Sex Differences in Upper‐ and Lower‐Limb Muscle Strength in Children and Adolescents: A Meta‐Analysis
European Journal of Sport Science,
Journal Year:
2025,
Volume and Issue:
25(5)
Published: April 5, 2025
ABSTRACT
On
average,
adult
men
are
physically
stronger
than
women.
The
magnitude
of
this
difference
depends
on
the
muscle
tested,
with
larger
sex
differences
observed
in
upper‐
lower‐limb
muscles.
Whether
body
region‐specific
strength
exist
children
is
unclear.
purpose
current
meta‐analysis
was
to
determine
whether
and
adolescents
differ
between
Data
were
extracted
from
studies
participants
aged
≤
17
years
who
completed
tests
maximal
isometric
or
isokinetic
upper‐limb
muscles
(e.g.,
elbow
flexors
extensors)
knee
extensors
ankle
dorsiflexors).
Participants
partitioned
into
three
age
groups:
5–10
old,
11–13
14–17
old.
analysis
included
299
effects
34
studies.
total
sample
6634
(3497
boys
3137
girls).
Effect
sizes
g
=
0.65
(95%
confidence
intervals
(CI)
[0.46,
0.84])
0.34
CI
[0.19,
0.50])
5–10‐year‐olds;
0.73
[0.56,
0.91])
0.43
[0.27,
0.59])
11–13‐year
olds;
1.84
[1.64,
2.03])
1.18
[1.00,
1.37])
14–17‐year‐olds.
Upper‐
17%
8%
greater
girls
when
18%
10%
50%
30%
Thus,
average.
This
exists
before
puberty,
increases
markedly
male
more
pronounced
throughout
development.
Language: Английский
Reply to Williams et al.: Fair and Safe Eligibility Criteria for Women's Sport
Scandinavian Journal of Medicine and Science in Sports,
Journal Year:
2024,
Volume and Issue:
34(11)
Published: Nov. 1, 2024
We
thank
Williams
and
colleagues
[1]
for
recent
comments
reiterating
our
concerns
about
targeted
sex
verification
based
on
allegation
suspicion,
which
motivated
initial
submission
[2].
It
was
intended
as
a
first
proposal
more
ethical
equitable
regulation
of
eligibility
women's
sport,
we
welcome
the
confirmation
that
several
et
al.
authors
concur
International
Olympic
Committee's
(IOC's)
Framework
does
not
protect
fairness
female
athletes.
In
Lundberg
[3],
(including
from
al.)
explained
developmental
androgenization,
driven
by
testes-derived
testosterone,
underpins
male
athletic
advantage,
necessitating
sex-based
categories
in
sport.
further
argued
IOC's
"no
presumption
advantage"
[4]
is
logically
flawed
exclusion
presumed
performance
advantage
should
be
default
position.
thus
follows
athletes
with
these
XY
DSDs
hold
advantages.
Since
many
commentary
have
acknowledged
advantages
result
androgenization
feature
certain
[7],
justifies
ineligibility
protected
category
al.'s
rejection
unjustified
scientific
grounds
contradictory.
inappropriately
"straw
man"
position
to
criticize
an
assumed
screening
minors.
Our
advocate
this,
nor
do
set
target
age.
Rather,
believe
occur
early
enough
athlete's
career
their
privacy
dignity
avoid
failures
past
[8].
Furthermore,
overlook
reality
procedures
are
already
used
sports
but
routinely
applied
ad
hoc
manner
lacks
standardization
suspicion.
Notably,
World
Aquatics
introduced
cohort-wide
requirement
certify
chromosomal
meet
international
eligibility.
not,
then,
proposing
novelty,
arguing
approach
improves
treatment
all
Maintaining
status
quo
enables
problems
seen
persist
will
continue
significant
harm
propose
atypical
screen
results
prompt
immediate
referral
clinical
specialists,
who
typically
conduct
extensive
anatomical,
genetic,
endocrinological
tests
within
established
medical
workflows
secure
diagnosis
[9].
As
this
"standard
care"
beyond
remit
federations,
it
specialists
must
address
challenges
delivering
"invasive"
"potentially
humiliating"
care.
final
point
ethics,
also
misleading
characterization
coercive
offer.
Were
true,
would
rule
out
or
doping
any
kind.
raise
costly
impractical.
However,
technological
advances
mean
simple
inexpensive,
require
minimal
equipment
could
completed
under
60
min.
Implementation
stratified
phased
appropriately
spread
cost,
has
been
done
anti-doping
programs.
noted
[2],
supported
82%
[8],
ultimately,
sport
organizations
duty
respect
internationally
recognized
human
rights
girls
women
equality
non-discrimination
basis
[10].
look
forward
constructive
discourse
between
scientists,
associations,
other
key
stakeholders
topic,
including
proposals
alternative
approaches
integrity
broader
process
follow-up
examinations
rare
cases
scientifically
sound,
ethically
justifiable
operationally
feasible.
The
nothing
report.
like
make
joint
conflict
interest
statement
they
declare
following:
Several
received
payment
provide
expert
testimony
related
topic.
consultancy
work
and/or
companies.
travel
accommodation
expenses
speaking
engagements
spoken
mainstream
media
Three
(E.N.H.,
C.D.,
J.P.)
unpaid
advisors
advocacy
organizations.
Language: Английский
Author’s response to “letter to the editor comment on: ‘A unique pseudo-eligibility analysis of longitudinal laboratory performance Data from a transgender female competitive cyclist’” by Lundberg, O’Connor, Kirk, Pollock, and Brown
Deleted Journal,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Nov. 28, 2024
Longitudinal
Laboratory
Performance
Data
from
a
Transgender
Female
Competitive
Cyclist
[3]".While
this
critique
presents
itself
as
scientific,
it
seems
to
be
driven
more
by
subjective
opinion
for
the
reasons
we
set
out
below.
TerminologyRegarding
authors'
key
argument
that
sex
is
binary,
important
note
idea
widely
disputed
in
modern
scientific
literature.For
example,
King
[4]
has
stated
not
simple
binary
concept,
citing
numerous
chromosomal
variations
and
biological
complexities
contribute
athletes
with
variation
classification.Fausto-Sterling
[5]
Massa
[6]
further
emphasise
may
understood
spectrum.By
considering
these
perspectives,
authors
of
letter
present
one-sided
could
mislead
readers
overlook
nuances
needed
balanced
debate
on
topic.In
title
our
cycling
paper
[3],
[1]
claims
terminology
used
confusing,
particularly
distinction
between
"transgender
female"
woman."However,
confusing
readers,
nor
unclear
itself.The
clearly
states
pseudo-eligibility
analysis
transgender
female
cyclist,
competing
at
elite
or
grassroots
levels.'Female'
'woman'
are
often
interchangeably,
extended
discussion
language
adds
little
value
critique.We,
also
disprove
suggestion
use
negative
such
"trans-identifying
male
[1]",
represents
misgendering
people
can
cause
harm
[7].
Regarding
comparison
groupsThe
opportunity
address
concerns
raised
regarding
groups
previous
work
[2]
utilised
sub-elite
woman
cyclist
[3]
appreciated.To
clarify,
all
cisgender
Language: Английский