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- Impact of high-performance sport on serum potassium values in athletes: a systematic reviewPublication . Tavares, Ana Sofia; Bellém, Fernando; Vieira, Daniela; Miranda, Vasco; Pires, MarianaPotassium (K+) is a critical alkali metal and the most abundant cation in the body, primarily found inside cells. It's measurable in serum, plasma, whole blood, and urine. During intense exercise, potassium is released from muscles into the bloodstream, with levels related to exercise intensity. Potassium is essential for cell polarization and transmitting electrical impulses in the heart, so fluctuations in serum potassium (hypokalemia or hyperkalemia) can lead to life-threatening arrhythmias and myocardial issues in athletes. Hypokalemia, or low potassium, can cause muscle issues and, in severe cases, cardiorespiratory arrest due to losses through urine, sweat, or the gastrointestinal tract. Hyperkalemia, or high potassium, may result from excessive intake or kidney problems, causing muscle cramps and reduced excitability, affecting athletic performance. Athletes balance fatigue and recovery, with potassium fluctuations being crucial to their limits. The line between beneficial and harmful effects is fine, and maintaining a diet rich in potassium-regulating foods is vital to prevent imbalances. Understanding potassium's role in intense physical activity helps optimize performance and avoid health risks. The main goal of this systematic review is to compare the blood potassium levels obtained before and after training in athletes.
- Impact of non-therapeutic doses of anabolic steroids on glucose and insulin levels in male bodybuilders: systematic reviewPublication . Tavares, Ana Sofia; Ferreira, Bárbara; Leite, Beatriz; Calixto, Carolina; Bellém, FernandoBackground: Anabolic androgenic steroids (AAS) are synthetic compounds with a chemical structure similar to testosterone. Bodybuilders frequently use them to increase muscle mass, and strength, and reduce body fat. However, AAS can also have adverse effects on health, including alterations in glucose and insulin levels. Aims: This systematic literature review aimed to collect and critically analyze studies that describe the impact of AAS use, in non-therapeutic doses, on glucose and insulin levels in male bodybuilders. Method: The PRISMA guidelines were followed, and four articles were included using electronic databases such as PubMed, Scopus, and Web of Science. Results: The analyzed studies present results of insulin and glucose measurements in an interventional group and a control group, showing that AAS can influence these levels. AAS may decrease insulin sensitivity, which can increase the risk of developing type 2 diabetes. Conclusion: Bodybuilders AAS´s users should have professional counseling about the negative health impact of these substances and be subject to regular check-ups to check their health status.