The DOI matches its Crossref record; 94 of the 94 references it cites were found in a registry or an index.
Cross-sex pattern of bone mineral density in early onset gender identity disorder
Abstract
Hormonally controlled differences in bone mineral density (BMD) between males and females are well studied. The effects of cross-sex hormones on bone metabolism in patients with early onset gender identity disorder (EO-GID), however, are unclear. We examined BMD, total body fat (TBF) and total lean body mass (TLBM) in patients prior to initiation of sex hormone treatment and during treatment at months 3 and 12. The study included 33 EO-GID patients who were approved for sex reassignment and a control group of 122 healthy Norwegians (males, n=77; females, n=45). Male patients (n=12) received an oral dose of 50 mug ethinylestradiol daily for the first 3 months and 100 mug daily thereafter. Female patients (n=21) received 250 mg testosterone enantate intramuscularly every third week. BMD, TBF and TLBM were estimated using dual energy X-ray absorptiometry (DXA). In male patients, the DXA measurements except TBF were significantly lower compared to their same-sex control group at baseline and did not change during treatment. In female patients, the DXA measurements were slightly higher than in same-sex controls at baseline and also remained unchanged during treatment. In conclusion, this study reports that body composition and bone density of EO-GID patients show less pronounced sex differences compared to controls and that bone density was unaffected by cross-sex hormone treatment.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“These studies reported 6.4% and 8.0% lower LBM than in cisgender men and reductions of 4% in LBM in the transwomen with 12 months of GAHT.”
In the citing paper
“hormone-naive transwomen demonstrate 6.4%–8.0% lower LBM,41 51”
In the citing paper
“Including Gooren and Bunck [62], 12 longitudinal studies [53, 63–73] have examined the effects of testosterone suppression on lean body mass or muscle size in transgender women.”
From Transgender Women in the Female Category of Sport: Perspectives on Testosterone Suppression and Performance Advantage (2021) · cites this paper as [63]
Citations
Cites
- STATISTICAL PACKAGE FOR SOCIAL SCIENCES
Reddy, M. V. (2014) · Apple Academic Press eBooks · doi:10.1201/b17560-26 · Cited by 12,121
Practical Statistics for Medical Research.
Walter, S., & Altman, D. G. (1992) · Biometrics · doi:10.2307/2532320 · Cited by 11,666
Cohen, J. (1992) · Psychological Bulletin · doi:10.1037//0033-2909.112.1.155 · Cited by 8,771
Practical Statistics for Medical Research.
Bartko, J. J., & Altman, D. G. (1992) · Journal of the American Statistical Association · doi:10.2307/2290246 · Cited by 4,834
Analysis of serial measurements in medical research.
Matthews, J. N. S., Altman, D. G., Campbell, M. J., & Royston, P. J. (1990) · BMJ · doi:10.1136/bmj.300.6719.230 · Cited by 3,137
Estrogen Resistance Caused by a Mutation in the Estrogen-Receptor Gene in a Man
Smith, E. P., Boyd, J., Frank, G. R., Takahashi, H., Cohen, R. M., Specker, B., Williams, T. C., Lubahn, D. B., & Korach, K. S. (1994) · New England Journal of Medicine · doi:10.1056/nejm199410203311604 · Cited by 2,471
Estrogen Receptor Null Mice: What Have We Learned and Where Will They Lead Us?
Couse, J. F., & Korach, K. S. (1999) · Endocrine Reviews · doi:10.1210/edrv.20.3.0370 · Cited by 2,045
High-Intensity Strength Training in Nonagenarians: Effects on Skeletal Muscle
Fiatarone, M. A. (1990) · JAMA · doi:10.1001/jama.1990.03440220053029 · Cited by 1,593 · cited 1×
“It is difficult, however, to separate the direct effects of exercise on BMD from the indirect effects of exercise-associated improvements in mobility and balance, which simply decreases the risk of falling (Fiatarone et al., 1990; Gass and Dawson-Hughes, 2006).”
