ATOD Lesson 1 9.ATOD.1 Understand the health risks associated with alcohol, tobacco and other drugs 9.ATOD 1.1 Explain the short term and long term effects of performance enhancing drugs on health and eligibility to participate in sports

Warm Up Create a new table of contents Unit 3 ATOD

Warm Up: Why might teens take performance enhancing drugs? Page 1: Rank in the order the reason teens might experiment with drugs- write down the reasons, then place a number 1-6 from most to least likely reason Desire to gain muscle mass or strength Pressure from others to gain weight or muscle To win at all costs To overcome negative body image To become competitive in a sport or competition Belief that “everyone else is doing it”

Statement of Objectives By the end of the day, you will be able to recognize and analyze motives for steroid use and describe the consequences associated with the behavior

An American Tragedy: Performance Enhancing Drug Use

Teenagers are the populations at highest risk for steroid abuse. Perception that it will enhance performance or body appearance Both males and females use steroids and 1/3 of these teen users are not athletes Often use steroids in combination with other drugs Without a prescription, it is illegal

Anabolic Steroids Anabolic steroids are synthetically produced variants of the naturally occurring male hormone testosterone Both males and females have testosterone produced in their bodies: males in the testes, and females in the ovaries and other tissues. The full name for this class of drugs is androgenic (promoting masculine characteristics) anabolic (tissue building) steroids (the class of drugs).

Anabolic Steroids Chemically related to the male hormone, testosterone They are illegally used to boost muscle size and strength and to raise tolerance to pain Usually taken without medical supervision, often in mega doses Once often viewed as a problem strictly associated with professional athletes, it is more prevalent in today’s society with teenagers Taken orally or injected Injected steroids: Use shared needles

Methods Stacking: Combination of multiple types of steroids, taking two or more and mixing oral and an injectable for example Cycling: Involves taking multiple doses of steroids over a specific period of time, stopping for a period, and starting again.

Methods Pyramiding: Used over a 6-12 week period, increasing the number of drugs used at one time, reaching a peak at mid cycle, and then gradually tapering off

Consequences Men: enlarged breasts, sterility, impotence (weakness), atrophy (gradual loss) of testicles Women: irreversible masculinization, lower voices, growth of body and facial hair, shrinkage of breasts, interruption of menstrual cycle Damage liver and heart and raise blood pressure to dangerously high levels Alter appearance by enlarging hands and feet and cause growth plates in long bones of body to close prematurely resulting in stunted growth

Consequences con’t Not just physical effects- also changes the user mentally Severe mood swings, anxiety, panic, sleeplessness More aggression than normal Roid Rage: Temper tantrums and when the user loses control and may harm others or themselves: also known as steroid psychosis At risk for HIV, Hepatitis B, or other blood borne illnesses if using non-sterile shared needles

Guided Practice: Venn Diagram What motivates young people to use steroids? Now, determine which risks of taking steroids belong in each chart (male, female, both) You can make either a Venn Diagram or a chart with 3 columns

Risks of Steroids- Place in Chart Increases blood cholesterol Deeper voices Water retention and bloating Increases risk for heart attack and stroke Increases liver disorders Increased irritability Major depression Stunted growth Violent mood swings Overgrowth of skull and facial bones HIV or Hepatitis B infection Aggressive behavior Frequent, painful urination Nausea, vomiting Prostate enlargement Frequent, prolonged headaches Bad breath Yellow staining of eyes Changes in genitalia Excess body hair Infertility Pattern baldness Increased acne Loss of appetite Breast enlargement Breast reduction

Male and Female Pictures See attached Male: Breast enlargement, prostate enlargement Female: Breast reduction, excess body hair, deeper voices Both: Increase in blood cholesterol, increase risk for heart attack and stroke, increases liver disorders, increased irritability, major depression, withdrawal with insomnia, loss of appetite, fatigue, infertility, increased acne, changes in genitalia, water retention and bloating, stunted growth, mood swings, HIV or Hepatitis B, frequent and painful urination, vomiting, diarrhea, headaches, bad breath, yellow staining of eyes, pattern baldness

On your ATOD Notes, answer Given these risks, why do you think that young people are still taking steroids? What do they hope to gain? What are the ethical issues surrounding the use of steroids in the athletic area? What does it mean to you as high school students that teenagers are the leading population for abuse? What can you do about it? How do you perceive steroid use, after seeing many athletes succeed with steroids?

Independent Practice: The Pill Of Success: Read the story and create a written response to the questions Create an ending for the story and explain what happened to Freddie and his friends. Should describe how you would feel if you were Freddie’s classmate and had studied hard and not taken any pills for help

Closure Discussed motives for using steroids Gained knowledge of the negative and permanent effects of taking steroids Press Pause Video & Worksheet