2022, Number 2
Consumption of ergogenic substances, exercise dependence, muscle dysmorphia, symptoms and eating disorders in gym users: a systematic review of the literature
Language: Spanish
References: 58
Page: 186-201
PDF size: 291.43 Kb.
ABSTRACT
Bodybuilding is a sport associated with psychological disorders, health disease and deterioration in interpersonal relationships. Although women are not exempt, most studies have been done on men. Method: The objective of this research was to describe the consumption of ergogenic substances, dependence on exercise and the presence of symptoms of ED and DM, in female gym users. The information search was performed in PubMed, PsycInfo and Medline. The guidelines of the PRISMA declaration were followed and the methodological quality was evaluated. Twenty-two studies were included in the review. Results: The studies were published during the last two decades and most were conducted in Europe and America. An important percentage of competitive and recreational bodybuilders are dependent on exercise (29.6%). A high prevalence of consumption of food supplements (50.7%) and anabolic steroids (41.7%) was found, as well as symptoms of ED (46.6%) and DM. Conclusions: The information obtained is still limited, since most researchers have evaluated the variables of interest separately. More studies are required to contribute to the understanding of this phenomenon in gym users. The results are discussed in the light of previous research.REFERENCES
Al, O. M., & Azmi, R. (2017). Influence of knowledge andbeliefs on consumption of performance enhancingagents in north-western Saudi Arabia [Influencia delconocimiento y las creencias sobre el consumo deagentes que mejoran el rendimiento en el noroeste deArabia Saudita]. Annals of Saudi Medicine, 37(4), 317–325.https://doi.org/10.5144/0256-4947.2017.317
*Ali, E. A. A., & Elgamal, H. H. (2016). Use of dietary supplementsamong gym trainees in Tanta city, Egypt[Uso de suplementos dietéticos entre practicantes degimnasia en la ciudad de Tanta, Egipto]. Journal EgyptianPublic Health Association, 91(4), 185-191. https://doi.org/10.1097/01.EPX.0000511736.22873.57
*Angoorani, H., Jalali, M., & Halabchi, F. (2018). Anabolic-androgenic steroids and prohibited substancesmisuse among iranian recreational female bodybuildersand its associated psycho-socio-demographicfactors [Uso indebido de esteroides anabólico-androgénicosy sustancias prohibidas entre fisicoculturistasiraníes recreativas y sus factores psicosociodemográficosasociados]. Addict Health, 10(4), 216-222. http://doi.org/10.22122/ahj.v10i4.614
*Attlee, A., Haider, A., Hassan, A., Alzamil, N., Hashim,M., & Shaker, R. (2017). Dietary supplement intakeand associated factors among gym users in a universitycommunity [Ingesta de suplementos dietéticosy factores asociados en usuarios de gimnasio de unacomunidad universitaria]. Journal of Dietary Supplements,15(1), 88-97. https://doi.org/10.1080/19390211.2017.1326430
Bert, F., Scaioli, G., Tolomeo, M., Lo Moro, G., Gualano, M.,& Siliquini, R. (2020). Knowledge, attitudes and eatinghabits red and processed meat among gym users:a cross-sectional survey [Conocimientos, actitudesy hábitos alimentarios, carne roja y procesada entreusuarios de gimnasios: una encuesta transversal].Royal Society for Public Health, 140(4), 1-11. https://doi.org/10.1177/1757913919883908
Cervantes-Luna, B. S., Escoto, M., Camacho, E. J. (2021). Ergogenicsubstances and drive for muscularity amonggym users at different risk levels for muscle dysmorphia[Sustancias ergogénicas y afán por la musculatura enusuarios de gimnasio con diferentes niveles de riesgode dismorfia muscular]. Gaceta Médica de Caracas, 129(1),174-183. http://doi.org/10.47307/GMC.2021.129.s1.20
*Chappell, A. J., Simper, T., & Barker, M. E. (2018). Nutritionalstrategies of high level natural bodybuildersduring competition preparation [Estrategias nutricionalesde culturistas naturales de alto nivel durante lapreparación para la competencia]. Journal of the InternationalSociety of Sports Nutrition, 15(4), 1-12. http://doi.org/10.1186/s12970-018-0209-z