BackgroundMorishima, A., Grumbach, M. M., Simpson, E. R., Fisher, C., & Qin, K. (1995) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.80.12.8530621 · Cited by 1,416
Riggs, B. L., Khosla, S., & Melton, L. J. (1998) · Journal of Bone and Mineral Research · doi:10.1359/jbmr.1998.13.5.763 · Cited by 1,161
Flagged first, then by citations
Research works printed but not linked: 1
- Lips, 1996, The effect of androgen treatment on bone metabolism in female to male transsexuals, J. Bone Miner. Res., 11
Cited by
Sorted by citations
Items 101–113 of 113
Clinical Guidance on the Management of Gender Diverse Youth
Giordano, S. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780192895400.003.0005
Giordano, S. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780192895400.003.0003
Gender Incongruence and Gender Dysphoria in Children and Adolescents
Giordano, S. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780192895400.003.0002
Giordano, S. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780192895400.003.0001
What Should the Role of the Family and the Court Be?
Giordano, S. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780192895400.003.0011
The First Stage of Medical Treatment
Giordano, S. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780192895400.003.0007
Giordano, S. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780192895400.002.0009
Streckwall, L., Colareda, G. A., Escudero, D. S., Díaz, R. G., & Fernández, J. M. (2025) · Biology · doi:10.3390/biology14060650
Pei, Q., Song, Y., Huang, Z., Yu, H., Xu, H., Ye, X., Gao, L., Gong, J., & Tian, X. (2024) · Figshare · doi:10.6084/m9.figshare.26722140
Pei, Q., Song, Y., Huang, Z., Yu, H., Xu, H., Ye, X., Gao, L., Gong, J., & Tian, X. (2024) · Figshare · doi:10.6084/m9.figshare.25852993
Pei, Q., Song, Y., Huang, Z., Yu, H., Xu, H., Ye, X., Gao, L., Gong, J., & Tian, X. (2024) · Figshare · doi:10.6084/m9.figshare.25853191
Gender-Affirming Hormonal Treatment in Transgender People Assigned Female at Birth (AFAB)
Castella, L., Ledda, F., Bichiri, A., Muzio, J., & Motta, G. (2026) · Endocrinology · doi:10.1007/978-3-319-29456-8_56-1
Initial Characterisation of Musculoskeletal Health in Ageing Transgender and Gender Diverse WomenPreprint
Hamilton, B., Mitic, N., Linscott, C., Hu, K., Esselaar, M., & Ireland, A. (2026) · Research Square · doi:10.21203/rs.3.rs-10679411/v1
Metadata
- Authors
- Haraldsen, I. R., Haug, E., Falch, J., Egeland, T., & Opjordsmoen, S.
- Affiliations
- University of Oslo (NO)
- Oslo University Hospital (NO)
- Corresponding author
- Haraldsen, I.R.
- Venue
- Hormones and Behavior
- Publisher
- Elsevier BV
- Published
- 2007-09
- Volume
- 52
- Issue
- 3
- Pages
- 334-343
- ISSN
- 0018-506X (ISSN-L)
- OpenAlex
- W2049000320
- Cited by
- 113
- References
- 94
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 9 · 2023: 22 · 2022: 9 · 2021: 5 · 2020: 15 · 2019: 11 · 2018: 5 · 2017: 3 · 2016: 4 · 2015: 3 · 2014: 4 · 2013: 3 · 2012: 3
- FWCI
- 3.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Hormones and Behavior (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Norges Forskningsråd
- National Institutes of Health
- Topics
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Sexual Differentiation and Disorders
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Keywords
- bone mineral density, sex differences, ethinyl estradiol, body composition, total body fat, lean body mass, sex reassignment, bone metabolism
- MeSH terms
- Adult, Age Factors, Body Composition, Bone and Bones, Ethinyl Estradiol, Female, Follow-Up Studies, Gender Identity, Humans, Male, Middle Aged, Sex Characteristics, Gonadal Steroid Hormones, Testosterone, Transsexualism, Absorptiometry, Photon, Bone Density, Statistics, Nonparametric
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review