Hyperhomocysteinemia in bodybuilders taking anabolic steroids.

Abstract:

:Background: Hyperhomocysteinemia has been accepted as an independent risk factor for atherosclerosis and atherothrombosis. In recent years, several reports have appeared in the literature linking the use of anabolic steroids with acute vascular events in bodybuilders. In this study, we investigated whether hyperhomocysteinemia could contribute to the high vascular risk in bodybuilders taking anabolic steroids. Methods and results: Twenty-three bodybuilders in different phases of their training cycle and six control athletes participated in our study. Anthropomorphic measures displayed a higher body mass index for bodybuilders in the competition phase than for bodybuilders in the work-out and build-up phases, and for control athletes. Homocysteine levels were 8.7+/-1.6 µmol/l (mean+/-S.D.) in control athletes, 8.5+/-2.8 µmol/l in work-out phase bodybuilders, and 8.3+/-1.5 µmol/l in competition phase bodybuilders, but 11.9+/-3.1 µmol/l in build-up phase bodybuilders (P<0.05 for build-up phase bodybuilders vs. control athletes, work-out phase bodybuilders, and competition phase bodybuilders, respectively). Vitamin B12 and folate levels did not differ significantly between the four groups. Conclusion: Our study shows that intake of anabolic steroids, as used typically by bodybuilders in the build-up phase, induces acute hyperhomocysteinemia and is likely to initiate an additional, potentially atherothrombotic mechanism in this group of athletes.

journal_name

Eur J Intern Med

authors

Ebenbichler CF,Kaser S,Bodner J,Gander R,Lechleitner M,Herold M,Patsch JR

doi

10.1016/s0953-6205(00)00131-x

subject

Has Abstract

pub_date

2001-02-01 00:00:00

pages

43-47

issue

1

eissn

0953-6205

issn

1879-0828

pii

S095362050000131X

journal_volume

12

pub_type

杂志文章
  • Thromboprophylaxis in the oldest old with atrial fibrillation: between Scylla and Charybdis.

    abstract::Within a few decades half of the patients with non-valvular atrial fibrillation (AF) will be older than 80 years. These patients are at particularly high risk of thromboembolism (Scylla) but also of the hemorrhagic complications of thromboprophylaxis (Charybdis). A frequent compromise is to use as antithrombotic agent...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ejim.2013.02.001

    authors: Mannucci PM

    更新日期:2013-06-01 00:00:00

  • Descriptive epidemiology of chronic hepatitis B by using data from a hepatitis registry in Central Greece.

    abstract:BACKGROUND:In Greece, there are few data on the epidemiological characteristics of HBV. Our aim was to study the epidemiological patterns of HBV in Central Greece and identify the possible differences in HBV prevalence (clusters) among areas inside this region using data from the hepatitis registry. METHODS:The study ...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2008.04.023

    authors: Stefos A,Gatselis N,Zachou K,Rigopoulou E,Hadjichristodoulou C,Dalekos GN

    更新日期:2009-01-01 00:00:00

  • Resistant hypertension in visceral obesity.

    abstract:BACKGROUND:Visceral obesity increases the risk of arterial hypertension (78% of cases of hypertension in men and 65% of cases in women). The aim of the study is to assess the role of visceral obesity in causing resistant hypertension (RH). METHODS:The survey was performed on 5065 hypertensive patients with visceral ob...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2012.04.012

    authors: Holecki M,Duława J,Chudek J

    更新日期:2012-10-01 00:00:00

  • The Diagnosis of Acute Myocarditis in Emergency (DAME) score: improving diagnostics within the emergency department.

    abstract:PURPOSE:. The final diagnosis of myocarditis is challenging. The aim of our study was to provide the D.A.M.E. (Diagnosis of Acute Myocarditis in Emergency) Score for the fast identification of patients suffering from myocarditis at Emergency Department (ED). METHODS:. This was a multicenter, retrospective study involv...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2021.01.011

    authors: Scicchitano P,Grazioli Gauthier L,D'Agostino C,Caldarola P,Solarino B,Massari F,Chiarella F,Sinagra G,Manca F,Ciccone MM

    更新日期:2021-01-24 00:00:00

  • Trends in hospitalizations for community-acquired pneumonia in Spain: 2004 to 2013.

    abstract:AIM:To describe trends in the incidence and outcomes of community-acquired pneumonia (CAP) hospitalizations in Spain (2004-2013). METHODS:We used national hospital discharge data to select all hospital admissions for CAP as primary diagnosis. We analyzed incidence, Charlson comorbidity index (CCI), diagnostic and ther...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.ejim.2016.12.010

    authors: de Miguel-Díez J,Jiménez-García R,Hernández-Barrera V,Jiménez-Trujillo I,de Miguel-Yanes JM,Méndez-Bailón M,López-de-Andrés A