*Chappell, A. J., Simper, T., & Helms, E. (2019). Nutritionalstrategies of British professional and amateur naturalbodybuilders during competition preparation [Estrategiasnutricionales de culturistas naturales británicosprofesionales y aficionados durante la preparaciónpara la competición]. Journal of the International Societyof Sports Nutrition,16(35), 1-12. https://doi.org/10.1186/s12970-019-0302-y
*de Medeiros, R. E., Urbano, R. L., Araújo, L. L., Baracho,E., da Costa, R. N., da Cruz, M. C., de Medeiros, C.H., de Sousa, A. L., de Paiva, M., Costa, A. C., Bezerra,A., Cabral, D. Q., de Lima, S. H., & Lima, B. L. (2021).Amateur ballet practicing, body image and eating behaviors:a comparative study of classical ballet dancers,gym users and sedentary women [Práctica amateurde ballet, imagen corporal y conductas alimentarias:un estudio comparativo de bailarinas de ballet clásico,usuarias de gimnasio y mujeres sedentarias]. Journalof Eating Disorders, 9(1), 1-11. https://doi.org/10.1186/s40337-021-00459-9
Devrim, A., Bilgic, P., & Hongu, N. (2018). Is there any relationshipbetween body image perception, eatingdisorders, and muscle dysmorphic disorders in malebodybuilders? [¿Existe alguna relación entre la percepciónde la imagen corporal, los trastornos alimentariosy los trastornos dismórficos musculares en los culturistasmasculinos?]. American Journal of Men´s health, 12(5),1-13. https://doi.org/10.1177/1557988318786868
Díaz, I. (2005). Propuesta de un programa de prevenciónde trastornos de la conducta alimentaria para entrenadores.Cuadernos de Psicología del Deporte, 5(1), 67-80.https://digitum.um.es/digitum/bitstream/10201/27683/1/Propuesta%20de%20un%20programa%20de%20prevenci%c3%b3n%20de%20trastornos%20de%20la%20conducta%20alimentaria%20para%20entrenadores.pdf
Downes, M. J., Brennan, M. L., Williams, H. C., & Dean, R.S. (2016). Development of a critical appraisal tool toassess the quality of cross-sectional studies (AXIS) [Desarrollode una herramienta de evaluación crítica paraevaluar la calidad de los estudios transversales (AXIS)].British Medical Journal, 6(12), 1-7. https://doi.org/10.1136/bmjopen-2016-011458
Escalante, G., Stevenson, S. W., Barakat, C., Aragon, A. A.,& Shoenfeld, B. J. (2021). Peak week recommendationsfor bodybuilders: an evidence based approach [Recomendacionespara la semana pico para culturistas:un enfoque basado en la evidencia]. BMC Sports Science,Medicine and Rehabilitation, 13(68), 1-24. http://doi.org/10.1186/s13102-021-00296-y
*Freire, G. L. M., da Silva, J. R., Alves, A., Pacheco, R., Fonseca,J., & Andrade, J. R. (2020). Body dissatisfaction,addiction to exercise and risk behavior for eating disordersamong exercise practitioners [Insatisfaccióncorporal, adicción al ejercicio y conductas de riesgopara trastornos alimentarios entre practicantes deejercicio]. Journal of Eating Disorders, 8(23), 1-9. https://doi.org/10.1186/s40337-020-00300-9
*Gwizdek, K., Brzęk, A., Bąk-Sosnowska, M., Dittfeld, A.,Knapik, A., & Ziaja, D. (2018). The use of steroids bygym athletes: an attempt to diagnose the problem scaleand possible causes [El uso de esteroides por atletasde gimnasia: un intento de diagnosticar la escala delproblema y las posibles causas]. The Journal of SportsMedicine and Physical Fitness, 58(6), 880-888. https://doi.org/10.23736/S0022-4707.17.07298-X
Hackett, D. A., Johnson, N. A., & Chow, C. (2013). Trainingpractices and ergogenic aids used by male bodybuilders[Prácticas de entrenamiento y ayudas ergogénicasutilizadas por los culturistas masculinos]. Journal ofStrength and Conditioning Research, 27(6), 1609-1617. https://doi.org/10.1519/JSC.0b013e318271272a
*Hale, B. D., Diehl. D., Weaver, K., & Briggs, M. (2013). Exercisedependence and muscle dysmorphia in novice andexperienced female bodybuilders [Dependencia delejercicio y dismorfia muscular en fisicoculturistas novatasy experimentadas]. Journal of Behavioral Addictions,2(4), 244-248. https://doi.org/10.1556/JBA.2.2013.4.8
