Exercise Addiction and Health Risks in Gym Users

The current study will examine the effects of exercise addiction on musculoskeletal and cardiovascular health in recreational gym users. Exercise addiction is characterized by compulsive training behavior despite physical or psychological harm and is increasingly prevalent among young adults, especially those engaged in bodybuilding.

Participants will be recruited from randomly selected fitness centers in Istanbul and categorized into exercise-dependent and non-dependent groups using the Exercise Dependence Scale-21 (EDS-21). Musculoskeletal symptoms will be assessed using the Extended Nordic Musculoskeletal Questionnaire. Cardiovascular risk will be evaluated using the SCORE Risk Assessment System, which considers factors such as blood pressure, smoking, cholesterol, and blood glucose levels. The Drive for Muscularity Scale (DMS) will also be applied to assess body image and muscle-related attitudes.

In addition to the physical assessments, participants will be asked about the use of anabolic steroids, and the frequency and patterns of such use will be recorded. The study will aim to raise awareness about the health consequences of excessive exercise and unregulated anabolic substance use, with the goal of informing preventive strategies and guiding future research.

Inclusion criteria

• Aged ≥18 years
• Member of a fitness center
• Regular physical activity (≥3 times per week)
• Voluntary participation with informed consent

Exclusion criteria

• Diagnosed psychiatric illness
• Professional or elite athletes
• Incomplete questionnaire data