A recent study published in the British Journal of Sports Medicine challenges prevailing narratives regarding transgender women athletes. This comprehensive analysis advocates for the inclusion of transgender individuals in sports, drawing on data from 52 studies with more than 6,485 participants, which include both transgender and cisgender athletes. The report provides compelling evidence indicating that transgender women do not possess an inherent advantage in athletic performance.
Conducted by authors from esteemed academic and medical institutions in Brazil, the meta-analysis examined data involving participants aged 14 to 41. They categorized individuals into trans women, trans men, cisgender women, and cisgender men, thereby facilitating a thorough comparative analysis. The findings have ignited discussions about the necessity for equitable policies in sports, particularly regarding transgender athlete participation.
Findings of the study
A key discovery reveals that while trans women have a higher absolute lean body mass compared to cisgender women, significant discrepancies in essential physical fitness metrics, such as upper-body strength, lower-body strength, and maximum oxygen consumption rates, were not observed. These metrics were assessed after participants underwent one to three years of gender-affirming hormone therapy. The researchers noted that the variable quality of existing studies limited their ability to establish direct correlations between muscle mass and functional strength.
Challenging stereotypes about athletic performance
The authors asserted that the perceived advantages often attributed to trans women athletes, particularly those stemming from male puberty, are not supported by the effects of hormone therapy. Their analysis consistently demonstrated the absence of expected strength disparities, contradicting widespread beliefs about an inherent athletic superiority among transgender women. This finding underscores the need for a nuanced understanding of how physiological changes influence athletic performance.
Need for further research
Despite these encouraging results, the authors called for more extensive research to investigate the complex influences on athletic performance. They noted that many studies do not consider variables such as training history, diet, and prior hormone therapy, which could affect outcomes. A comprehensive approach that accounts for both physiological and sociocultural factors is crucial for a complete understanding of the challenges faced by transgender athletes.
Furthermore, the authors highlighted a lack of depth in the existing literature regarding the experiences of transgender athletes across various sports and competitive levels. Future research should focus on sport-specific performance metrics and long-term physiological and psychological changes while controlling for factors such as puberty suppression.
Implications for transgender athletes
In light of these findings, the authors assert that blanket bans on transgender women participating in sports are unjustifiable. Yet, various states continue to enact legislation against transgender individuals in athletics, citing unfounded concerns over competitive fairness. For example, numerous states have implemented laws that prevent trans girls and women from competing in accordance with their gender identity. These ongoing legal battles reflect the tension between scientific evidence and legislative actions.
Bruno Gualano, one of the co-authors, emphasized the need to ground the debate in values such as fairness and inclusion rather than fear-driven policies. He stated that the evidence presented in the report should inform discussions on transgender participation in sports, steering them toward a more inclusive and equitable framework.
As the landscape of athletics evolves, it is essential for policymakers, sports organizations, and communities to engage with scientific findings to foster environments that support all athletes. The growing body of evidence indicates that inclusion should be the guiding principle, ensuring that every athlete, regardless of their gender identity, has the opportunity to compete fairly.

