The complicated truth about testosterone’s effect on athletic performance.

One study of professional male triathletes found no relationship between testosterone levels and performance

tandfonline.com/doi/abs/10.310…
Another, looking at professional cyclists, found the same lack of correlation.

thieme-connect.com/products/ejour…
Yet another, comparing cyclists, weightlifters, and controls to each other on a cycling test, found a negative correlation between testosterone levels and performance.

tandfonline.com/doi/full/10.10…
A study of teenage weightlifters found no relationship between boys’ testosterone levels and their performance, and a negative correlation among the girls—meaning they performed better when their testosterone was lower.

journals.humankinetics.com/view/journals/…
Some studies have even found mixed or opposing results within their own findings. One found that sprinters seem to get an advantage from testosterone, while other runners didn’t.

biorxiv.org/content/10.110…
Another came to the conclusion that it helped female track athletes, but not male ones.
bjsm.bmj.com/content/51/17/…
There’s also differences in results depending on what type of strength you look at—endurance strength seems to decrease with higher testosterone levels, while maximum strength generally only increases.
Complicating all of this is the fact that elite athletes’ testosterone levels vary quite a lot. One analysis found that 25% of elite male athletes have testosterone levels below what the IAAF consider the lower limit for men.

clindiabetesendo.biomedcentral.com/articles/10.11…
What’s more, it wasn’t the athletes in less strength- or speed-oriented sports. Some of the events with the most men below the limit were powerlifting, rowing, track and field, ice hockey, and rowing.
Basketball players and alpine skiers had some of the highest levels.

That all seems to imply, at that high testosterone isn’t a universal performance booster.
The mixed results might explain why even broad review articles find opposing results. Reviews have suggested both that there’s not enough evidence to enforce any upper testosterone limit in women,

tandfonline.com/doi/full/10.10…
and that there’s reason to apply a very specific one.

ncbi.nlm.nih.gov/pmc/articles/P…
Sports relies on abilities that are fundamentally unfair. Just as tiny gymnasts do better than tall ones, there are myriad factors that give some athletes advantages over others.
Testosterone should be ‘de-gendered.’ It is a hormone present in both genders, which is why continuity of gender should trump levels of testosterone.
It is far too simplistic to say that the only difference between men and women is their testosterone levels. If you’re going to look at performance differences, you also have to look at sociological ones.
There are almost certainly biological differences that mean men will always on ave outperform women to some degree, but teenage girls are much less likely to compete in sports at school than boys and are given generally worse facilities.
Male athletes are paid much better than female ones on the whole. Holt says these and other factors mean “there are a whole load of sociological reasons that may also drive men to coach and be driven to achieve at a high level beyond testosterone.
Besides, the idea that a naturally occurring variation in some women’s bodies is somehow unfair doesn’t mesh with how much we exalt male athletes with unusual abilities.
Michael Phelps’ muscles produce half the lactic acid of a normal person, enabling him to push himself for much longer without fatigue.
Finnish cross-country skier Eero Mäntyranta has an inherited mutation that increases his red blood cells’ oxygen-carrying capacity by 25 to 50 percent, which is the genetic equivalent of doping.

bjsm.bmj.com/content/37/3/1…
Those men were celebrated, not pillaried.
Sports are inherently unfair, and while there have to be some regulations to account for true cheating, it seems like a double standard to demonize women for the same kind of natural advantages that we appreciate in men.
And to simplify the entire debate down to a single (albeit important) hormone ignores a great deal of biology and sociology. We should celebrate those biological differences.
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More from @KirstiMiller30

19 Nov
Worley’s case opens the courts to athletes human rights cases. The IOC understands their blanket testosterone policies needlessly harmed XY female athletes and they no longer can do so.
Any sports federation that chooses to ignore the ’No- harm’ clause of the IOC framework leaves the door open for other athletes to stake their claim before a court of law, there is a precedent.

sportsintegrityinitiative.com/worleys-case-o…
History of Worley’s case. Worley is an athlete who was an XY male and transitioned to become an XY female over 20 years ago. She describes herself as not transgender, but as a transitioned woman as she has undergone surgical procedures to become female.
Read 15 tweets
18 Nov
One podium does not a pattern make. There were 306 podiums at the 2016 Rio Games. Just one was composed entirely of intersex female athletes (and again, no trans women even qualified to compete).
Women were eligible for 144 of those podiums (including women-only and mixed-gender sports or categories). One podium out of 144, or 0.69%. So apparently one podium out of 144 is enough for the @WorldAthletics to point to the results as evidence of events “dominated” by
intersex women. I think that’s a hasty generalization.
I wouldn’t describe the results of a single event as intersex (or trans) women having “dominated” the 2016 Games. The winner didn’t even set a world record.
Read 11 tweets
18 Nov
Importantly the 2021 IOC framework shifts the burden of proof from individual athletes to the international sport federations. It also specifies that inclusion should be the default unless “robust and peer reviewed research” presents evidence that an individual athlete ..
is gaining “a consistent, unfair, disproportionate competitive advantage in performance and/or an unpreventable risk to the physical safety of other athletes.”
Also the IOC has made it crystal clear sports organizations cannot pick and choose the principles. They have to take all 10 of them into account together
Read 11 tweets
18 Nov
The new IOC framework are not a participation policy they are aimed to help sports write eligibility rules for trans athletes, the IOC has published advice that shifts the focus from individual testosterone levels & calls for evidence proving if a performance advantage existed.
No individual athlete should be excluded from competing based on an "unverified, alleged or perceived unfair competitive advantage due to their sex variations, physical appearance and/or transgender status", the International Olympic Committee said.
The six-page document follows years of consultation with medical and human rights experts — and, since 2019, athletes directly affected to help draft guidelines promoting fairness and inclusion.
Read 11 tweets
18 Nov
Sports can still ban Warren but not Kirsti anymore, thank you @iocmedia go fuck yourself @WorldRugby Image
Under the new IOC framework sports now need to measure for actual advantage, rather than just assuming based on sex/gender. This will torpedo nonsense like the @WorldRugby blanket ban proposed UK rugby 'only tall cis women' rule. ImageImage
In deciding whether trans & intersex women should be allowed to compete as women, who has the burden of proof in the debate? The IOC’s answer is CRYSTAL clear: those sports who seek to exclude.
Read 19 tweets
18 Nov
Racism, homophobia, transphobia & interphobia etc, is not free speech, it is violence. ImageImageImage
The fact is you cannot address the unacceptable levels of anti-GLBTIQ bullying & violence in schools unless you identify it, confront it, talk about it, understand it, & deal with it. It does not slot neatly under “general issues”
It like having a health campaign in schools but not talking about exercise or nutrition.
Read 8 tweets

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