对于跨性别运动员来说,肌肉骨和心血管方面的考虑
Kailynn J Yang1, Canaan Kerr1, Mia V Rumps2
1Loyola University Chicago Stritch School of Medicine, Maywood, IL, USA.
The Physician and sportsmedicine
|April 12, 2024
概括
性别确认激素治疗 (GAHT) 影响跨性别运动员的心血管和肌肉骨健康. 医生需要教育如何管理血栓和骨折等风险,以获得最佳的体育参与和幸福感.
科学领域:
- 运动医学 运动医学
- 内分泌学 在内分泌学.
- 跨性别者健康 跨性别者健康
背景情况:
- 运动参与对于跨性别运动员的福祉至关重要,应该纳入性别肯定护理.
- 医疗保健提供者往往缺乏关于跨性别运动员独特健康需求的专业知识.
- 性别确认激素治疗 (GAHT) 对跨性别运动员心血管和肌肉骨系统的影响需要进一步了解.
研究的目的:
- 对接受GAHT的跨性别运动员进行关键心血管和肌肉骨方面的考虑进行审查.
- 提高医生在照顾跨性别运动员方面的知识和准备.
- 突出GAHT在体育运动员性别肯定护理中的重要性.
主要方法:
- 进行了全面的文献审查.
- 审查的重点是研究GAHT对心血管和肌肉骨健康的影响.
- 精选的文献提供了关于GAHT对运动群体的生理影响的见解.
主要成果:
- 雌激素治疗可能会增加静脉血栓栓塞 (VTE) 和中风的风险,并在跨性别女性中降低血压.
- GAHT的脂质特征效应在跨性别男性和女性之间不一致.
- 接受高血压治疗的跨性别女性可能面临骨折和带损伤的风险增加.
结论:
- 将跨性别运动员的健康考虑纳入医学教育至关重要.
- 需要采取预防策略和更新的医疗协议,以减轻不良心血管和肌肉骨事件.
- 对GAHT的长期影响进行进一步的纵向研究是必不可少的,除了促进体育中的性别中立政策外.
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