Body Composition and Physical Fitness in Transgender Versus Cisgender Individuals: A Systematic Review with Meta-Analysis

February 2026 in “ British Journal of Sports Medicine ”

Sofia Mendes Sieczkowska, Bruna Caruso Mazzolani, Danilo Reis Coimbra, Igor Longobardi, Andresa Rossilho Casale, José Davi Fajardo Villela Martins P da Hora, Hamilton Roschel, Bruno Gualano

gender-affirming hormone therapy transgender women transgender men cisgender women cisgender men lean mass fat mass strength GAHT

Studysummary Transgender women have similar fitness to cisgender women, while transgender men have higher fat and lower strength than cisgender men; hormone therapy affects body composition and strength.

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research Effects of Intramuscular Testosterone Undecanoate on Body Composition and Bone Mineral Density in Female-to-Male Transsexuals

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