Category Archives: E119 Student Blogs

Image and Performance Enhancing Drugs – How the Desire of Creating the ‘Perfect’ Body Can Cost Your Health

By OUbloggers – Emmanouil Mandalakis, Selysia Lewis, Gabriele Leo and Sam Herd (E119 2018J Students)


This blog was written as part of a collaborative team work task by students studying E119. They had to select a topic and then decide on what roles each person would perform in the team, such as researcher, writer, editor and leader. This blog was chosen as one of the four best blogs from around 80 blogs that were produced.


The development of new technology, such as the internet, in which everyone can upload their body transformation videos, can create feelings of admiration as well as a sense of jealousy. This is particularly common in young men who have a strong desire of building a big lean body like those shown on social media.

Often, the first question that comes to mind of young men on their smartphones is whether or not they can achieve a physique like someone’s on social media, and how quickly a body like this can be achieved.

Interestingly, it is becoming increasingly common when as health and fitness practitioners you must convince young trainees that an aesthetical physique requires patience and long-term consistency; building towards health and beauty should be a gradual process. Laidler (2017), an experienced personal trainer, comprehensively explains in The Telegraph newspaper that factors such as patience, commitment, a healthy diet and specific training programmes, as well as sufficient rest and sleep, will all contribute to the handsome body one desires.

However, in a world in which everything is being created at a rapid pace and everyone is rushing to exhibit their achievements, a quick body transformation is demanded to make one feel proficient and competent, as well as to show it off in their social environment! Someone who begins a hypertrophy programme to build the physique they dream of, or more specifically the ‘perfect’ body they have seen on social media, will soon find out the harsh reality; that is, the body does not change as rapidly as many people advertise. Besides, if it was so simple for us all to get big and lean, then there would be a significantly greater number of young men with the body they desire. On the contrary, if you take a walk around the majority of gyms, you will soon discover that a massive and ‘shredded’ body it is no easy feat. Most individuals cannot naturally reach extremely high muscle mass levels along with very low body fat, with the exception of some individuals who are favored by their genetics, and even this is only up to a certain threshold (Morgan, 2015).

Nevertheless, on the subject of improving self-image in gyms, the argument seems to almost always be the same: ‘how are those two guys in the gym I have been training bigger and leaner than the others? I want to be like them’. If you are constantly asking for an answer, another coach will appear from nowhere and offer you the opportunity to achieve the body you have dreamt of. They will claim they can transform you into a bigger and leaner version of yourself (Krahn, 2009).

With the hope for positive and immediate results but a false sense of body image (Jones, 2016), you suddenly find yourself becoming victim to the IPEDs (Image and Performance Enhancing Drugs) world. (Mandalakis, 2019)

‘Up to a million Britons use steroids for looks not sport’ (The Guardian, 2018). Public health experts have stated that in order to change the way they look, up to 1 million people in the UK are taking anabolic steroids and other IPEDs. Ranging from teenagers seeking the perfect physic and elderly men hoping to hold onto their youthfulness. Anabolic steroids are the biggest group of IPEDs. They are a group of hormones which occur naturally in the body and are responsible for growth, physical development and functioning of reproductive organs. Some athletes abuse anabolic steroids to help them perform better as steroids build muscle and improve athletic performance.

In a Public Health Institute study, more than half of the respondents said that the development of body image was their motivation for using IPEDs. Those who took part ranged from 17-74 years of age, resulting in the average person likely to take IPEDs to be a white male in their 30s (The Guardian, 2018).

Image and performance enhancing drugs can cause numerous health issues; including both physical and mental side effects. For example, IPEDs can cause cardiovascular diseases and permanent disruption of normal sexual function as a result of long-term use (Pope et al., 2014). Some IPEDs are taken by injecting which can cause soft tissue injury and localised infections. Furthermore, sharing injecting equipment can spread HIV, hepatitis C and other infections. In a 2013 study, 8.9% of IPED users stated that they had shared injecting equipment. As a result, it was discovered that 1.5% of IPED injectors across England and Wales were HIV positive, and a further 8% infected by hepatitis B and 5% by hepatitis C (Hope et al., 2013).

Additionally, the main risks of steroids include stunted growth in young people and hypertension; steroids encourage the retention of water in the body and thus raise blood pressure. DrugWise (2017) also states that steroids can cause irreversible changes in the female body including the risk of developing ‘male’ features such as decreased breast size, facial and body hair, and deepening of the voice.

The IPEDs world is a dangerous one… Your health should always come first.

References:
BBC (2017) Main Motivation for Steroid Use ‘to enhance image’ [Online\. Available at https://www.bbc.co.uk/news/uk-wales-41984527 (Accessed 22 January 2019).

