{"id":"https://openalex.org/W4410313156","doi":"https://doi.org/10.1007/s00431-026-06897-4","title":"Qualitative analysis of the impact of top surgery on physical activity in transmasculine and non-binary adolescents and young adults: a pilot study","display_name":"Qualitative analysis of the impact of top surgery on physical activity in transmasculine and non-binary adolescents and young adults: a pilot study","publication_year":2026,"publication_date":"2026-05-12","ids":{"openalex":"https://openalex.org/W4410313156","doi":"https://doi.org/10.1007/s00431-026-06897-4","pmid":"https://pubmed.ncbi.nlm.nih.gov/42118346","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13167887"},"language":"en","primary_location":{"id":"doi:10.1007/s00431-026-06897-4","doi":"https://doi.org/10.1007/s00431-026-06897-4","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s00431-026-06897-4","pdf_url":"https://link.springer.com/content/pdf/10.1007/s00431-026-06897-4.pdf","source":{"id":"https://openalex.org/S48201647","display_name":"European Journal of Pediatrics","issn_l":"0340-6199","issn":["0340-6199","1432-1076"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Pediatrics","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://link.springer.com/content/pdf/10.1007/s00431-026-06897-4.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5069645773","display_name":"Kirtana Sandepudi","orcid":"https://orcid.org/0009-0008-7981-4424","observed_orcids":["https://orcid.org/0009-0008-7981-4424"]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kirtana Sandepudi","raw_affiliation_strings":["Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA","Northwestern University Feinberg School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA","institution_ids":["https://openalex.org/I111979921"]},{"raw_affiliation_string":"Northwestern University Feinberg School of Medicine","institution_ids":["https://openalex.org/I111979921"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5117524718","display_name":"Brenda Haddad","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I189273616","display_name":"Rosalind Franklin University of Medicine and Science","ror":"https://ror.org/04fegvg32","country_code":"US","type":"education","lineage":["https://openalex.org/I189273616"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Brenda Haddad","raw_affiliation_strings":["Rosalind Franklin University of Medical Sciences, North Chicago, IL, USA","Rosalind Franklin University of Medicine and Science"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rosalind Franklin University of Medical Sciences, North Chicago, IL, USA","institution_ids":["https://openalex.org/I189273616"]},{"raw_affiliation_string":"Rosalind Franklin University of Medicine and Science","institution_ids":["https://openalex.org/I189273616"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020953724","display_name":"Cole V. Roblee","orcid":"https://orcid.org/0000-0002-9032-4097","observed_orcids":["https://orcid.org/0000-0002-9032-4097"]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]},{"id":"https://openalex.org/I189273616","display_name":"Rosalind Franklin University of Medicine and Science","ror":"https://ror.org/04fegvg32","country_code":"US","type":"education","lineage":["https://openalex.org/I189273616"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Cole Roblee","raw_affiliation_strings":["Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA","Rosalind Franklin University of Medical Sciences, North Chicago, IL, USA","Rosalind Franklin University of Medicine and Science"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA","institution_ids":["https://openalex.org/I111979921"]},{"raw_affiliation_string":"Rosalind Franklin University of Medical Sciences, North Chicago, IL, USA","institution_ids":["https://openalex.org/I189273616"]},{"raw_affiliation_string":"Rosalind Franklin University of Medicine and Science","institution_ids":["https://openalex.org/I189273616"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5095690415","display_name":"Rebecca Arteaga","orcid":"https://orcid.org/0009-0004-5998-5067","observed_orcids":["https://orcid.org/0009-0004-5998-5067"]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rebecca Arteaga","raw_affiliation_strings":["Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA","Northwestern University Feinberg School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA","institution_ids":["https://openalex.org/I111979921"]},{"raw_affiliation_string":"Northwestern University Feinberg School of Medicine","institution_ids":["https://openalex.org/I111979921"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047117680","display_name":"Annaliese Krausse","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Annaliese Krausse","raw_affiliation_strings":["Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA","Northwestern University Feinberg School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA","institution_ids":["https://openalex.org/I111979921"]},{"raw_affiliation_string":"Northwestern