Evidence map›Paper›PMID 42672095›Full record

SynthesisEchocardiography (Mount Kisco, N.Y.)2026

Duration-Dependent Cardiac Effects of Anabolic-Androgenic Steroid Use in Strength-Trained Athletes: A Systematic Review and Meta-Analysis.

Matheus de Medeiros Fernandes, Pedro Gomes Batista, Camila Viviane Ribera Chagas, Railla Raquel Albino Dos Santos Silva, Fernanda Medeiros Santos, Miguel Chaves Lenzi, Felipe de Medeiros Fernandes, Ranna Santos Pessoa, Patrícia Jovelina de Freitas, Flávio Henrique Amaral Pires Véras and 4 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Echocardiography (Mount Kisco, N.Y.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Matheus de Medeiros FernandesMedicine Department, State University of Rio Grande Do Norte (UERN), Mossoró, Brazil.ORCID https://orcid.org/0009-0001-6536-0862
Pedro Gomes BatistaMedicine Department, Federal University of Paraíba (UFPB), João Pessoa, Brazil.ORCID https://orcid.org/0009-0006-1461-7185
Camila Viviane Ribera ChagasMedicine Department, Federal University of Ceará (UFC), Fortaleza, Brazil.ORCID https://orcid.org/0009-0006-3053-0055
Railla Raquel Albino Dos Santos SilvaMedicine Department, Federal University of Ceará (UFC), Fortaleza, Brazil.ORCID https://orcid.org/0009-0001-6403-2218
Fernanda Medeiros SantosMedicine Department, State University of Rio Grande Do Norte (UERN), Mossoró, Brazil.ORCID https://orcid.org/0009-0008-8973-0291
Miguel Chaves LenziMedicine Department, State University of Rio Grande Do Norte (UERN), Mossoró, Brazil.ORCID https://orcid.org/0009-0007-5598-2063
Felipe de Medeiros FernandesMedicine Department, State University of Rio Grande Do Norte (UERN), Mossoró, Brazil.ORCID https://orcid.org/0009-0002-3344-3775
Ranna Santos PessoaMedicine Department, Federal University of Rio Grande Do Norte (UFRN), Natal, Brazil.ORCID https://orcid.org/0000-0002-8328-6758
Patrícia Jovelina de FreitasMedicine Department, State University of Rio Grande Do Norte (UERN), Mossoró, Brazil.ORCID https://orcid.org/0009-0001-6945-3679
Flávio Henrique Amaral Pires VérasMedicine Department, State University of Rio Grande Do Norte (UERN), Mossoró, Brazil.ORCID https://orcid.org/0000-0001-7254-024X
Stephan Barisic JuniorMedicine Department, State University of Rio Grande Do Norte (UERN), Mossoró, Brazil.ORCID https://orcid.org/0000-0001-7790-003X
Douglas Nunes CavalcanteHospital Israelita Albert Einstein, Goiânia, Brazil.ORCID https://orcid.org/0000-0001-5760-6423
Juliana GiorgiSírio Libanês Hospital, São Paulo, Brazil.ORCID https://orcid.org/0009-0007-7271-4845
Caroline Fischer-BaccaUniversity Center for the Development of Alto Vale Do Itajaí (UNIDAVI), Rio do Sul, Santa Catarina, Brazil.ORCID https://orcid.org/0000-0002-4298-8649

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNonmedical anabolic-androgenic steroid (AAS) use is increasing, and its duration-dependent cardiac effects remain unclear. We evaluated cardiac structure and function in AAS-using strength-trained athletes, overall and by exposure duration.

methodsWe searched PubMed, Embase, Cochrane Central, and SCOPUS through November 2025 for observational studies comparing AAS-using and nonusing strength-trained athletes of either sex. Random-effects models pooled mean differences (MD) overall and across four exposure strata (<6 months, 6 months-3 years, 3-6 years, >6 years); meta-regression assessed duration as a continuous moderator.

resultsForty studies (1906 athletes; 95% male) were included. Overall, AAS users showed reduced left ventricular ejection fraction (LVEF; 29 studies; MD -2.84%; 95% CI -4.24 to -1.44; p < 0.01), impaired global longitudinal strain (GLS; MD +3.27%; p < 0.01), and increased left ventricular mass index (LVMI; MD +18.21 g/m

conclusionAAS use is associated with cardiac structural and functional abnormalities, with exposure duration associated with selected, but not all, outcomes. These cross-sectional comparisons do not establish within-person progression; longitudinal surveillance with deformation imaging is warranted.

Indexed as

Anabolic Androgenic SteroidsAthletesHeartVentricular Function, LeftEchocardiographyGlobal Longitudinal StrainHeart VentriclesHumansObservational Studies as TopicStroke VolumeAnabolic Androgenic Steroidsanabolic steroidsathletescardiac remodelingechocardiographyglobal longitudinal strain

Identifiers

PMID42672095
PMCPMC13528975

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.