Hormone therapy, health outcomes and the role of nutrition in transgender individuals: A scoping review

Rozga, Mary; Linsenmeyer, Whitney; Wood, Jennifer Cantwell; Darst, Vaughn; Gradwell, Erica

doi:10.1016/j.clnesp.2020.08.011

Cited by 21 publications

(6 citation statements)

References 148 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Caloric intake, nutritional value, and access to adequate nutrition are modifiable factors in cardiovascular health, and are an expanding field of research in people who are TGD across the lifespan. 30 Survey data of adolescents who are TGD found less frequent intake of fruit and milk and more frequent intake of fast food and soft drinks than of peers who are cisgender. 26 In addition to inadequate nutrition, adolescents who are TGD disproportionately self-report unsafe weight management behaviors (ie, fasting, diet pill use, laxative abuse) and being diagnosed with an eating disorder compared with peers who are cisgender.…”

Section: Life’s Simple 7 Cardiovascular Risk Factorsmentioning

confidence: 99%

“…31 After reviewing the literature, there remains a clear methodological gap exploring dietary intake, validity and reliability of nutrition assessment methods, and nutritional interventions for people who are TGD across the lifespan. 30 Weight Management BRFSS data reveal a significantly higher prevalence of self-reported body mass index (BMI) >25 kg/m 2 among people who are TGD compared with adults who are cisgender (72.4% versus 65.5%). 32 Given the effects of estrogen and testosterone on fat distribution, muscle mass, and visceral fat, [33][34][35][36][37] the effects of gender-affirming hormone therapy have been investigated.…”

Section: Diet/nutritionmentioning

confidence: 99%

Section: Life’s Simple 7 Cardiovascular Risk Factorsmentioning

confidence: 99%

See 2 more Smart Citations

Assessing and Addressing Cardiovascular Health in People Who Are Transgender and Gender Diverse: A Scientific Statement From the American Heart Association

Streed¹,

Beach²,

Caceres³

et al. 2021

Circulation

150

113

View full text Add to dashboard Cite

There is growing evidence that people who are transgender and gender diverse (TGD) are impacted by disparities across a variety of cardiovascular risk factors compared with their peers who are cisgender. Prior literature has characterized disparities in cardiovascular morbidity and mortality as a result of a higher prevalence of health risk behaviors. Mounting research has revealed that cardiovascular risk factors at the individual level likely do not fully account for increased risk in cardiovascular health disparities among people who are TGD. Excess cardiovascular morbidity and mortality is hypothesized to be driven in part by psychosocial stressors across the lifespan at multiple levels, including structural violence (eg, discrimination, affordable housing, access to health care). This American Heart Association scientific statement reviews the existing literature on the cardiovascular health of people who are TGD. When applicable, the effects of gender-affirming hormone use on individual cardiovascular risk factors are also reviewed. Informed by a conceptual model building on minority stress theory, this statement identifies research gaps and provides suggestions for improving cardiovascular research and clinical care for people who are TGD, including the role of resilience-promoting factors. Advancing the cardiovascular health of people who are TGD requires a multifaceted approach that integrates best practices into research, health promotion, and cardiovascular care for this understudied population.

show abstract

Section: Life’s Simple 7 Cardiovascular Risk Factorsmentioning

confidence: 99%

Section: Diet/nutritionmentioning

confidence: 99%

See 1 more Smart Citation

Assessing and Addressing Cardiovascular Health in People Who Are Transgender and Gender Diverse: A Scientific Statement From the American Heart Association

Streed¹,

Beach²,

Caceres³

et al. 2021

Circulation

150

113

View full text Add to dashboard Cite

show abstract

“…Consistent with participants' feedback during interviews, providers may additionally consider their patient's health more holistically when making harm reduction-based recommendations for drinking. For example, TGD patients may have specific nutritional goals to support their gender-affirming care (Rozga et al, 2020). Counselors can discuss this in the context of a motivational intervention session for alcohol use, such as how drinking may be helping or hindering their nutrition-based goals (e.g., NIAAA alcohol calorie counter).…”

Section: Discussionmentioning

confidence: 99%

Transgender and gender diverse adults’ reflections on alcohol counseling and recommendations for providers.

Guy¹,

Surace²,

Zelaya³

et al. 2023

American Journal of Orthopsychiatry

View full text Add to dashboard Cite

Transgender and gender diverse (TGD) populations experience health disparities due to societal stigma that increases TGD individuals’ sources of stress and decreases access to health protective resources. Research has linked experiences of stigma to risky alcohol use, yet there remains a dearth of culturally sensitive alcohol use interventions that meet the needs of TGD people. The present study was conducted to inform modifications to the content and delivery of an existing brief, telehealth, motivational intervention to decrease at-risk alcohol use among TGD adults. Individual semi-structured in-depth qualitative interviews were conducted with TGD adults who reported recent alcohol use (n = 18) to explore factors that facilitate positive interactions with health care providers and identify relevant information for alcohol use disorder treatment. Participants were recruited from an LGBTQ+-focused health center in Los Angeles, California. Two major themes and recommendations emerged: (a) A multicultural orientation of humility is important to develop productive therapeutic relationships with TGD clients when delivering motivational interviewing; (b) Due to insufficient appropriate data on alcohol use and health in TGD populations, feedback used in motivational alcohol counseling needs to be modified to better serve TGD clients. These findings show that counselors’ philosophy and behavior, as well as session content, need to be considered when working with TGD populations within the context of alcohol counseling. These findings also have implications for intervention development, clinical treatment, and future research.

show abstract

“…Existing research also points to elevated rates of eating disorders, food insecurity, and discrimination both outside of and related to the medical community [5,6]. A recent scoping review identified notable research gaps related to dietary intake, validity and reliability of nutrition assessment methods, and nutrition interventions with TGNC populations [7].…”

mentioning

confidence: 99%

Sex and gender differences in nutrition research: considerations with the transgender and gender nonconforming population

Linsenmeyer

Waters

2021

Nutr J

Self Cite

View full text Add to dashboard Cite

A sex- and gender-informed approach to study design, analysis and reporting has particular relevance to the transgender and gender nonconforming population (TGNC) where sex and gender identity differ. Notable research gaps persist related to dietary intake, validity and reliability of nutrition assessment methods, and nutrition interventions with TGNC populations. This is due in part to the conflation of sex and gender into one binary category (male or female) in many nutrition surveillance programs worldwide. Adoption of the Sex and Gender Equity In Research (SAGER) guidelines and the two-step method of querying sex and gender has the potential to exponentially increase the body of research related to TGNC health.

show abstract

Hormone therapy, health outcomes and the role of nutrition in transgender individuals: A scoping review

Cited by 21 publications

References 148 publications

Assessing and Addressing Cardiovascular Health in People Who Are Transgender and Gender Diverse: A Scientific Statement From the American Heart Association

Assessing and Addressing Cardiovascular Health in People Who Are Transgender and Gender Diverse: A Scientific Statement From the American Heart Association

Transgender and gender diverse adults’ reflections on alcohol counseling and recommendations for providers.

Sex and gender differences in nutrition research: considerations with the transgender and gender nonconforming population

Contact Info

Product

Resources

About