University Feinberg School of Medicine","institution_ids":["https://openalex.org/I111979921"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092266173","display_name":"Jaina A. Gaudette","orcid":"https://orcid.org/0009-0002-3033-8312","observed_orcids":["https://orcid.org/0009-0002-3033-8312"]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jaina Gaudette","raw_affiliation_strings":["Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA","Northwestern University Feinberg School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA","institution_ids":["https://openalex.org/I111979921"]},{"raw_affiliation_string":"Northwestern University Feinberg School of Medicine","institution_ids":["https://openalex.org/I111979921"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5117524719","display_name":"Christopher Eyo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christopher Eyo","raw_affiliation_strings":["Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA","Northwestern University Feinberg School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA","institution_ids":["https://openalex.org/I111979921"]},{"raw_affiliation_string":"Northwestern University Feinberg School of Medicine","institution_ids":["https://openalex.org/I111979921"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015720675","display_name":"Paige N. Hackenberger","orcid":"https://orcid.org/0000-0003-2120-2253","observed_orcids":["https://orcid.org/0000-0003-2120-2253"]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Paige Hackenberger","raw_affiliation_strings":["Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA","Northwestern University Feinberg School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA","institution_ids":["https://openalex.org/I111979921"]},{"raw_affiliation_string":"Northwestern University Feinberg School of Medicine","institution_ids":["https://openalex.org/I111979921"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051642696","display_name":"Diane Chen","orcid":"https://orcid.org/0000-0002-7302-9248","observed_orcids":["https://orcid.org/0000-0002-7302-9248"]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]},{"id":"https://openalex.org/I1294278766","display_name":"Lurie Children's Hospital","ror":"https://ror.org/03a6zw892","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1294278766"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Diane Chen","raw_affiliation_strings":["Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA","Departments of Psychiatry & Behavioral Sciences, and Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA","Potocsnak Family Division of Adolescent and Young Adult Medicine, Pritzker Department of Psychiatry and Behavioral Health, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA","Lurie Children's Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA","institution_ids":["https://openalex.org/I111979921"]},{"raw_affiliation_string":"Departments of Psychiatry & Behavioral Sciences, and Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA","institution_ids":["https://openalex.org/I111979921"]},{"raw_affiliation_string":"Potocsnak Family Division of Adolescent and Young Adult Medicine, Pritzker Department of Psychiatry and Behavioral Health, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA","institution_ids":["https://openalex.org/I1294278766"]},{"raw_affiliation_string":"Lurie Children's Hospital","institution_ids":["https://openalex.org/I1294278766"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065389112","display_name":"Lauren Brittany Beach","orcid":"https://orcid.org/0000-0003-3302-5047","observed_orcids":["https://orcid.org/0000-0003-3302-5047"]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lauren Beach","raw_affiliation_strings":["Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA","Northwestern University Feinberg School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA","institution_ids":["https://openalex.org/I111979921"]},{"raw_affiliation_string":"Northwestern University Feinberg School of Medicine","institution_ids":["https://openalex.org/I111979921"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5057962219","display_name":"Sumanas W. Jordan","orcid":"https://orcid.org/0000-0003-4101-0494","observed_orcids":["https://orcid.org/0000-0003-4101-0494"]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Sumanas W. Jordan","raw_affiliation_strings":["Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. sumanas.jordan@nm.org","Northwestern University Feinberg School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. sumanas.jordan@nm.org","institution_ids":["https://openalex.org/I111979921"]},{"raw_affiliation_string":"Northwestern University Feinberg School of Medicine","institution_ids":["https://openalex.org/I111979921"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5057962219"],"corresponding_institution_ids":["https://openalex.org/I111979921"],"apc_list":{"value":2990,"currency":"USD","value_usd":2990},"apc_paid":{"value":2990,"currency":"USD","value_usd":2990},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.00164686,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"185","issue":"6","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10156","display_name":"LGBTQ Health, Identity, and Policy","score":0.9926999807357788,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10156","display_name":"LGBTQ Health, Identity, and Policy","score":0.9926999807357788,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10352","display_name":"Physical Activity and Health","score":0.0024999999441206455,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10942","display_name":"Sports, Gender, and Society","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/3318","display_name":"Gender Studies"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/top-surgery","display_name":"top surgery","score":0.7990000247955322},{"id":"https://openalex.org/keywords/gender-affirming-surgery","display_name":"gender-affirming surgery","score":0.8759999871253967},{"id":"https://openalex.org/keywords/exercise","display_name":"physical activity","score":0.8920000195503235},{"id":"https://openalex.org/keywords/non-binary-youth","display_name":"non-binary youth","score":0.7950000166893005},{"id":"https://openalex.org/keywords/barriers-to-exercise","display_name":"barriers to exercise","score":0.5879999995231628},{"id":"https://openalex.org/keywords/gender-affirming-care","display_name":"gender-affirming care","score":0.7509999871253967},{"id":"https://openalex.org/keywords/cardiovascular-health","display_name":"cardiovascular health","score":0.8870000243186951},{"id":"https://openalex.org/keywords/postoperative-recovery","display_name":"postoperative recovery","score":0.765999972820282},{"id":"https://openalex.org/keywords/mental-health","display_name":"mental health","score":0.7020000219345093},{"id":"https://openalex.org/keywords/social-acceptance","display_name":"social acceptance","score":0.7710000276565552}],"concepts":[{"id":"https://openalex.org/C48372109","wikidata":"https://www.wikidata.org/wiki/Q3913","display_name":"Binary number","level":2,"score":0.5254199504852295},{"id":"https://openalex.org/C3018587665","wikidata":"https://www.wikidata.org/wiki/Q7268696","display_name":"Qualitative analysis","level":3,"score":0.4461353123188019},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.42693373560905457},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.41482013463974},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.32473522424697876},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.16470465064048767},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.11762741208076477},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C94375191","wikidata":"https://www.wikidata.org/wiki/Q11205","display_name":"Arithmetic","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000096224","descriptor_name":"Gender-Nonconforming Persons","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010865","descriptor_name":"Pilot Projects","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015444","descriptor_name":"Exercise","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D017144","descriptor_name":"Focus Groups","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057830","descriptor_name":"Gender-Affirming Surgery","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D063106","descriptor_name":"Transgender Persons","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1007/s00431-026-06897-4","doi":"https://doi.org/10.1007/s00431-026-06897-4","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s00431-026-06897-4","pdf_url":"https://link.springer.com/content/pdf/10.1007/s00431-026-06897-4.pdf","source":{"id":"https://openalex.org/S48201647","display_name":"European Journal of Pediatrics","issn_l":"0340-6199","issn":["0340-6199","1432-1076"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Pediatrics","raw_type":"journal-article"},{"id":"doi:10.21203/rs.3.rs-6566792/v1","doi":"https://doi.org/10.21203/rs.3.rs-6566792/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-6566792/v1","pdf_url":"https://www.researchsquare.com/article/rs-6566792/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},{"id":"pmid:42118346","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42118346","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European journal of pediatrics","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13167887","doi":null,"is_oa":true,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42118346/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Eur J Pediatr","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1007/s00431-026-06897-4","doi":"https://doi.org/10.1007/s00431-026-06897-4","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s00431-026-06897-4","pdf_url":"https://link.springer.com/content/pdf/10.1007/s00431-026-06897-4.pdf","source":{"id":"https://openalex.org/S48201647","display_name":"European Journal of