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Bascharon R, Sethi NK, Estevez R, Gordon M, Guevara C, Twohey E, deWeber K. Transgender competition in combat sports: Position statement of the Association of ringside physicians. PHYSICIAN SPORTSMED 2024; 52:317-324. [PMID: 38038979 DOI: 10.1080/00913847.2023.2286943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Accepted: 11/20/2023] [Indexed: 12/02/2023]
Abstract
The Association of Ringside Physicians (ARP) is committed to the concept of fair competition. It advocates for two equally skilled and matched athletes to keep bouts fair, competitive, entertaining, and, most importantly, safe for all combatants. Numerous studies have proven that transgender women may have a competitive athletic advantage against otherwise matched cis-gender women. Likewise, transgender men may suffer a competitive disadvantage against cis-gender men. These differences - both anatomic and physiologic - persist despite normalization of sex hormone levels and create disparities in competitive abilities that are not compatible with the spirit of fair competition. More importantly, allowing transgender athletes to compete against cisgender athletes in combat sports, which already involve significant risk of serious injury, unnecessarily raises the risk of injury due to these differences. Hence the ARP does not support transgender athlete competition against cisgender athletes in combat sports.
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Affiliation(s)
- Randa Bascharon
- Orthopedic and Sports Medicine Institute of Las Vegas, Las Vegas, NV, US
| | - Nitin K Sethi
- New York-Presbyterian Hospital/Weill Cornell Medical Center, New York, NY, USA
| | - Ryan Estevez
- Lakeland Regional Health Medical Center, Lakeland, FL, US
| | - Mark Gordon
- Memorial Hospital Pembroke, Pembroke Pines, FL, US
| | - Carlo Guevara
- Oral and Maxillofacial Surgery, Broward Health , Lauderdale, FL, USA
| | - Eric Twohey
- Mayo Clinic Department of Physical Medicine and Rehabilitation, Rochester, MN, US
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Caton NR, Brown LM, Zhao AAZ, Dixson BJW. Human Male Body Size Predicts Increased Knockout Power, Which Is Accurately Tracked by Conspecific Judgments of Male Dominance. HUMAN NATURE (HAWTHORNE, N.Y.) 2024; 35:114-133. [PMID: 38878141 PMCID: PMC11317448 DOI: 10.1007/s12110-024-09473-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 06/02/2024] [Indexed: 08/13/2024]
Abstract
Humans have undergone a long evolutionary history of violent agonistic exchanges, which would have placed selective pressures on greater body size and the psychophysical systems that detect them. The present work showed that greater body size in humans predicted increased knockout power during combative contests (Study 1a-1b: total N = 5,866; Study 2: N = 44 openweight fights). In agonistic exchanges reflective of ancestral size asymmetries, heavier combatants were 200% more likely to win against their lighter counterparts because they were 200% more likely to knock them out (Study 2). Human dominance judgments (total N = 500 MTurkers) accurately tracked the frequency with which men (N = 516) knocked out similar-sized adversaries (Study 3). Humans were able to directly perceive a man's knockout power because they were attending to cues of a man's body size. Human dominance judgments-which are important across numerous psychological domains, including attractiveness, leadership, and legal decision-making-accurately predict the likelihood with which a potential mate, ally, or rival can incapacitate their adversaries.
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Affiliation(s)
- Neil R Caton
- School of Psychology, University of Queensland, Brisbane, QLD, Australia.
| | - Lachlan M Brown
- School of Psychology, University of Queensland, Brisbane, QLD, Australia
| | - Amy A Z Zhao
- School of Psychology, University of Queensland, Brisbane, QLD, Australia
| | - Barnaby J W Dixson
- School of Psychology, The University of the Sunshine Coast, Sunshine Coast, QLD, Australia
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Human third-party observers accurately track fighting skill and vigour along their unique paths to victory. Sci Rep 2022; 12:14841. [PMID: 36050502 PMCID: PMC9437099 DOI: 10.1038/s41598-022-19044-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Accepted: 08/23/2022] [Indexed: 11/09/2022] Open
Abstract
Sexual selection via male-male contest competition has shaped the evolution of agonistic displays, weaponry, and fighting styles, and is further argued to have shaped human psychological mechanisms to detect, process, and respond appropriately to cues of fighting ability. Drawing on the largest fight-specific dataset to date across the sports and biological sciences (N = 2765 fights), we examined how different indicators of fighting ability in humans reflect unique paths to victory and indicate different forms of perceived and actual resource-holding power (RHP). Overall, we discovered that: (1) both striking skill and vigour, and grappling skill and vigour, individually and collectively predict RHP; (2) different RHP indicators are distinguished by a unique path to victory (e.g., striking skill is a knockout-typical strategy, whereas grappling vigour is a submission-typical strategy); and (3) third-party observers accurately track fighting skill and vigour along their unique paths to victory. Our argument that different measures of RHP are associated with unique paths to victory, and third-party observers accurately track fighting vigour and skill along their unique paths to victory, advance our understanding not only of human contest competition, but animal contest theory more broadly.
