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The recovery-hastening benefits of anabolics are also detailed in medical studies, which document increased muscle strength and body mass in those recovering from severe injuries. However, it is still not clear how much the anabolics actually increase an athlete's performance, or why they are associated with some health improvements compared to rest, according to a new study conducted by the University of Michigan School of Public Health and the Michigan State University College of Public Health and Health Professions.The study appears April 27 in BMJ Open, "Can Exercise and anabolics improve postexercise muscle recovery?," a study that combines the expertise of two of the country's most respected medical authorities of sports—Drs. William P. Sacks, MD, dean of the school of medicine, and John T. Murray, MD, former physician-in-chief of the American Medical Association and medical director of the University of Maryland Medical Center Cardiovascular Center. Both have extensive experience with athletes recovering from intense trauma, including sports injuries.The study found no benefit from anabolics to enhancing a runner's performance. "When we are talking about athletes, these drugs have not been shown to improve athletic performance," Dr. Murray said. "To the contrary, they have been linked with injuries and some adverse health effects such as increased levels of the aldehyde dehydrogenase, a biomarker of potential cardiovascular disease." For athletes concerned about a possible negative impact, "we say, 'Good luck,'" Dr. Sacks said, "because we don't really know what it is."The study also found no support for the benefits of anabolics to improving cardiovascular function after trauma, including those athletes who have undergone major head trauma and those who are at high risk for such injuries. In addition, there was no benefit for muscle strength, muscle strength endurance, core strength endurance, or muscle hypertrophy.In the study, published in BMJ Open, researchers examined 26 athletes (mean height: 1.68 meters) and 10 matched controls (mean height: 1.64 meters) in the Boston Marathon who had suffered severe blunt injuries: 5 of those athletes (12%) had undergone head surgery, and 12 (36%) had sustained high-velocity impact injuries. Participants underwent an MRI scan at the request of the research staff. Participants' heart rate and blood pressure were also measured. They were then randomized (see "Drugs, Performance Enhancers in Training-Enhancing Sports: The Case Study") to take a placebo (a non-steroidal anti-inflammatory drug) or a high-dose anabolics (either 400 mg of L-theanine orRelated Article: