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Muscle Strength, Si...
Muscle Strength, Size, and Composition Following 12 Months of Gender-affirming Treatment in Transgender Individuals
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- Wiik, Anna (author)
- Karolinska Institutet
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- Lundberg, Tommy R. (author)
- Karolinska Institutet
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- Rullman, Eric (author)
- Karolinska Institutet
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- Andersson, Daniel P. (author)
- Karolinska Institutet
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- Holmberg, Mats (author)
- Karolinska Institutet
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- Mandic, Mirko (author)
- Karolinska Institutet
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- Brismar, Torkel B. (author)
- Karolinska Institutet
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- Dahlqvist Leinhard, Olof, 1978- (author)
- Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,AMRA Med AB, Linkoping, Sweden
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- Chanpen, Setareh (author)
- Karolinska Univ Hosp, Sweden
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- Flanagan, John N. (author)
- Karolinska Institutet
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- Arver, Stefan (author)
- Karolinska Institutet
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- Gustafsson, Thomas (author)
- Karolinska Institutet
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(creator_code:org_t)
- 2019-12-03
- 2020
- English.
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In: Journal of Clinical Endocrinology and Metabolism. - : ENDOCRINE SOC. - 0021-972X .- 1945-7197. ; 105:3, s. E805-E813
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- Context. As many sports are divided in male/female categories, governing bodies have formed regulations on the eligibility for transgender individuals to compete in these categories. Yet, the magnitude of change in muscle mass and strength with gender-affirming treatment remains insufficiently explored. Objective. This study explored the effects of gender-affirming treatment on muscle function, size, and composition during 12 months of therapy. Design, settings, participants. In this single-center observational cohort study, untrained transgender women (TW, n = 11) and transgender men (TM, n = 12), approved to start gender-affirming medical interventions, underwent assessments at baseline, 4 weeks after gonadal suppression of endogenous hormones but before hormone replacement, and 4 and 12 months after treatment initiation. Main outcome measures. Knee extensor and flexor strength were assessed at all examination time points, and muscle size and radiological density (using magnetic resonance imaging and computed tomography) at baseline and 12 months after treatment initiation. Results. Thigh muscle volume increased (15%) in TM, which was paralleled by increased quadriceps cross-sectional area (CSA) (15%) and radiological density (6%). In TW, the corresponding parameters decreased by -5% (muscle volume) and -4% (CSA), while density remained unaltered. The TM increased strength over the assessment period, while the TW generally maintained their strength levels. Conclusions. One year of gender-affirming treatment resulted in robust increases in muscle mass and strength in TM, but modest changes in TW. These findings add new knowledge on the magnitude of changes in muscle function, size, and composition with cross-hormone therapy, which could be relevant when evaluating the transgender eligibility rules for athletic competitions.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
Keyword
- gender dysphoria; muscle mass; skeletal muscle; trans men; trans women
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Wiik, Anna
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Lundberg, Tommy ...
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Rullman, Eric
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Andersson, Danie ...
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Holmberg, Mats
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Mandic, Mirko
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show more...
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Brismar, Torkel ...
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Dahlqvist Leinha ...
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Chanpen, Setareh
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Flanagan, John N ...
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Arver, Stefan
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Gustafsson, Thom ...
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Orthopaedics
- Articles in the publication
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Journal of Clini ...
- By the university
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Linköping University
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Karolinska Institutet