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Carroll C. Female excellence in rock climbing likely has an evolutionary origin. Curr Res Physiol 2021; 4:39-46. [PMID: 34746825 PMCID: PMC8562198 DOI: 10.1016/j.crphys.2021.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2020] [Revised: 01/21/2021] [Accepted: 01/25/2021] [Indexed: 11/18/2022] Open
Abstract
The human body is exceptional for many reasons, not the least of which is the wide variety of movements it is capable of executing. Because our species is able to execute so many discrete activities, researchers often disagree on which were the movements most essential to the evolution of our species. This paper continues a recently introduced analysis, that the performance gap between female and male athletes narrows in sports which most reflect the movements humans evolved to do. Here, I examine the performance gap in rock climbing. Female climbers are some of the best in the world irrespective of gender, a trend that is not found in any other major sport. I conclude that the exceptional ability of female rock climbers relative to male rock climbers is further evidence of the existence of sex-blind musculoskeletal adaptations, which developed over the course of human evolution – as a result of external (non-sexual) selection forces – to facilitate essential movements. These adaptations abate some of the general physical sexual dimorphism which exists in humans. This paper provides more evidence that the human body was shaped, in part, by pressure to climb well. Rock climbing is the sport most similar to tree climbing, a movement essential to human development. Multiple women can be found in the list of top 100 rock climbers, a trend not found in any other major sport. Sports with a higher degree of gender equity, may reflect movements with a greater degree of evolutionary importance. Rock climbing’s gender gap provides further evidence that early humans faced external selection pressure to climb well. Thus, the importance of climbing to the survival of humans - even after the onset of genus Homo - may be understated.
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Affiliation(s)
- Collin Carroll
- Columbia University. 2 Broad Street, Westport, CT, 06880, USA
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Hilton EN, Lundberg TR. Transgender Women in the Female Category of Sport: Perspectives on Testosterone Suppression and Performance Advantage. Sports Med 2021; 51:199-214. [PMID: 33289906 PMCID: PMC7846503 DOI: 10.1007/s40279-020-01389-3] [Citation(s) in RCA: 50] [Impact Index Per Article: 16.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Males enjoy physical performance advantages over females within competitive sport. The sex-based segregation into male and female sporting categories does not account for transgender persons who experience incongruence between their biological sex and their experienced gender identity. Accordingly, the International Olympic Committee (IOC) determined criteria by which a transgender woman may be eligible to compete in the female category, requiring total serum testosterone levels to be suppressed below 10 nmol/L for at least 12 months prior to and during competition. Whether this regulation removes the male performance advantage has not been scrutinized. Here, we review how differences in biological characteristics between biological males and females affect sporting performance and assess whether evidence exists to support the assumption that testosterone suppression in transgender women removes the male performance advantage and thus delivers fair and safe competition. We report that the performance gap between males and females becomes significant at puberty and often amounts to 10-50% depending on sport. The performance gap is more pronounced in sporting activities relying on muscle mass and explosive strength, particularly in the upper body. Longitudinal studies examining the effects of testosterone suppression on muscle mass and strength in transgender women consistently show very modest changes, where the loss of lean body mass, muscle area and strength typically amounts to approximately 5% after 12 months of treatment. Thus, the muscular advantage enjoyed by transgender women is only minimally reduced when testosterone is suppressed. Sports organizations should consider this evidence when reassessing current policies regarding participation of transgender women in the female category of sport.
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Affiliation(s)
- Emma N Hilton
- Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK
| | - Tommy R Lundberg
- Department of Laboratory Medicine/ANA Futura, Division of Clinical Physiology, Karolinska Institutet, Alfred Nobles Allé 8B, Huddinge, 141 52, Stockholm, Sweden.
- Unit of Clinical Physiology, Karolinska University Hospital, Stockholm, Sweden.
