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Assessment superseded

Effects of Resistance Exercise Among TGD Individuals Initiating Estrogen-Based Gender-Affirming Hormone Therapy

Trial registry update: RECRUITING. No results reported in the supplied registry record.

RCTMinor significance
Reporter brief

What this changes

The finding has not established an approved change to our evidence assessment.

Source date: Sep 11, 2026 · Discovered: Sep 17, 2026 · Assessed: — · Research update

What it does not prove

  • The abstract reports the study design and planned outcomes but does not report any findings, effect sizes, or results, making it impossible to assess what the intervention actually achieved.
  • As a pilot trial with unspecified sample size, any results would lack statistical power and generalizability beyond the tested population.
  • The study compares exercise to counseling-only control rather than to placebo or standard care, so benefits cannot be isolated from attention or expectancy effects.

Extracted from supplied source material; model confidence is not a measured probability of correctness.

Design
Rct
Sample size
—
Duration
3 months
Population
Transgender women and gender-diverse individuals about to be initiated or recently initiated (≤3 months ago) on estrogen-dominant gender-affirming hormone therapy
Primary outcome
Effects on muscle mass, strength, and function in transgender and gender-diverse individuals initiating estrogen-based gender-affirming hormone therapy
Effect size
—
Significance
Not reported
Journal
Massachusetts General Hospital
Published
Sep 11, 2026

Recorded source passages

Abstract or registry material supplied for assessment; source version 1. This is not a claim of full-text review.

Estrogen-dominant gender-affirming hormone therapy (GAHT) is standard of care for transgender women and gender-diverse individuals
As part of NCT04128488, our investigative team found that appendicular lean mass (ALM)/ height2 decreases after estrogen-based GAHT
For this prospective, pilot clinical trial, investigators will enroll participants who are about to be initiated or recently initiated (3 months ago or less) on estrogen-dominant gender-affirming hormone therapy
Investigators will be randomizing participants 1:1 to either an at-home resistance exercise intervention or no exercise intervention (nutritional and exercise counseling only) for 12 weeks
The exercise intervention group will be provided with the necessary materials to complete the exercise program along with weekly virtual visits

Source versions

Version 2: Unassessed

Version 1: Superseded

Version 1: Superseded

Assessment history

9/24/2026 · SUPERSEDED: Source updated; assessment withdrawn pending review.

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