    更新日期:2017-05-01 00:00:00

  • Atherogen lipid profile in HIV-1-infected patients with lipodystrophy syndrome.

    abstract::Background: Cases of lipodystrophy syndrome and metabolic disorders have been described since the onset of highly active antiretroviral therapy in HIV-infected patients. The aim of our study was to estimate the prevalence of lipodystrophy (LD) and to define the associated lipid profile of these patients. Methods: The ...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/s0953-6205(00)00103-5

    authors: Mercié P,Tchamgoué S,Thiébaut R,Viallard J,Faure I I,Dancourt V V,Marimoutou C,Dabis F,Rispal P,Darmon Y,Leng B,Pellegrin J

    更新日期:2000-10-01 00:00:00

  • Predictors of mortality within three months in the patients with malignant pleural effusion.

    abstract:BACKGROUND:Malignant pleural effusion (MPE) has a limited life expectancy (3-12 months). We investigated the predictors of the early mortality (EM) within three months. METHODS:The patients were retrospectively grouped according to the death within three months (Group I) and survival more than three months (Group II)....

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2009.09.012

    authors: Ozyurtkan MO,Balci AE,Cakmak M

    更新日期:2010-02-01 00:00:00

  • Prediction of prognosis to lamivudine in patients with spontaneous reactivation of hepatitis B virus-related acute-on-chronic liver failure: using virologic response at week 4.

    abstract:BACKGROUND/AIMS:Current results had demonstrated lamivudine (LAM) contributed to improve liver function and short-term prognosis in patients with hepatitis B virus-related acute-on-chronic liver failure (ACLF), but data concerning the outcome of long-term prognosis are limited. Our objective was to explore the predicti...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2014.10.007

    authors: Xiang-Hui Y,Lang X,Yan Z,Li Z,Xiao-Feng S,Hong R

    更新日期:2014-11-01 00:00:00

  • Knowledge of the diagnostic algorithm for pulmonary embolism in primary care.

    abstract:BACKGROUND:Diagnostic algorithms for pulmonary embolism (PE) have been validated in patients attending hospital emergency departments. However, general practitioners (GPs) are often the professionals of first resort for the majority of non-critical cases of PE. AIM:To evaluate the knowledge of the diagnostic algorithm...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2014.11.005

    authors: Planquette B,Maurice D,Peron J,Mourin G,Ferre A,Sanchez O,Meyer G

    更新日期:2015-01-01 00:00:00

  • Granulomatous lesions in bone marrow: clinicopathologic findings and significance in a study of 48 cases.

    abstract:PURPOSE:Granulomas in bone marrow are an infrequent finding related to various disorders. The aim of this study was to review our clinical experience with granulomatous bone marrow disease and to describe the contributions of recent diagnostic tools, such as (18)F-Fluorodeoxyglucose positron emission tomography ((18)F-...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2012.11.008

    authors: Brackers de Hugo L,Ffrench M,Broussolle C,Sève P

    更新日期:2013-07-01 00:00:00

  • Severity of coronary artery disease is an independent risk factor for decline in kidney function.

    abstract:BACKGROUND AND AIM:Chronic kidney disease (CKD) and cardiovascular disease are closely interrelated and the presence of one condition synergistically affects the prognosis of the other, in a negative manner. There are surprisingly very few data on the relationship between baseline coronary artery disease (CAD) severity...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2016.06.031

    authors: Turak O,Afsar B,Siriopol D,Yayla C,Oksuz F,Cagli K,Burlacu A,Covic A,Kanbay M

    更新日期:2016-09-01 00:00:00

  • Comparison of demographic and clinical characteristics of patients with early vs. adult vs. late onset ulcerative colitis.

    abstract:BACKGROUND & AIMS:There is limited data comparing influence of age on the presentation, clinical course, and therapeutic response of patients with ulcerative colitis. We aimed to compare the demographic and clinical characteristics of patients diagnosed with UC in older age vs. adulthood vs. early age. METHODS:Five-hu...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2012.12.014

    authors: Kalkan IH,Dağli U,Oztaş E,Tunç B,Ulker A

    更新日期:2013-04-01 00:00:00

  • Thromboembolic renal infarction due to a renal artery aneurysm in a patient with Ehlers-Danlos syndrome type IV.

    abstract::Type IV Ehlers-Danlos syndrome (EDS) is the only lethal form of EDS, mostly due to vascular complications. We describe a patient suffering from EDS type IV who presented with right thromboembolic renal infarctions due to a right renal artery aneurysm. We preferred observation to anticoagulation therapy because the thr...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2006.02.008

    authors: Yigal A,Tal H,Nurit H,Tova CS,Hershcovici T

    更新日期:2006-08-01 00:00:00

  • Clinical practice guidelines adaptation for internists - An EFIM methodology.

    abstract::The rising number of clinical guidelines poses a new challenge to the internists. The main problems are: 1) available documents suffer from heterogeneous methodological quality, and 2) most of clinical guidelines target an 'ideal' patient affected by a single condition, while in real practice internists must face with...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2020.05.016

    authors: Leśniak W,Morbidoni L,Dicker D,Marín-León I,EFIM.