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Bennett LL, Stephen SJ, Bernick C, Shan G, Banks SJ. Sex Moderates the Relationship That Number of Professional Fights Has With Cognition and Brain Volumes. Front Neurol 2020; 11:574458. [PMID: 33250844 PMCID: PMC7673387 DOI: 10.3389/fneur.2020.574458] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Accepted: 09/25/2020] [Indexed: 12/18/2022] Open
Abstract
Objective: Incidence of concussions and report of symptoms are greater among women across sports. While structural brain changes and cognitive declines are associated with repetitive head impact (RHI), the role of sex is not well-understood. This study aimed to determine if there is a moderating effect of sex on the relationship the number of professional fights has with cognitive functioning and regional brain volumes in a cohort of boxers, mixed martial artists, and martial artists. Methods: A total of 55 women were matched with 55 men based on age, years of education, ethnicity, and fighting style. Cognition was assessed via the CNS Vital Signs computerized cognitive battery and supplemental measures. Structural brain scans, demographic data, and number of professional fights (NoPF) were also considered. The matched pairs were compared via analysis of covariance, accounting for total brain volume. Within-subject moderation models were utilized to assess the moderating effect of sex on the relationship between NoPF and brain volumes and cognitive performance. Results: Men were observed to have poorer performance on measures of psychomotor speed when compared to women. On a series of analyses assessing the role of sex as a moderator of the relationship between NoPF and regional brain volumes/cognitive performance, a significant moderation effect was observed across multiple measures of cognitive functioning, such that men had poorer performance. Differences in numerous regional brain volumes were also observed, such that the relationship between NoPF and brain volumes was steeper among men. Conclusion: Sex was observed to be an important moderator in the relationship between NoPF, aspects of cognitive functioning, and volumes of numerous brain regions, suggesting that sex differences in neuroanatomic and cognitive response to RHI deserve further attention.
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Affiliation(s)
- Lauren L Bennett
- Neuropsychologist, Pickup Family Neurosciences Institute, Hoag Memorial Hospital Presbyterian, Newport Beach, CA, United States
| | - Steve J Stephen
- Cleveland Clinic Lou Ruvo Center for Brain Health, Las Vegas, NV, United States
| | - Charles Bernick
- Cleveland Clinic Lou Ruvo Center for Brain Health, Las Vegas, NV, United States
| | - Guogen Shan
- Department of Environmental and Occupational Health, School of Community Health Sciences, University of Nevada Las Vegas, Las Vegas, NV, United States
| | - Sarah J Banks
- Departments of Neurosciences and Psychiatry, University of California, San Diego, San Diego, CA, United States
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Beseris EA, Naleway SE, Carrier DR. Impact Protection Potential of Mammalian Hair: Testing the Pugilism Hypothesis for the Evolution of Human Facial Hair. Integr Org Biol 2020; 2:obaa005. [PMID: 33791549 PMCID: PMC7671116 DOI: 10.1093/iob/obaa005] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Because facial hair is one of the most sexually dimorphic features of humans (Homo sapiens) and is often perceived as an indicator of masculinity and social dominance, human facial hair has been suggested to play a role in male contest competition. Some authors have proposed that the beard may function similar to the long hair of a lion’s mane, serving to protect vital areas like the throat and jaw from lethal attacks. This is consistent with the observation that the mandible, which is superficially covered by the beard, is one of the most commonly fractured facial bones in interpersonal violence. We hypothesized that beards protect the skin and bones of the face when human males fight by absorbing and dispersing the energy of a blunt impact. We tested this hypothesis by measuring impact force and energy absorbed by a fiber epoxy composite, which served as a bone analog, when it was covered with skin that had thick hair (referred to here as “furred”) versus skin with no hair (referred to here as “sheared” and “plucked”). We covered the epoxy composite with segments of skin dissected from domestic sheep (Ovis aries), and used a drop weight impact tester affixed with a load cell to collect force versus time data. Tissue samples were prepared in three conditions: furred (n = 20), plucked (n = 20), and sheared (n = 20). We found that fully furred samples were capable of absorbing more energy than plucked and sheared samples. For example, peak force was 16% greater and total energy absorbed was 37% greater in the furred compared to the plucked samples. These differences were due in part to a longer time frame of force delivery in the furred samples. These data support the hypothesis that human beards protect vulnerable regions of the facial skeleton from damaging strikes.
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Affiliation(s)
- E A Beseris
- Department of Biology, University of Utah, 257 S. 1400 E, Salt Lake City, UT 84112, USA
| | - S E Naleway
- Department of Mechanical Engineering, University of Utah, 100 S. 1495 E, Salt Lake City, UT 84112, USA
| | - D R Carrier
- Department of Biology, University of Utah, 257 S. 1400 E, Salt Lake City, UT 84112, USA
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Knight K. Evolution built men to pack a punch. J Exp Biol 2020. [DOI: 10.1242/jeb.221135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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