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The aim of this study is to investigate transgender men and non-binary persons before and during testosterone treatment. The study will focus on:
Introduction: The number of individuals with gender dysphoria seeking gender-affirming treatment is increasing. The short- and long-term effects of masculinizing treatment with testosterone are debated as serum testosterone increase up to 20-fold compared to cisgender women. We hypothesize that, testosterone treatment is associated with non-calcified coronary plaque (NCP) development in transgender men.
Methods and analyses: Prospective, single-center, observational cohort study at the Body Identity Clinic (BIC), Odense University Hospital, Denmark, where all investigations are performed at inclusion and after 1, 3, 5 and 10 years of testosterone therapy.
Ethics and dissemination: The Regional Committees on Health Research Ethics for Southern Denmark (S-20190108) and the Danish Data Protection Agency approved the study (19/27572). Signed informed consent will be obtained from all participants. All findings will be published in peer-reviewed journals or at scientific conferences.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| transgender men | no intervention |
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| Measure | Description | Time Frame |
|---|---|---|
| Effect of testosterone on devellopment of plaques in the heart | Estimated directly by CCTA, at start, (1 year for early included participants) 5 and 10 years | 10 years |
| Measure | Description | Time Frame |
|---|---|---|
| Calcium score | CCTA | 10 years |
| Change in muscle strength and power | Estimated by low row and accelometer at start, 1, 3, 5, 10 years |
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Inclusion Criteria:
Transgender men
Exclusion Criteria:
none
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Persons assigned female at birth (+18 years) that either use or want to use testosterone with the purpose of undergoing gender transformation. -
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| marianne andersen, Professor | Contact | +4565412502 | msa@rsyd.dk | |
| Louise Christensen, MD | Contact | +4565412502 | louise.lehmann.christensen@rsyd.dk |
| Name | Affiliation | Role |
|---|---|---|
| Marianne Andersen | Odense University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Odense University Hospital | Recruiting | Odense | 5000 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33376186 | Derived | Lehmann Christensen L, Glintborg D, Taulbjerg Kristensen T, Diederichsen A, T'Sjoen G, Frystyk J, Skovsager Andersen M. Masculinising testosterone treatment and effects on preclinical cardiovascular disease, muscle strength and power, aggression, physical fitness and respiratory function in transgender men: protocol for a 10-year, prospective, observational cohort study in Denmark at the Body Identity Clinic (BIC). BMJ Open. 2020 Dec 29;10(12):e045714. doi: 10.1136/bmjopen-2020-045714. |
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| ID | Term |
|---|---|
| D014189 | Transsexualism |
| ID | Term |
|---|---|
| D019529 | Sexuality |
| D012725 | Sexual Behavior |
| D001519 | Behavior |
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blood, urine, hair
| 10 years |
| Effect of transgender treatment on quality of life | Estimated by quality of life questionnaire (SF36) at start, 1, 3, 5 and 10 years | 10 years |
| Effect of transgender treatment on aggression | Estimated by aggression questionnaire at start, 1, 3, 5 and 10 years | 10 years |
| Changes in maximal oxygen consumption during transgender treatment | Estimated by test og maximal oxygen consumption (vo2max) at start, 1, 3, 5 and 10 years | 10 years |
| Heart function | Ejection fraction and left ventricular muscle mass are measured by echocardiography at start,(1 for early included participants) 5 and 10 years | 10 years |
| Respiratory function | Forced Expiratory Volume in the first second and forced vital capacity estimated by spirometry at start, 1, 3, 5 and 10 years | 10 years |
| Levels of testosterone, estradiol and cortisol | Measured in serum by LCMS/MS | 10 years |
| circulating markers of inflammation | CRP in blood samples | 10 years |
| circulating markers of cardiovascular risk | Lipids, SuPAR in blood samples | 10 years |
| Assessment of cortisol/cortisone | measured in urine and hair samples by LCMS/MS | 10 years |
| Change in lean body mass | Estimated by dual x-ray absorptiometry at start, 1, 3, 5 and 10 years | 10 years |