Halliwell, E., Dittmar, H., & Orsborn, A. (2007). The effectsof exposure to muscular male models among men:Exploring the moderating role of gym use and exercisemotivation [Los efectos de la exposición a modelosmasculinos musculosos entre hombres: Explorando elpapel moderador del uso del gimnasio y la motivaciónpara el ejercicio]. Body Image, 4, 278-287. https://doi.org/10.1016/j.bodyim.2007.04.006
*Ip, E. J., Barnett, M. J., Tenerowicz, M. J., Kim, J. A., Wei,H., & Perry, P. J. (2010). Women and anabolic steroids:An analysis of a dozen users [Mujeres y esteroides anabólicos:un análisis de una docena de usuarios]. JournalSport Medical, 20(6), 475-481. https://doi.org/10.1097/JSM.0b013e3181fb5370
Klimek, P., Murray, S. B., Brown, T., Gonzalez, M., & Blashill,A. (2018). Thinness and muscularity internalization:Associations with disordered eating and muscle dysmorphiain men [Internalización de la delgadez y lamusculatura: asociaciones con trastornos alimentariosy dismorfia muscular en hombres]. InternationalJournal of Eating Disorders, 51(4), 352-357. https://doi.org/10.1002/eat.22844
*Leifman, H., Rehnman, C., Sjoblom, E., & Holgersson, S.(2011). Anabolic androgenic steroids use and correlatesamong gym users an assessment study using questionnairesand observations at gyms in the Stockholmregion [Uso de esteroides androgénicos anabólicos ycorrelación entre usuarios de gimnasios: un estudiode evaluación utilizando cuestionarios y observacionesen gimnasios en la región de Estocolmo]. InternationalJournal of Environmental Research and Public Health, 8(7),2656-2674. https://doi.org/10.3390/ijerph8072656
Mazzilli, M., Macaluso, F., Zambelli, S., Picerno, P., & Iuliano,E. (2021). The use of dietary supplements in fitnesspractitioners: a cross-sectional observation study[El uso de suplementos dietéticos en practicantes defitness: un estudio de observación transversal]. InternationalJournal Environmental Reserch Public Health, 18(9),1-14. https://doi.org/10.3390/ijerph18095005
Mitchell. L., Murray, S. B., Hoom, M., Hackett, D., Prvan,T., & O´connor, H. (2017). Correlates of muscle dysmorphiasymptomatology in natural bodybuilders:Distinguishing factors in the pursuit of hyper-muscularity[Correlatos de la sintomatología de dismorfiamuscular en culturistas naturales: factores distintivosen la búsqueda de la hipermuscularidad]. Body Image,22, 1-5. https://doi.org/10.1016/j.bodyim.2017.04.003
Monteiro, D. P. P. F., Correa, M., Neto, T. T., Martinelli, C.E., & Filho, H. T. (2021). Serum IGF-I concentrationsare low in female bodybuilders in the pre-contest phase[Las concentraciones séricas de IGF-I son bajas en lasculturistas en la fase previa al concurso]. Growth Hormone& IGF Research, 60(61), 1-5. https://doi.org/10.1016/j.ghir.2021.10142039. Olalla, R., & Tercero, M. J. (2011). Dopaje. En el deporte. Revisión.Offarm, 30(3), 59-64. https://www.elsevier.es/es-revista-offarm-4-pdf-X0212047X11205113
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I.,Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff,J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville,J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li,Tianjing., Loder, E. W., Mayo-Wilson, E., McDonald,S., McGuinness, L. A., Steward, L. A., Thomas, J., Tricco,A. C.,... Mother, D. (2021). The PRISMA 2020 statement:an updated guideline for reporting systematicreviews [La declaración PRISMA 2020: una guía actualizadapara informar revisiones sistemáticas]. The BMJ,372(71). https://doi.org/10.1136/bmj.n71
*Ravaldi, C., Vannacci, A., Zucchi, T., Mannucci, E., Luigi,P., Boldrini, M., Marciano, L., Rotella, C. M., & Ricca,V. (2003). Eating disorders and body image disturbancesamong ballet dancers, gymnasium users and bodybuilders [Trastornos alimentarios y alteraciones de laimagen corporal entre bailarines de ballet, usuariosde gimnasios y culturistas]. Psychopathology, 36(5), 247–254. https://doi.org/10.1159/000073450
