Prevention & lipids

Impact of Gender-Affirming Hormonal Therapy on Cardiovascular Risk Factors in Transgender Health: An Updated Meta-Analysis

JACC AdvPublished Systematic review and meta-analysis

Authors' conclusion

GAHT affects lipid profiles in transgender patients

Study context

Population
Transgender individuals before and after gender-affirming hormone therapy12 observational studies · 12 RCTs
Participants
1,241 vs 992
Comparison
Post-GAHT vs pre-GAHT
  • Transmasculine (TM)n = 1,241
  • Transfeminine (TF)n = 992
Outcome
Mean difference in lipid profile change, pre- vs post-GAHT

Pooled result

As reported in the abstract

Lipid profile change vs baseline · mean follow-up 28 months (TM), 39 months (TF)
  • TM: significant increase in LDL, TG and total cholesterol; HDL decreased
  • TF: significant increase in TG

Original publication

Impact of Gender-Affirming Hormonal Therapy on Cardiovascular Risk Factors in Transgender Health: An Updated Meta-Analysis. JACC Adv. Published 9 September 2024. doi:10.1016/j.jacadv.2024.101265

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