Table 3

APED use of competitive bodybuilders versus recreational strength trainers

Characteristics*CompetitiveRecreationalOR (95% CI)P value
(n=96)(n=888)
Lifetime reported use of
 Insulin14 (14.5%)21 (2.36%)9.9 (4.7 to 21.1)<0.001
 Human growth hormone12 (12.5%)56 (6.3%)3.2 (1.6 to 6.6)<0.001
 Insulin-like growth factor-113 (13.5%)27 (3.04%)7.6 (3.6 to 16.1)<0.001
 Clenbuterol37 (38.5%)119 (13.4%)5.4 (3.3 to 8.8)<0.001
 Tri-iodothyronine†26 (27.1%)74 (8.33%)6.4 (3.6 to 11.2)<0.001
 Diuretics‡5 (5.2%)12 (1.35%)5.6 (1.8 to 16.8)0.002
Spent more than $1000 annually on drugs and supplements38 (39.6%)192 (21.6%)3.0 (1.8 to 4.8)<0.001
  • *Data are reported as mean (SD) or n (%) as appropriate.

  • †Data missing on four recreationals and one competitor.

  • ‡Acetazolamide, furosemide, spironolactone and/or hydrochlorothiazide.

  • APED, appearance-enhancing and performance-enhancing drug.