DrugWise (2017) Performance and Image Enhancing Drugs (PIEDs) [Online]. Available at https://www.drugwise.org.uk/performance-and-image-enhancing-drugs-pieds/ (Accessed 22 January 2019).

The Guardian (2018) Up to a Million Britons Use Steroids For Looks Not Sport [Online]. Available at https://www.theguardian.com/society/2018/jan/21/up-to-a-million-britons-use-steroids-for-looks-not-sport (Accessed 22 January 2019).

Hope, V. D., McVeigh, J., Marongiu, A., Evans-Brown, M., Smith, J., Kimergård, A., Croxford, S., Beynon, C. M., Parry, J. V., Bellis, M. A. and Ncube, F. (2013) ‘Prevalence of, and risk factors for, HIV, hepatitis B and C infections among men who inject image and performance enhancing drugs: a cross-sectional study’, BMJ Open, vol. 3, no. 9 [Online]. Available at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3773656/ (Accessed 22 January 2019).

Jones, H. (2016) Steroid Use in the UK: What You Need to Know, ITV [Online]. Available at https://www.itv.com/goodmorningbritain/news/spencer-matthews-investigates-britains-steroid-epidemic-for-gmb (Accessed 16 January 2019).

Krahn, B. (2009) The Drug Coach [Online]. Available at https://www.t-nation.com/pharma/drug-coach (Accessed 23 January 2019).

Laidler, S. (2017) How to Build Muscle: A Complete Guide to Making a Bigger, Stronger You [Online]. Available at https://www.telegraph.co.uk/health-fitness/body/build-muscle-complete-guide-making-bigger-stronger/ (Accessed 16 January 2019).

Morgan, A. (2015) Maximum Genetic Muscular Potential – The Models and their Limitations [Online]. Available at https://rippedbody.com/maximum-muscular-potential/ (Accessed 16 January 2019).

Pope, H.G. Jr., Wood R.I., Rogol, A., Nyberg, F., Bowers, L. and Bhasin, S. (2014) ‘Adverse health consequences of performance enhancing drugs: An Endocrine Society Scientific statement’, Endocrine Reviews, vol. 35, no. 3, pp. 341-375 [Online]. Available at https://www.ncbi.nlm.nih.gov/pubmed/24423981 (Accessed 22 January 2019).

How can schools make sport the foundation of culture and society?

By Russell Dyas, Dean Ellis, Emma Hardwicke and Kevin Smith (E119 18J Students)


This blog was written as part of a collaborative team work task by students studying E119. They had to select a topic and then decide on what roles each person would perform in the team, such as researcher, writer, editor and leader. This blog was chosen as one of the four best blogs from around 80 blogs that were produced.


Research acknowledges the benefits of physical education and sport (PES) for all generations through participation in a wide range of activities. Although it is admirable that those from any generation turn to physical activity to improve their quality of life, there is greater value to the societies of tomorrow that we positively discriminate in supporting the children and youth of today.

Talbot (2001) cited in Bailey (2006, p.397) claims that ‘physical education helps children to develop respect for the body – their own and others, contributes toward the integrated development of mind and body, develops an understanding of the role of aerobic and anaerobic physical activity in health, positively enhances self-confidence and self-esteem, and enhances social and cognitive development and academic achievement.’

The mental health charity ‘Mind’ (2016) has reiterated the importance of being active from an early age and maintaining this throughout life. Some of the key mental health benefits from regular exercise and sport include:

  • Increased self-esteem – Increased confidence not only in a sporting environment but in everyday life. Glenn (2003) describes healthy self-esteem as a realistic, appreciative opinion of oneself.
  • Reduced feelings of stress – Exercise and physical activity helps control the body’s cortisol levels; elevated cortisol levels can increase the chance of heart disease and high blood pressure, and can affect our learning (Christopher, 2013).
  • Reduced risk of depression – One study has found that increasing activity levels – from doing nothing to exercising at least three times a week – will reduce the risk of depression by almost 20% (Mind, 2016).

Obesity amongst primary school aged children is now at an all-time high of 1 child in 3. This means that there needs to be more of an emphasis on exercise and sport activities in schools (Jenkin, 2015).

Oasis Academy Blakenhale Infants’ School introduced a fitness programme called ‘Fit4Schools’, to increase the pupils’ physical health and mental alertness (Hood-Truman, 2015). A teacher at the school explained that ‘our key stage 1 results changed dramatically this year. That is not only down to good teaching but also because we’ve created a really positive learning environment that incorporates physical activity.’

Stephen Roberts, the Managing Director of Fit4Schools, recommends the form of exercise being a 20 second warm-up, then a 20-40 second intense activity followed by a cooldown period, so this could mean jumping on the spot or coordination and balance work (Jenkin, 2015).