    更新日期:2020-07-01 00:00:00

  • Occult nasal sinus tumours causing oncogenic osteomalacia.

    abstract::Oncogenic osteomalacia (OOM) is a rare but curable cause of metabolic bone disease. We report 9 patients with OOM, including 2 patients with occult nasal sinus tumours and 1 in whom a progressive increase in the post-operative FGF23 level heralded the development of metastatic pulmonary disease. The median duration of...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2008.01.011

    authors: Kenealy H,Holdaway I,Grey A

    更新日期:2008-11-01 00:00:00

  • Good adherence to therapy with statins reduces the risk of adverse clinical outcomes even among very elderly. Evidence from an Italian real-life investigation.

    abstract:AIM:To assess whether in individuals aged 80years or older adherence to statins is accompanied by a reduced risk of all-cause mortality and major cardiovascular events. METHODS:A nested case-control study was carried out on a cohort of patients aged 80years or older (very elderly individuals), who were under treatment...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2017.09.023

    authors: Corrao G,Monzio Compagnoni M,Franchi M,Cantarutti A,Pugni P,Merlino L,Catapano AL,Mancia G

    更新日期:2018-01-01 00:00:00

  • Reducing the risk of hospital admission: a call to action from the Italian Society of Internal Medicine.

    abstract::The belief that hospital stays may constitute per se a risk for patients is not widespread among patients and health care professionals. In the balance between advantages and disadvantages of admission, we rarely take into account the impact of the hospital stay itself on the well-being of the patient. In a society th...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2015.06.003

    authors: Sbrojavacca R,Pietrangelo A,Fenoglio L,Violi F,Perticone F,Corazza GR

    更新日期:2015-09-01 00:00:00

  • The effect of fatty pancreas on serum glucose parameters in patients with nonalcoholic steatohepatitis.

    abstract:OBJECTIVE:Fatty pancreas (FP) is related to obesity, and may have some clinical implications on glucose metabolism. The frequency and importance of FP in patients with nonalcoholic steatohepatitis (NASH) are not clear. This study aimed to investigate: the frequency of FP in patients with NASH, and its effects on serum ...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2014.11.007

    authors: Uygun A,Kadayifci A,Demirci H,Saglam M,Sakin YS,Ozturk K,Polat Z,Karslioglu Y,Bolu E

    更新日期:2015-01-01 00:00:00

  • Aspiration pneumonia in old patients with dementia. Prognostic factors of mortality.

    abstract:BACKGROUND:Prognostic factors of mortality in elderly patients with dementia with aspiration pneumonia (AP) are scarcely known. We determined the mortality rate and prognostic factors in old patients with dementia hospitalized due to AP. METHODS:We prospectively studied 120 consecutive patients aged ≥ 75 years with de...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2012.08.006

    authors: Bosch X,Formiga F,Cuerpo S,Torres B,Rosón B,López-Soto A

    更新日期:2012-12-01 00:00:00

  • Impact of periodontal treatment on hospitalization for adverse respiratory events in asthmatic adults: A propensity-matched cohort study.

    abstract:BACKGROUND:Periodontal disease is prevalent in asthmatics, but it is unclear whether periodontal treatment plays a role in adverse respiratory events in these patients. We evaluated risk of hospitalization for adverse respiratory events (acute exacerbation, pneumonia, and acute respiratory failure) and mortality in ast...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2017.06.005

    authors: Shen TC,Chang PY,Lin CL,Wei CC,Tu CY,Hsia TC,Shih CM,Hsu WH,Sung FC,Kao CH

    更新日期:2017-12-01 00:00:00

  • Clinical characteristics and prognostic significance of serum albumin changes in an internal medicine ward.

    abstract:BACKGROUND:The prognostic significance of hypoalbuminemia and the dynamic changes in serum albumin during hospitalization in internal medicine wards has not been sufficiently investigated. METHODS:Demographic, clinical and laboratory data were collected from 276 patients admitted to our internal medicine ward for a va...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2013.08.004

    authors: Barchel D,Almoznino-Sarafian D,Shteinshnaider M,Tzur I,Cohen N,Gorelik O

    更新日期:2013-12-01 00:00:00

  • Clinicopathologic features and outcomes of neuro-Behçet disease in Spain: a study of 20 patients.

