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What is new, is a social and cultural emphasis "not just about having a healthy physique," but about achieving the "perfect" muscular body, she says, which ultimately is "just one more cultural ideal that young people find hard to achieve. Even when teens are involved in supervised strength and conditioning programs, parents need to stay aware of their child's goals and make sure their activities remain "part of an overall fitness program," Brenner says. The navigation could not be loaded. And given greater awareness of performance-enhancing and muscle-building substances, teens know there are many other ways to bulk up, "ways that are not recommended and not safe, but may be quite effective," says Eisenberg. The use of steroids and other performance-enhancing substances is clearly dangerous and needs to be avoided, but inappropriate changes to diet or exercise can also be hazardous, he says. This study is a reminder that parents and physicians need to be aware that these behaviors are going on and that they need to be discussed with their adolescents, says Joel Brenner, medical director of the Sports Medicine Program at Children's Hospital of the King's Daughters in Norfolk, Va.

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Researchers did not collect data indicating whether eating changes were healthy or unhealthy nor how much or what type of exercise was adopted.

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Even when teens are involved in supervised strength and conditioning programs, parents need to stay aware of their child's goals and make sure their activities remain "part of an overall fitness program," Brenner says. This study is a reminder that parents and physicians need to be aware that these behaviors are going on and that they need to be discussed with their adolescents, says Joel Brenner, medical director of the Sports Medicine Program at Children's Hospital of the King's Daughters in Norfolk, Va. The navigation could not be loaded. Students who said they did not play sports also reported these muscle-enhancing efforts.

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