Pediatrics","issn_l":"0340-6199","issn":["0340-6199","1432-1076"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Pediatrics","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0},{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.5}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4410313156.pdf","grobid_xml":"https://content.openalex.org/works/W4410313156.grobid-xml"},"referenced_works_count":30,"referenced_works":["https://openalex.org/W1515587369","https://openalex.org/W2015914610","https://openalex.org/W2040125215","https://openalex.org/W2048559963","https://openalex.org/W2072468828","https://openalex.org/W2104647749","https://openalex.org/W2275883437","https://openalex.org/W2522188092","https://openalex.org/W2563057357","https://openalex.org/W2593319769","https://openalex.org/W2598923009","https://openalex.org/W2605550620","https://openalex.org/W2751933586","https://openalex.org/W2792092484","https://openalex.org/W2793160667","https://openalex.org/W2793970827","https://openalex.org/W2811015481","https://openalex.org/W2965263749","https://openalex.org/W2996391521","https://openalex.org/W3000541769","https://openalex.org/W3101987495","https://openalex.org/W3128809996","https://openalex.org/W3135166816","https://openalex.org/W3137154064","https://openalex.org/W3146915104","https://openalex.org/W3152966386","https://openalex.org/W3163273620","https://openalex.org/W4297242624","https://openalex.org/W4306668783","https://openalex.org/W4308540853"],"related_works":["https://openalex.org/W7128690728","https://openalex.org/W4297242624","https://openalex.org/W7161826078","https://openalex.org/W7222817882","https://openalex.org/W4410640536","https://openalex.org/W3185259566","https://openalex.org/W2605550620","https://openalex.org/W4407206708","https://openalex.org/W4391092638","https://openalex.org/W3000572384"],"abstract_inverted_index":{"Physical":[0,272],"activity":[1,260,273,294],"(PA)":[2],"is":[3,43],"crucial":[4],"in":[5,55,261,274,295],"adolescents":[6,208,266],"and":[7,20,39,76,133,146,170,187,190,209,263,267],"young":[8,210,268],"adults":[9,269],"(AYA)":[10],"for":[11,198,240,307],"the":[12,47,69,77,97,174,191,241],"promotion":[13],"of":[14,37,49,68,86,99,136,220,232,245],"long-term":[15,242,308],"cardiovascular":[16,243,280,309],"health.":[17,281,310],"In":[18,59,205],"transgender":[19,262],"non-binary":[21,264],"(TGNB)":[22,265],"AYA":[23],"who":[24,91],"were":[25,92,102,117,128,149],"assigned":[26],"female":[27],"at":[28,96],"birth":[29],"(AFAB),":[30],"chest":[31,72,212,233],"dysphoria":[32,213,234,253],"may":[33],"lead":[34],"to":[35,45,104,152,157,172,200,217,258,292],"avoidance":[36],"sports":[38],"exercise.":[40],"Thus,":[41],"it":[42],"important":[44],"understand":[46],"impact":[48],"gender-affirming":[50,236],"top":[51,74,100,112,153,161,164,225,287,302],"surgery":[52,165,288,303],"on":[53,107],"PA":[54,158,171,184,197],"TGNB":[56,88,206,246,296],"AFAB":[57,89,207],"AYA.":[58,297],"this":[60],"pilot":[61],"study,":[62],"we":[63],"conducted":[64,103],"a":[65,256],"qualitative":[66],"analysis":[67],"associations":[70],"among":[71],"dysphoria,":[73],"surgery,":[75,101,162,189],"relationship":[78],"with":[79,123],"PA.":[80,137],"Two":[81],"focus":[82],"groups,":[83],"each":[84],"consisting":[85],"five":[87],"patients":[90],"13-25":[93],"years":[94],"old":[95],"time":[98],"elicit":[105],"perspectives":[106],"factors":[108,135,178],"impacting":[109],"PA,":[110,167,218],"including":[111,140,163],"surgery.":[113,154,226],"Focus":[114],"group":[115],"transcripts":[116],"analyzed":[118],"using":[119],"grounded":[120],"theory":[121],"coupled":[122],"situational":[124],"analysis.":[125],"Identified":[126],"themes":[127],"grouped":[129],"into":[130],"barriers,":[131,139],"facilitators,":[132],"complicating":[134],"Most":[138],"structural":[141],"accessibility,":[142],"passing,":[143],"binding/clothing":[144],"restrictions,":[145],"physical":[147,259,293],"safety,":[148],"prominent":[150],"prior":[151],"Several":[155],"facilitators":[156],"arose":[159],"after":[160,188],"improving":[166],"social":[168],"acceptance,":[169],"augment":[173],"post-op":[175,192],"chest.":[176],"Complicating":[177],"included":[179],"mental":[180],"health,":[181],"which":[182,195,221],"impacted":[183,196],"both":[185],"before":[186],"healing":[193],"process,":[194],"up":[199],"6":[201],"months":[202],"post-surgery.":[203],"CONCLUSION:":[204],"adults,":[211],"poses":[214],"several":[215],"barriers":[216,291],"many":[219,290],"are":[222],"resolved":[223],"by":[224],"These":[227],"findings":[228,300],"suggest":[229,301],"that":[230],"alleviation":[231],"via":[235],"care":[237],"has":[238],"implications":[239,306],"health":[244],"patients.":[247],"WHAT":[248,282],"IS":[249,283],"KNOWN:":[250],"\u2022":[251,271,285,298],"Chest":[252],"can":[254,276,304],"be":[255],"barrier":[257],"(AYA).":[270],"adolescence":[275],"shape":[277],"longer":[278],"term":[279],"NEW:":[284],"Gender-affirming":[286],"resolves":[289],"Our":[299],"have":[305]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2025-05-13T00:00:00"}