361, p <0.01)和体重警觉性(r= 0.618, p <0.01),与BI满意度呈负相关(r = -0.328, p <0.05)。性别自我接受与较低的BI重要性相关(r= 0.402, p <0.01)。此外,35名(53.9%)参与者报告至少有一种不适应饮食行为(如暴饮暴食、呕吐、使用泻药)。定性数据表明,成功的摔跤手和传统的理想男性在特质上有相似之处(精神和身体力量、韧性、超越极限)。结论以摔跤运动为代表的男性特征可能对BI产生负面影响,并鼓励不适应的饮食和/或体重控制行为,增加ED的风险。本研究的信息可用于为摔跤运动员制定更安全的减肥方法和专门的ED风险教育计划提供信息。本研究强调了对大学生摔跤运动员体重控制行为进行进一步定性分析的必要性。
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引用次数: 0
“It's hard to find balance when you're broken”: Exploring female endurance athletes’ psychological experience of recovery from relative energy deficiency in sport (RED-S) “当你崩溃时,很难找到平衡”:探索女性耐力运动员从运动中相对能量缺乏中恢复的心理体验(RED-s)
Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2022-02-01 DOI: 10.1016/j.peh.2021.100214
Rachel K. Langbein, Daniel Martin, Jacquelyn Allen-Collinson, Patricia C. Jackman

Introduction

This study aimed to explore qualitatively the psychological experience of recovery from relative energy deficiency in sport (RED-S). More specifically, it sought to understand: how RED-S is experienced from a psychological perspective; sources of psychological conflict in the ongoing management of energy availability (EA); and athlete responses to psychological conflict in the pursuit of optimal EA.

Methods

Eight female endurance athletes identifying as “in recovery” or “recovered” from RED-S (M age = 29.78 years) participated in this integrated methods multiple case-study. Participants engaged in an initial topical life history interview, before completing an online diary over a 21-day period, taking photographs of psychological triggers for seven days, and participating in a follow-up interview. Data were analysed using reflexive thematic analysis.

Results

The theme in too deep and treading water captured the significant psychological implications of RED-S. Seven sources of psychological conflict reported while managing EA were identified. The theme a constant tug of war represented the responses to these sources of psychological conflict in the ongoing management of EA. Within this theme, the subthemes in two minds and an emotional rollercoaster illustrated the cognitive and affective responses to psychological conflict, while giving in and the only way is through represented the adaptive and maladaptive behavioural responses during recovery, respectively.

Conclusion

This study offers novel insights into the complex nature of recovery from RED-S and highlights the importance of considering psychological factors underpinning improved physiological functioning and overall wellbeing during RED-S recovery.

本研究旨在定性探讨运动中相对能量缺乏(RED-S)的恢复心理体验。更具体地说,它试图理解:如何从心理学的角度来体验RED-S;持续能源供应管理中的心理冲突根源;方法采用综合方法对8名RED-S康复期、恢复期女性耐力运动员(年龄29.78岁)进行多案例研究。参与者首先进行生活史访谈,然后在21天内完成在线日记,在7天内拍摄心理触发因素的照片,并参加后续访谈。数据分析采用反身性主题分析。结果“太深”和“踩水”的主题抓住了RED-S的重要心理含义。确定了管理EA时报告的七种心理冲突来源。持续的拉锯战主题代表了对EA持续管理中这些心理冲突来源的反应。在这一主题中,两种思想中的子主题和情绪过山车说明了对心理冲突的认知和情感反应,而屈服和唯一的方式分别代表了恢复过程中的适应和不适应行为反应。本研究为RED-S恢复的复杂性提供了新的见解,并强调了考虑RED-S恢复过程中生理功能和整体健康改善的心理因素的重要性。
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引用次数: 6
Esports: There is a “red bull” in the room but it's a jungle out there 电子竞技:房间里有一头“红牛”,但外面是一片丛林
Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2022-02-01 DOI: 10.1016/j.peh.2021.100215
Joanna Wall Tweedie
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引用次数: 2
“It's Okay to Not Be Okay”: Mental Health Concerns and New Directions as a Result of the COVID-19 Pandemic “不舒服没关系”:COVID-19大流行导致的心理健康问题和新方向
Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2022-02-01 DOI: 10.1016/j.peh.2022.100218
Caitlyn Hauff , Sara M. Powell
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引用次数: 0
Esports anti-doping advocates and their strange bedfellow: A matter of integrity and sport ethics 电子竞技反兴奋剂倡导者和他们奇怪的同床异梦:诚信和体育道德问题
Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2022-02-01 DOI: 10.1016/j.peh.2021.100216
Francisco Javier Lopez Frias
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引用次数: 1
Football players’ preferences for anti-doping education: A cross-country study 足球运动员对反兴奋剂教育的偏好:一项跨国研究
Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2022-02-01 DOI: 10.1016/j.peh.2021.100217
Lida Skoufa , Garyfallia Daroglou , Andreas Loukovitis , Henrik Lunde , Greta Guižauskaitė , Vassilis Barkoukis

