Br J Sports Med. 2004 Jun;38(3):253-9.
Effects of androgenic-anabolic steroids on apolipoproteins and lipoprotein (a).
Hartgens F, Rietjens G, Keizer HA, Kuipers H, Wolffenbuttel BH.
Netherlands Centre for Doping Affairs, Capelle aan den IJssel, The Netherlands.
fhartgens@home.nl
OBJECTIVES: To investigate the effects of two different regimens of androgenic-anabolic steroid (AAS) administration on serum lipid and lipoproteins, and recovery of these variables after drug cessation, as indicators of the risk for cardiovascular disease in healthy male strength athletes. METHODS: In a non-blinded study (study 1) serum lipoproteins and lipids were assessed in 19 subjects who self administered AASs for eight or 14 weeks, and in 16 non-using volunteers. In a randomised double blind, placebo controlled design, the effects of intramuscular administration of nandrolone decanoate (200 mg/week) for eight weeks on the same variables in 16 bodybuilders were studied (study 2). Fasting serum concentrations of total cholesterol, triglycerides, HDL-cholesterol (HDL-C), HDL2-cholesterol (HDL2-C), HDL3-cholesterol (HDL3-C), apolipoprotein A1 (Apo-A1), apolipoprotein B (Apo-B), and lipoprotein (a) (Lp(a)) were determined. RESULTS: In study 1 Anabolic Androgenic Steroids (AAS) administration led to decreases in serum concentrations of HDL-C (from 1.08 (0.30) to 0.43 (0.22) mmol/l), HDL2-C (from 0.21 (0.18) to 0.05 (0.03) mmol/l), HDL3-C (from 0.87 (0.24) to 0.40 (0.20) mmol/l, and Apo-A1 (from 1.41 (0.27) to 0.71 (0.34) g/l), whereas Apo-B increased from 0.96 (0.13) to 1.32 (0.28) g/l. Serum Lp(a) declined from 189 (315) to 32 (63) U/l. Total cholesterol and triglycerides did not change significantly. Alterations after eight and 14 weeks of Anabolic Androgenic Steroids (AAS) administration were comparable. No changes occurred in the controls. Six weeks after Anabolic Androgenic Steroids (AAS) cessation, serum HDL-C, HDL2-C, Apo-A1, Apo-B, and Lp(a) had still not returned to baseline concentrations. Administration of Anabolic Androgenic Steroids (AAS) for 14 weeks was associated with slower recovery to pretreatment concentrations than administration for eight weeks. In study 2, nandrolone decanoate did not influence serum triglycerides, total cholesterol, HDL-C, HDL2-C, HDL3-C, Apo-A1, and Apo-B concentrations after four and eight weeks of intervention, nor six weeks after withdrawal. However, Lp(a) concentrations decreased significantly from 103 (68) to 65 (44) U/l in the nandrolone decanoate group, and in the placebo group a smaller reduction from 245 (245) to 201 (194) U/l was observed. Six weeks after the intervention period, Lp(a) concentrations had returned to baseline values in both groups.
CONCLUSIONS: Self administration of several AASs simultaneously for eight or 14 weeks produces comparable profound unfavorable effects on lipids and lipoproteins, leading to an increased atherogenic lipid profile, despite a beneficial effect on Lp(a) concentration. The changes persist after Anabolic Androgenic Steroids (AAS) withdrawal, and normalization depends on the duration of the drug abuse. Eight weeks of administration of nandrolone decanoate does not affect lipid and lipoprotein concentrations, although it may selectively reduce Lp(a) concentrations. The effect of this on atherogenesis remains to be established.
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DocJ’s Take: I didn’t see any record of what the “self administered” Anabolic Androgenic Steroids (AAS) subjects were actually taking which puts us at a slight disadvantage. Lp(a) is a very important marker in lipid profiles that is a strong indicator of how susceptible someone is to unfavorable lipid profiles. The fact that the self admin group had a crappy lipid profile but an improvement in Lp(a) is intriguing. It makes finding out what they were taking in their cycles even more important. The results from the nandrolone group aren’t surprising. The dose was low and nandrolone is a relatively safe Anabolic Androgenic Steroids (AAS) to begin with. It’s important to note that after 6 weeks the Lp(a) concentrations were back to normal which fall in line with the fact that negative effects from Anabolic Androgenic Steroids (AAS) do dissipate fairly quickly after cessation.