The use of prohibited substances in sport among fitness center attendees represents an important public health issue, as it is associated with the desire to improve physical performance, physical appearance, and to achieve training goals more rapidly. In this setting, individuals are also often exposed to the use of dietary supplements, medicinal products, and other agents intended to enhance appearance and/or exercise performance.
The aim of this study was to evaluate the prevalence of the use of prohibited substances, dietary supplements, and medicinal products among fitness center attendees across Slovenia. Using a questionnaire, we collected data on the use of these substances and analyzed their associations with sex, age, education level, and other selected factors. In addition, we aimed to identify predictive factors associated with the decision to use prohibited substances.
The results showed that 24.5% of participants had used prohibited substances at least once in their lifetime, while 14.8% had used them within the previous year. The use of prohibited substances was most associated with the desire to improve physical performance (72.2%) and physical appearance (61.7%). Prior use of dietary supplements was associated with 2.5-fold higher odds of prohibited substance use. Regular use of over-the-counter medicinal products for the purpose of improving exercise performance and/or physical appearance was associated with fourfold higher odds of prohibited substance use compared with individuals who did not use such products. The social environment also represented an important factor, as individuals who knew a greater number of other users had approximately fivefold higher odds of using prohibited substances. More frequent consideration of use was likewise strongly associated with higher odds of prohibited substance use, in some cases by as much as 30-fold.
The findings of this study provide insight into the prevalence of prohibited substance use among fitness center attendees in Slovenia and highlight the need for additional education, preventive measures, and awareness-raising regarding the health risks and harmful consequences associated with the imprudent use of medicinal products and prohibited substances.
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