# Impact of an educational flyer and sensitization on performance-enhancement attitudes of bodybuilders in United Arab Emirates

## TL;DR

This study shows that an educational flyer reduced bodybuilders' willingness to use performance-enhancing substances in the UAE.

## Contribution

A pharmacy-led educational intervention using the PEAS scale effectively shifted attitudes toward avoiding doping among bodybuilders.

## Key findings

- PEAS scores decreased significantly for all eight items after the educational intervention.
- Full-time professionals, students, and part-time bodybuilders showed differing attitudes (p-value <0.05).
- The intervention led to a favorable shift in attitudes toward avoiding performance-enhancing substances.

## Abstract

Background: A high proportion of bodybuilders use supplements to improve performance, with some turning to prohibited substances and methods. The attitudes of bodybuilders towards performance enhancement may be gauged through surveys such as the Performance Enhancement Attitude Scales (PEAS). Educational interventions are recommended as part of anti-doping measures. The objective of this project was to assess the impact of a pharmacy-led intervention using an antidoping educational flyer and the performance enhancement attitude scale to measure the attitude of bodybuilders in the United Arab Emirates (UAE).

Methods: The PEAS eight-item short form questionnaire was administered to male bodybuilders in the UAE. The PEAS was conducted before and after administration of an educational flyer concerning the problems associated with supplement use among bodybuilders. The Wilcoxon Signed-Rank and Kruskal Wallis tests were used for data analysis.

Results: A total of 218 bodybuilders, who reported taking dietary supplements, filled out the survey both pre and post viewing the antidoping educational flyer. A difference was observed between the full-time professional bodybuilders, students, and part-time bodybuilders with other primary occupations (p-value <0.05). In addition, PEAS score decreased among the study population for all eight PEAS items (p-value <0.05).

Conclusions: The pharmacy-led intervention using an antidoping educational flyer and sensitization by PEAS achieved more favorable scores, suggesting a significant shift of opinion toward avoiding use of performance enhancing substances among the bodybuilder study population. More research is required on sustaining the attitude and demonstrating the impact on doping behavior.