*Ruano, J., & Teixeira, V. H. (2020). Prevalence of dietarysupplement use by gym members in Portugal and associatedfactors [Prevalencia del uso de suplementosdietéticos por miembros de gimnasios en Portugal yfactores asociados]. Journal of the International Societyof Sports Nutrition, 17(1), 1-8. http://doi.org/10.1186/s12970-020-00342-z
*San Mauro, I., Garicano, E., González, M., Villacorta,P., Megias, A., Miralles, B., Figueroa, M., Andrés, N.,Bonilla, M. A., Arranz, P., Bernal, D., Ruiz, A. M., Moraleda,E., & de la Calle, L. (2014). Hábitos alimentariosy psicológicos en personas que realizan ejercicio físico.Nutrición Hospitalaria. 30(6), 1324-1332. https://doi.org/10.3305/nh.2014.30.6.7838
Sánchez, A. C., Ayala-Guzmán, C. I., López, A. B., Castro, O.D., & Ortiz-Hernández, L. (2021). Prevalencia y factoresasociados al consumo de suplementos nutricionales enasistentes a gimnasios de la Ciudad de México. RevistaEspañola de Nutrición Humana y Dietética, 25, 1-30. https://doi.org/10.14306/renhyd.25.S1.1159
*Sánchez-Oliver, A. J., Miranda, M. T., & Guerra-Hernández,E. (2008). Statistical analysis of the consumption ofnutritional and dietary supplements in gyms [Análisisestadístico del consumo de suplementos nutricionalesy dietéticos en gimnasios]. Archivos Latinoamericanos deNutrición, 58(3), 221-227. https://www.researchgate.net/publication/23781238_Statistical_analysis_of_the_consumption_of_nutritional_and_dietary_supplements_in_gyms
Santos, A. M, da Rocha, M. S., & da Silva, M. F. (2011). llicituse and abuse of anabolic-androgenic steroids amongBrazilian bodybuilders [Uso y abuso ilícito de esteroidesanabolizantes androgénicos entre culturistasbrasileños]. Substance Use & Misuse, 46(6), 742-748. https://doi.org/10.3109/10826084.2010.534123
*Skemp, K. M., Mikat, R. P., Schenck, K. P., & Kramer, N.A. (2013). Muscle dysmorphia: risk may be influencedby goals of the weightlifter [Dismorfia muscular: elriesgo puede estar influenciado por los objetivos dellevantador de pesas]. Journal of Strengh and ConditioningResearch, 27(9), 2427-2432. https://doi.org/10.1519/JSC.0b013e3182825474
*Solheim, S. A., Nordsborg, N. B., Ritz, C., Berget, J., Kristensen,A. H., & Morkeberg, J. (2016). Use of nutritionalsupplements by Danish elite athletes and fitness customers[Uso de suplementos nutricionales por partede deportistas de élite daneses y clientes de fitness].Scandinavian Journal of Medicine & Science in Sports, 27(8),801-808. https://doi.org/10.1111/sms.12704
Szabo, A., Griffiths, M. D, de La Vega, R., Mervó, B., &Demetrovics, Z. (2015). Methodological and ConceptualLimitations in Exercise Addiction Research[Limitaciones metodológicas y conceptuales en la investigaciónde la adicción al ejercicio]. Yale Journal ofBiology and Medicine, 88(3), 303-308. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4553651/
Tavares, A. S. R., Serpa, S., Horta, L., Carolino, E., & Rosado,A. (2020). Prevalence of performance-enhancing substanceuse and associated factors among portuguesegym/fitness users [Prevalencia del uso de sustanciaspara mejorar el rendimiento y factores asociados entrelos usuarios de gimnasios/fitness portugueses]. SubstanceUse & Misuse, 55(7), 1059-1067. https://doi.org/10.1080/10826084.2020.1726392
*Thomas, E., Karsten, B., Sahin, F. N., Ertetik, G., Martines,F., Lionardi, V., Paoli, A., Gentil, P., Palma, A., & Bianco,A. (2019). Protein supplement consumption is linked totime spent exercising and high-protein content foods:A multicentric observational study [El consumo de suplementosde proteínas está relacionado con el tiempodedicado al ejercicio y los alimentos con alto contenidode proteínas: un estudio observacional multicéntrico].Heliyon, 5(4), 1-17. https://doi.org/10.1016/j.heliyon.2019.e01508
*Whitehead, J., Slater, G., Wright, H., Martin, L., O´Connor,H., & Mitchell, L. (2019). Disordered eating behaviors infemale physique athletes [Comportamientos alimentariosdesordenados en deportistas femeninas]. EuropeanJournal of Sport Science, 20(9), 1206-1214. https://doi.org/10.1080/17461391.2019.1698659