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. 2017 Jul-Aug;37(4):317–325. doi: 10.5144/0256-4947.2017.317

Table 3.

Gym user knowledge and awareness of negative health consequences of using performance enhancing agents (PEAs).

Using testosterone hormone on males may lead to the following negative health consequences: Agree or strongly agree n (%) Neither agree or nor disagree n (%) Disagree or strongly disagree n (%)

Acne 172 (54.4) 113 (35.8) 31 (9.8)
Male pattern baldness 161 (50.9) 113 (35.8) 42 (13.3)
Liver Damage 174 (55.0) 106 (33.5) 36 (11.4)
Stunted growth and disruption of puberty 167 (52.8) 99 (31.3) 50 (15.8)
Increased aggressiveness and sexual appetite 181 (57.2) 82 (25.9) 53 (16.8)
Depression 162 (51.3) 100 (31.6) 54 (17.1)
Breast tissue development 164 (51.3) 95 (30.1) 59 (18.7)
Shrinking of the testicles 188 (59.5) 93 (29.4) 35 (11.1)
Impotence 200 (63.3) 67 (21.2) 49 (15.5)
Reduction in sperm production 187 (59.1) 75 (23.7) 54 (17.1)
Using diuretics by gym users may lead to the following negative health consequences:
Dehydration 193 (61.1) 106 (33.5) 17 (5.4)
Muscle cramps 173 (51.2) 120 (38.0) 34 (10.7)
Dizziness or fainting 168(53.2) 120 (38.0) 28 (8.8)
Drop in blood pressure 171 (54.1) 121 (38.3) 24 (7.6)
Loss of coordination and balance 155 (49.0) 127 (40.2) 34 (10.7)
Using human growth hormone may lead to the following negative health consequences:
Severe headaches 113 (37.2) 159 (52.3) 32 (10.5)
Loss of vision 96 (31.1) 159 (50.5) 54 (17.5)
Acromegaly (Protruding or enlarged jaw, brow, skull, hands and feet) 182 (58.3) 102 (32.7) 28 (8.9)
High blood pressure and heart failure 175 (56.5) 110 (35.5) 25 (8.0)
Diabetes and tumors 145 (46.5) 131 (42.0) 36 (11.5)
Crippling arthritis 125 (40.5) 143 (46.3) 41 (13.3)
Using Insulin may lead to:
Low blood sugar (hypoglycaemia) 203 (64.3) 105 (33.2) 8 (2.6)
Using protein powder supplements may lead to the following negative health consequences:
Imbalanced nutrition 138 (43.7) 41 (13.0) 137 (43.4)
Digestive problems 156 (49.4) 34 (10.8) 126 (39.8)
Weight gain 205 (64.8) 24 (7.6) 84 (26.6)
Heart and kidneys disorders 156 (49.3) 45 (14.2) 115 (36.4)

Using stimulants (e.g., energy drinks) may lead to the following negative health consequences: Agree or strongly agree n (%) Neither agree or nor disagree n (%) Disagree or strongly disagree n (%)

Insomnia 253 (80.0) 42 (13.3) 21 (6.7)
Anxiety 244 (77.2) 39 (12.3) 33 (10.4)
Weight loss 176 (55.7) 77 (24.4) 63 (20.0)
Dependence and addiction 191 (60.5) 48 (15.2) 77 (24.4)
Dehydration 166 (52.5) 75 (23.7) 75 (23.8)
Tremors 151 (47.8) 103 (32.6) 62 (19.6)
Increased heart rate and blood pressure 250 (79.1) 42(13.3) 24 (7.6)
Increased risk of stroke, heart attack, and cardiac arrhythmia 210 (66.5) 72 (22.8) 34 (10.7)