ArticleJournal of physical activity & health2026
Exploring Physical Activity and Barriers to Exercise in Transgender and Gender-Diverse Adults Initiating or Continuing Gender-Affirming Hormone Therapy.
Article in Journal of physical activity & health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
backgroundLittle is known about physical activity and barriers to exercise in transgender and gender diverse (TGD) adults. We examined the impact of gender-affirming hormone therapy (GAHT) on exercise comfort and perceived barriers to physical activity.
methodsAn online survey was distributed to TGD adults initiating or continuing GAHT at a primary care clinic. Comfort with exercise and agreement with statements describing potential barriers to physical activity were assessed using Likert scales. Pre- and post-GAHT comfort levels were compared using Wilcoxon signed-rank tests, and association with psychosocial variables was examined using Spearman correlations.
resultsAmong 111 participants, comfort exercising at home increased significantly after GAHT (58%-88%, P < .001), while discomfort in sports leagues increased (68%-85%). Fear of harassment or bullying was significantly associated with greater declines in comfort in public gyms (ρ = -.295, P = .006) and sports leagues (ρ = -.397, P < .001). In gender-stratified analyses, all groups reported increased comfort at home, but transgender women uniquely experienced declines in public gym (P = .002) and sports league comfort (P < .001).
conclusionsTGD respondents reported increased comfort exercising at home and decreased comfort exercising in sports leagues post-GAHT. Barriers included fear of acceptance, harassment, and body discomfort. Post-GAHT changes in exercise comfort appear strongly influenced by psychosocial factors and setting-specific concerns, particularly for transgender women. These findings highlight the need for safer, affirming exercise environments and targeted strategies to reduce harassment and enhance access to physical activity for TGD adults.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.