    abstract:BACKGROUND:To describe the clinical characteristics and evolution of a series of adult patients hospitalized for neuro-Behçet disease (NBD). METHODS:Consecutive patients admitted for NBD in a teaching hospital were retrospectively selected. Disability at discharge and during follow-up was graded with the modified Rank...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2010.08.003

    authors: Riera-Mestre A,Martínez-Yelamos S,Martínez-Yelamos A,Ferrer I,Pujol R,Vidaller A

    更新日期:2010-12-01 00:00:00

  • Renin-angiotensin system inhibitors reduce the progression of mesangioproliferative glomerulonephritis: 10 year follow-up.

    abstract:BACKGROUND:Proteinuria is a common presentation of mesangioproliferative glomerulonephritis (MsPGN). No studies are available on the long-term effect of treatment by renin-angiotensin system (RAS) inhibitors on renal outcome in MsPGN patients. This study prospectively evaluates the effects of RAS inhibitors on renal ou...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2011.08.021

    authors: Presta P,Minutolo R,Iodice C,Comi N,Casoria V,Fuiano L,Caglioti C,Conte G,Fuiano G

    更新日期:2011-12-01 00:00:00

  • Reported parental age of death in type 2 diabetic patients with and without established diabetic nephropathy.

    abstract:BACKGROUND:Diabetic patients with renal disease have increased mortality, largely from cardiovascular disease. This could be related to insulin resistance or to other inherited factors. The aim of the present study was to investigate whether there is evidence of the familial aggregation of increased mortality, even in ...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2005.07.005

    authors: Fava S,Hattersley AT

    更新日期:2005-11-01 00:00:00

  • Deprescribing: A narrative review of the evidence and practical recommendations for recognizing opportunities and taking action.

    abstract::Deprescribing can be defined as the process of withdrawal or dose reduction of medications which are considered inappropriate in an individual. The aim of this narrative review is to provide an overview of "deprescribing"; firstly discussing the potential benefits and harms followed by the barriers to and enablers of ...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ejim.2016.12.021

    authors: Reeve E,Thompson W,Farrell B

    更新日期:2017-03-01 00:00:00

  • Extrapulmonary tuberculosis: 7 year-experience of a tertiary center in Istanbul.

    abstract:BACKGROUND:Although a decreasing trend of tuberculosis (TB) was reported in Turkey, higher proportion of extrapulmonary tuberculosis (EPT) was revealed. MATERIAL AND METHODS:In this retrospective study, clinical and laboratory data of 141 EPT patients were evaluated for a seven-year period by using descriptive statist...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2013.08.704

    authors: Sevgi DY,Derin O,Alpay AS,Gündüz A,Konuklar AS,Bayraktar B,Bulut E,Uzun N,Sonmez E

    更新日期:2013-12-01 00:00:00

  • Patients' characteristics associated with the decision of "do not attempt cardiopulmonary resuscitation" order in a Swiss hospital.

    abstract:BACKGROUND:According to Swiss legislation, do not attempt cardiopulmonary resuscitation (DNACPR) order can be made at any time by patients only, unless the resuscitation is considered as futile, based on the doctors' evaluation. Little is known about how this decision is made, and which are the factors influencing this...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2015.04.003

    authors: Chevaux F,Gagliano M,Waeber G,Marques-Vidal P,Schwab M

    更新日期:2015-06-01 00:00:00

  • Esophageal perforation caused by an indwelling central venous catheter.

    abstract::A 59 year old lady had just completed renal dialysis via a central venous catheter when she developed severe chest pain. She subsequently has severe haematemesis and emergency endoscopy showed a lesion in her esophagus consistent with the tip of her venous catheter, and extensive bleeding from the lesion. A chest X-ra...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2007.07.004

    authors: Lum Hee N,Farfan G

    更新日期:2008-07-01 00:00:00

  • Diffuse large B-cell lymphoma in elderly patients: a retrospective analysis.

    abstract:BACKGROUND:Few data on patterns of care and outcomes are available for elderly patients with diffuse large B-cell lymphoma (DLBCL) outside of clinical trials. METHODS:We identified patients with DLBCL older than 60 years from a regional cancer registry between 2000 and 2010. Based on registry data and chart review, 12...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2014.05.001

    authors: Diem S,Ess S,Cerny T,Früh M,Hitz F

    更新日期:2014-07-01 00:00:00

  • Historical study of acute hepatitis B in subjects with or without hepatitis C infection.

    abstract:BACKGROUND:The epidemiological pattern of hepatitis B virus infection in Italy has greatly changed over the past decades. The aim of the study was to evaluate during time the epidemiological features of acute hepatitis B cases referred to an Infectious Disease Unit in North-East of Italy between 1978 and 1995. PATIENT...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2012.03.007

    authors: Stroffolini T,Rapicetta M,Lombardo F,Chionne P,Madonna E,Candido A,Taffon S,Rinaldi R,Ermg E,Bortolotti F

    更新日期:2012-09-01 00:00:00