Research suggests that doping use is an underrecognized problem in football and is on the rise during the last years. Anti-doping education is one of the most important pillars in the fight against doping. The aim of the present study was to investigate football player's preferences for anti-doping education. Participants were 630 football players (456 players were males; 72.4%) from Norway (n = 302), Greece (n = 186) and Lithuania (n = 142). They were administered a questionnaire including questions on demographic information (e.g., age, gender, years of experience, trainings per week) and factual information related to players’ preferences about anti-doping education. Results showed that the majority of players weren't willing to receive anti-doping education, with females, older players and players from Lithuania and Greece reporting higher willingness. With respect to the preferences about education, most players preferred short explanatory videos and online education that would be applied to the whole team/club. Concerning the content, participants requested for information on health side-effects, and case studies with doped and clean athletes’ experiences. Male and older players, as well as players from Norway and Greece preferred online courses, while adolescent and female players and players from Lithuania preferred both online and group courses. The findings of the study provide valuable information for the development of tailor-made and effective anti-doping education.

研究表明,在足球运动中使用兴奋剂是一个未被充分认识的问题,而且在过去几年里呈上升趋势。反兴奋剂教育是反兴奋剂斗争的重要支柱之一。本研究的目的是调查足球运动员对反兴奋剂教育的偏好。参与者是630名足球运动员(456名男性;72.4%)来自挪威(n = 302)、希腊(n = 186)和立陶宛(n = 142)。他们接受了一份调查问卷,包括人口统计信息(如年龄、性别、经验年数、每周训练次数)和与运动员对反兴奋剂教育偏好相关的事实信息。结果显示,大多数球员不愿意接受反兴奋剂教育,女性、年龄较大的球员以及来自立陶宛和希腊的球员表示愿意接受反兴奋剂教育。关于教育的偏好,大多数球员更喜欢简短的解释性视频和适用于整个球队/俱乐部的在线教育。关于内容,与会者要求提供关于健康副作用的信息,以及关于服用兴奋剂和未服用兴奋剂运动员经历的案例研究。男性和年龄较大的玩家以及来自挪威和希腊的玩家更喜欢在线课程,而青少年和女性玩家以及来自立陶宛的玩家更喜欢在线和小组课程。研究结果为开展针对性的、有效的反兴奋剂教育提供了有价值的信息。
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引用次数: 2
Seeing Shred: Differences in muscle dysmorphia, orthorexia nervosa, depression, and obsessive-compulsive tendencies among groups of weightlifting athletes Seeing Shred:举重运动员群体中肌肉畸形、神经性正性厌食症、抑郁症和强迫症的差异
Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Pub Date : 2022-02-01 DOI: 10.1016/j.peh.2021.100213
Donald C.G. MacPhail , Crystal D. Oberle

This research explored whether levels of muscle dysmorphia (MD), orthorexia nervosa (ON), depression, and obsessive-compulsive tendencies differed among bodybuilders, powerlifters, and a control group of neither bodybuilders nor powerlifters. Each athlete group was further divided into a steroid-using subgroup and a non-steroid-using subgroup. An anonymous online survey was completed by participants recruited through the Internet forum website, Reddit: 555 bodybuilders, 889 powerlifters, and 157 participants in the control group. Regardless of athlete group, levels of MD, ON, depression, and obsessive-compulsive tendencies were greater among steroid users than non-users. Differences among athlete groups were found only for those who did not report using steroids. Among these non-users, both the bodybuilders and powerlifters reported greater levels of MD, ON, and obsessive-compulsive tendencies than the control group; the only significant difference between bodybuilders and powerlifters was for MD. These results can be interpreted within the context of the lifestyle associated with these sports. Many bodybuilders and powerlifters develop very strict (obsessive-compulsive) dietary and training regimes for the purpose of gaining and maintaining the perfect degree of muscle mass and physique, often with the assistance of steroids.

这项研究探讨了健美运动员、力量举重运动员和既不是健美运动员也不是力量举重运动员的对照组之间,肌肉畸形(MD)、神经性厌食症(ON)、抑郁和强迫症倾向的水平是否存在差异。每个运动员组进一步分为类固醇使用亚组和非类固醇使用亚组。通过网络论坛Reddit招募的参与者完成了一项匿名在线调查:555名健美运动员、889名力量举重运动员和157名对照组参与者。无论运动员组如何,类固醇使用者的MD、ON、抑郁和强迫症倾向水平都高于非类固醇使用者。运动员群体之间的差异只存在于那些没有报告使用类固醇的人身上。在这些非使用者中,健美运动员和举重运动员都比对照组报告了更高水平的MD、ON和强迫症倾向;健美运动员和力量举重运动员之间的唯一显著差异是MD。这些结果可以在与这些运动相关的生活方式的背景下解释。许多健美运动员和举重运动员制定了非常严格的(强迫性的)饮食和训练制度,目的是获得和保持完美的肌肉质量和体格,通常借助于类固醇。
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引用次数: 2
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Performance enhancement and health
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