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. 2024 Mar 9;47(9):2249–2260. doi: 10.1007/s40618-024-02323-4

Table 2.

Fat cell volume and lipolysis in transwomen and transmen before initiated treatment (T00), after gonadal downregulation (T0), 3 months (T3) and 11 months (T11) after gender-affirming hormonal treatment was started

Time T00 T0 T3 T11 T00 vs T0 T00 vs T3 T00 vs T12
n Median (IQR) n Median (IQR) n Median (IQR) n Median (IQR) p-value p-value p-value
Transwomen
Fat cell volume (pL) 15 387 (209–561) 12 347 (271–534) 11 340 (222–424) 12 342 (284–517) 0.80 0.47 0.74
Basal lipolys (µmol glycerol/g TG/2 h) 14 0.70 (0.57–0.88) 12 0.64 (0.54–0.82) 11 0.60 (0.43–0.98) 12 0.88 (0.43–2.10) 0.55 0.75 0.09
Noradrenaline induced lipolysis (µmol glycerol/g TG/2 h) 14 2.67 (1.23–3.64) 12 2.98 (1.39–4.08) 11 2.36 (1.42–4.13) 12 3.00 (2.06–3.95) 0.69 0.90 0.16
Isoprenaline induced lipolysis (µmol glycerol/g TG/2 h) 14 8.46 (3.51–9.40) 12 5.79 (3.47–11.11) 11 8.48 (4.08–9.87) 12 7.16 (6.35–8.85) 0.89 0.85 0.34
Basal lipolysis (µmol glycerol/×107 cells/2 h) 14 2.72 (1.27–3.55) 12 2.03 (1.01–3.09) 11 1.56 (0.96–2.27) 12 3.21 (1.46–7.77) 0.32 0.47 0.19
Noradrenaline stimulated lipolysis (µmol glycerol/×107 cells/2 h) 14 6.20 (4.79–13.10) 12 8.90 (5.23–14.25) 11 5.15 (4.50–13.38) 12 9.26 (6.66–21.94) 0.79 0.86 0.14
Isoprenaline stimulated lipolysis (µmol glycerol/×107 cells/2 h) 14 18.09 (15.24–32.89) 12 19.26 (15.30–29.04) 11 19.33 (14.67–29.84) 12 22.38 (16.46–35.61) 0.76 0.84 0.72
Noradrenaline/Basal lipolysis (ratio) 14 2.91 (1.85–4.41) 12 3.57 (2.27–6.62) 11 3.37 (2.70–5.68) 12 3.47 (2.31–4.59) 0.16 0.63 0.53
Isoprenaline/Basal lipolysis (ratio) 14 11.70 (4.82–14.56) 12 10.22 (6.73–16.62) 11 14.37 (5.66–18.62) 12 7.68 (5.03–15.30) 0.86 0.59 0.71
Transmen
Fat cell volume (pL) 14 430 (299–576) 14 396 (308–519) 14 545 (349–680) 16 442 (300–609) 0.76 0.09 0.87
Basal lipolys (µmol glycerol/g TG/2 h) 14 0.74 (0.34–1.02) 14 0.94 (0.36–1.20) 14 0.96 (0.52–1.30) 16 1.05 (0.79–1.48) 0.39 0.30 0.20
Noradrenaline induced lipolysis (µmol glycerol/g TG/2 h) 14 2.77 (1.54–3.72) 14 3.81 (2.35–5.87) 14 2.72 (1.57–3.44) 16 2.71 (2.04–3.33) 0.04 0.59 0.57
Isoprenaline induced lipolysis (µmol glycerol/g TG/2 h) 14 5.91 (5.14–7.38) 14 7.48 (6.04–8.77) 14 6.27 (5.43–7.95) 16 5.77 (5.09–9.12) 0.06 0.70 0.41
Basal lipolysis (µmol glycerol/×107 cells/2 h) 14 2.35 (1.26–4.55) 14 2.94 (1.86–6.03) 14 4.30 (2.02–7.54) 16 3.09 (2.68–5.51) 0.48 0.05 0.15
Noradrenaline stimulated lipolysis (µmol glycerol/×107 cells/2 h) 14 10.70 (4.68–16.60) 14 14.52 (6.80–24.28) 14 13.74 (6.66–22.35) 16 9.69 (5.93–15.81) 0.07 0.54 0.49
Isoprenaline stimulated lipolysis (µmol glycerol/×107 cells/2 h) 14 23.73 (17.68–27.88) 14 31.12 (18.30–34.94) 14 26.85 (25.15–36.64) 16 23.19 (19.68–32.80) 0.11 0.10 0.42
Noradrenaline/Basal lipolysis (ratio) 14 3.64 (2.38–5.45) 14 4.00 (3.08–7.65) 14 3.25 (1.54–4.97) 16 2.45 (1.63–3.26) 0.10 0.74 0.04
Isoprenaline/Basal lipolysis (ratio) 14 8.90 (5.91–13.01) 14 9.06 (6.09–13.30) 14 7.87 (4.97–13.35) 16 6.19 (4.84–8.60) 0.92 0.95 0.15

TG Triglycerides