There are also behaviour benefits that can stem from being physically active, as Keith Barton from the Youth Trust explains: ‘The thing that leads to poor behaviour is kids not feeling any ownership of what they are doing and not feeling a part of anything. Sport can really help people to feel like part of a team’ (Jenkin, 2015).

Regarding participation in sport and exercise, a recent survey (Sport England, 2018) demonstrates a bottom-up PES position of 130,000 active 5-16-year olds between September 2017 and July 2018. A survey described as ‘phase 1’ by Sport England (2018) ‘specifically focuses on behaviours.’ The survey data highlights that 17.5% of the sample size were active for over 60 minutes every day, thus meeting the Chief Medical Officer’s guidelines on PES participation. Promisingly, 25.7% and 23.9% were involved in PES for an average of over 60 minutes (but not every day) and 30-59 minutes daily respectively.

Sport England (2018) proffers that ‘… attitudes towards sport and physical activity are often shaped by experiences in childhood attitudes towards sport.’ With this and the current statistics in mind, should society today direct the dispersal of ‘limited funding’ towards radically reshaping a culture of acceptance in the participation in PES? Specifically, should the funding for schools be ‘ring-fenced’ for PES, as opposed to that for academia? There are various influences on participation, whereby schools – moreover, a collective of highly trained experts – can be the ‘hub,’ ensuring inclusion of all levels of ability and interest.

To that end, a cross-functional team of experts (sports scientists, nutritionists, physios, coaches etc.) can be employed/deployed at countrywide ‘hubs’ to assess the ability of the children in a catchment area and guide them into participation based on their personal needs. The funding should come from Government and private sources (where appropriate) as a projected offset to the billions spent in the NHS on conditions related to non-participation in PES from an early age.

The position of sport in schools is often influenced by the perception of its importance. Sir Michael Wilshaw, an OFSTED Chief Inspector, describes how head teachers commonly view PE as an ‘optional extra’ (Paton, 2014). Attendance at the ‘hub’ should be part of the national curriculum, thus proactively focusing on sport.

This positivity towards sporting activity in schools, especially primary schools, is not only critical to positive mental health and wellbeing but also to the success of a country’s elite programme. The long-term athlete development model (Istvan el al, 2013) is used by numerous different sports organisations as a fundamental building block for sports development. A critical stage of the model is the FUNdamental stage. This is especially true in late specialisation sports such as athletics, combative sports, rowing and team sports (Balyi, N.D). This stage is often developed between the ages of 6 and 10 years, with schools providing an essential role. If a school has a negative view of sporting activity, this may pass on to the young people.

If sport is to become the foundation of culture and society and reap the benefits of better physical and mental health, and the benefit of providing the next generation of elite athletes, we must empower the next generation by using schools’ systems to provide a positive outlook on sports to young people. This will also provide infrastructure for country wide ‘hubs’ to provide a stepping stone between schools and ‘centres of excellence.

Reference List
Balyi, I, Way, R and Higgs, C. (2013) Long-Term Athlete Development, Champaign, IL, Human Kinetics.

Balyi, I. (n.d) FHS [Online]. Available at https://www.activeoxfordshire.org/uploads/long-term-athlete-development-article.pdf (Accessed 29th January 2019).

Bailey, R. (2006). ‘Physical Education and Sport in Schools: A Review of Benefits and Outcomes’. Journal of School Health October 2006, Vol. 76, No.8 d 2006, American School Health Association

Christopher, B. (2013) Psychology Today [Online]. Available at https://www.psychologytoday.com/gb/blog/the-athletes-way/201301/cortisol-why-the-stress-hormone-is-public-enemy-no-1 (Accessed 29th January 2019).

Glenn, S. (202) The Self-Esteem Workbook, Oakland, CA, New Harbinger.

Jenkin, M. (2015) ‘Fit for Learning’ [online] available at: theguardian.com [27th January 2019]

Mind (2016), Mind How to improve your wellbeing through physical activity and sport [Online]. Available at https://www.mind.org.uk/media/2976123/how-to-improve-your-wellbeing-through-physical-activity-and-sport.pdf (Accessed 29th January 2019).

Paton, G. (2014) ‘Ofsted: state school pupils ‘under-represented’ in top sport’, The Telegraph, [Online]. Available at https://www.telegraph.co.uk/education/educationnews/10912704/Ofsted-state-school-pupils-under-represented-in-top-sport.html (Accessed 29th January 2019).

Sport England (2018). ‘Active lives children and young people survey academic year 2017/18’.

Talbot M. (2001). ‘The case for physical education’. In: Doll-Tepper G, Scoretz D, eds. World Summit on Physical Education. Berlin, Germany: ICSSPE; 2001:39-50.