Body composition and physical fitness in transgender versus cisgender individuals: a systematic review with meta-analysis.
"Conclusion: While transgender women exhibited higher lean mass than cisgender women, their physical fitness was comparable. Current evidence is mostly low certainty and has heterogenous quality but does not support theories of inherent athletic advantages for transgender women over cisgender."
Mendes Sieczkowska S, Caruso Mazzolani B, Reis Coimbra D, et al. Body composition and physical fitness in transgender versus cisgender individuals: a systematic review with meta-analysis British Journal of Sports Medicine Published Online First: 03 February 2026. doi: 10.1136/bjsports-2025-110239
https://bjsm.bmj.com/content/early/2026/01/22/bjsports-2025-110239