Evidence map›Paper›PMID 41074393›Full record

ArticleAndrology2026

Muscle Strength and Power Changes With Gender-Affirming Hormone Therapy.

Mathilde Kamp Nørlund, Jakob Lindberg Nielsen, Marianne Skovsager Andersen, Rikke Hjortebjerg, Laust Frisenberg Buhl, Anne Pernille Hermann, Camilla Viola Buskbjerg Palm, Tine Taulbjerg Kristensen, Jan Frystyk, Per Aagaard and 3 more

Abstract read
In one paragraph

Article in Andrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Mathilde Kamp NørlundDepartment of Endocrinology, Odense University Hospital, Odense, Denmark.
Jakob Lindberg NielsenDepartment of Sports Science and Clinical Biomechanics, Muscle Physiology and Biomechanics Research Unit, University of Southern Denmark, Odense, Denmark.
Marianne Skovsager AndersenDepartment of Endocrinology, Odense University Hospital, Odense, Denmark.
Rikke HjortebjergSteno Diabetes Center Odense, Odense University Hospital, Odense, Denmark.
Laust Frisenberg BuhlDepartment of Endocrinology, Odense University Hospital, Odense, Denmark.
Anne Pernille HermannDepartment of Endocrinology, Odense University Hospital, Odense, Denmark.
Camilla Viola Buskbjerg PalmDepartment of Gynecology and Obstetrics, Odense University Hospital, Odense, Denmark.
Tine Taulbjerg KristensenDepartment of Endocrinology, Odense University Hospital, Odense, Denmark.
Jan FrystykDepartment of Endocrinology, Odense University Hospital, Odense, Denmark.
Per AagaardDepartment of Sports Science and Clinical Biomechanics, Muscle Physiology and Biomechanics Research Unit, University of Southern Denmark, Odense, Denmark.
Jonas MathiesenDepartment of Sports Science and Clinical Biomechanics, Muscle Physiology and Biomechanics Research Unit, University of Southern Denmark, Odense, Denmark.
Dorte GlintborgDepartment of Endocrinology, Odense University Hospital, Odense, Denmark.
Louise Lehmann ChristensenDepartment of Endocrinology, Odense University Hospital, Odense, Denmark.ORCID https://orcid.org/0000-0001-6489-7054

Funding

Body Identity Clinic (BIC) Frontline Center Odense University HospitalDanish Diabetes and Endocrine Academy (DDEA)Danish Health Authority and Novo Nordisk FoundationDanish Research CouncilPre-graduate Fund Odense University HospitalRegion of Southern Denmark
6 · The paper itself

Abstract

backgroundAndrogen receptors are highly expressed in upper body muscles, but changes in maximal muscle strength and power in major upper body muscles have not been investigated during gender-affirming hormone therapy (GAHT).

objectiveTo assess prospective changes in maximal muscle strength and muscle power from before and after 1 year of GAHT. DESIGN AND

methodsClinical prospective study in 92 transgender persons: 26 transmasculine treatment-naïve (TransM_naïve), 27 transmasculine treatment-ongoing (TransM_ongoing), 29 transfeminine treatment-naïve (TransF_naïve), and 10 transfeminine treatment-ongoing (TransF_ongoing) were examined at baseline and after 1 year of GAHT. Primary outcomes were unilateral upper body maximal muscle strength (kg) and mean and maximal power (watt) measured by low-row dynamic testing. Dual-energy X-ray absorptiometry was conducted in all participants.

resultsIn transmasculine persons, the median (quartiles) age was 22 (20; 30) years in TransM_naïve and 26 (22-29) years in TransM_ongoing (median GAHT duration 3 (2; 5) years) at study inclusion. Maximal muscle strength increased 6.3 kg (12%) in TransM_naïve (p ≤ 0.001) and 5.0 kg (7%) in TransM_ongoing (p ≤ 0.001), while maximal muscle power remained unchanged. ∆-muscle strength was positively associated with ∆-lean mass in arms and negatively associated with age at GAHT initiation. In transfeminine persons, the median age was 24 (22; 30) years in TransF_naïve and 40 (31-64) years in TransF_ongoing (median GAHT duration 4 (2; 6) years) at study inclusion. Maximal muscle strength decreased 17.5 kg (23%) in TransF_naïve and -5.0 kg (8%) in TransF_ongoing, which was accompanied by a decrease (23%) in maximal muscle power in TransF_naïve.

conclusionUpper body muscle strength but not power increased during masculinizing GAHT, whereas muscle strength and power decreased within the first year of feminizing GAHT.

Indexed as

Muscle StrengthTransgender PersonsAdultFemaleHumansMaleMuscle, SkeletalProspective StudiesYoung Adultgender‐affirming hormone therapymuscle powermuscle strengthtransgender persons

Identifiers

PMID41074393
PMCPMC13592051

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.