“…As a result, high rates (60.5%) of body image dissatisfaction (Silva, Nahas, de Sousa, Del Duca, & Peres, 2011) and muscularity concerns (da Silva, Marôco, Ochner, & Campos, 2017) are presented in Brazilian men. Moreover, muscularity is a symbol of Brazilian male identity and masculinity (Sabino, 2000), which may be associated to the presence of central features of MD in Brazilian men. For example, two systematic reviews found high prevalence (up to 33%) of anabolic–androgenic steroids among Brazilian practitioners of recreational physical activity (Abrahin, de Sousa, & Santos, 2014; Nogueira, Souza, & Brito, 2013).…”