Health
American College of Pediatricians issues fiery statement condemning child gender transition
A coalition of pediatricians, health policy groups and conservative organizations is calling on medical professionals to stop promoting transgender medical treatments for children.
The American College of Pediatricians (ACP) and allied groups styling themselves as “Doctors Protecting Children” have published a declaration urging mainstream American medical associations like the American Academy of Pediatrics to abandon support for so-called “gender-affirming care” for transgender youths.
“As physicians, together with nurses, psychotherapists and behavioral health clinicians, other health professionals, scientists, researchers, and public health and policy professionals, we have serious concerns about the physical and mental health effects of the current protocols promoted for the care of children and adolescents in the United States who express discomfort with their biological sex,” the declaration states.
Affirming that sex is a biological characteristic and that medical decisions “should not be based upon an individual’s thoughts and feelings,” including their self-professed “gender identity,” the groups assert that what is currently accepted as best practice treatments for gender dysphoria is actually harmful for patients. Their view is disputed by the larger medical community, which has established that gender is a social construct, not an inborn biological realty, and that validation and affirmation of a person’s internal self-identity are in their best interest.
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A coalition called “Doctors Protecting Children” argues that puberty blockers, cross-sex hormone treatments and other “gender-affirming care” for transgender children and adolescents lack evidence showing their effectiveness as treatments for gender dysphoria. (Adobe Stock)
The American Medical Association (AMA), for instance, states on its website that “improving access to gender-affirming care is an important means of improving health outcomes for the transgender population.”
“Receipt of gender-affirming care has been linked to dramatically reduced rates of suicide attempts, decreased rates of depression and anxiety, decreased substance use, improved HIV medication adherence and reduced rates of harmful self-prescribed hormone use,” the APA claims.
The federal government, through the Department of Health and Human Services, also supports transgender medical procedures for children and adolescents, calling it a “supportive form of health care that may include medical, surgical, mental health and non-medical services for transgender and nonbinary people.”
“Research demonstrates that gender-affirming care improves the mental health and overall well-being of gender-diverse children and adolescents,” the Office of Population Affairs (OASH) at HHS has said.
However, several European countries, including the U.K., Sweden, Finland, Norway and France, have pushed back on the use of puberty blockers and sex reassignment surgery for children and adolescents. The U.K. last year, for instance, announced a rollback on the availability of hormone treatments, limiting them to clinical trials exclusively.
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Trans rights activists take part in a protest against the ban on hormone blockers on April 20, 2024, in London. (Carl Court/Getty Images)
In contrast to the World Professional Association for Transgender Health (WPATH) standards of care for transsexual, transgender and gender-nonconforming people, Doctors Protecting Children argues that permitting children to socially transition before puberty does not improve their mental health and social well-being outcomes.
The declaration cites various studies to support its claims, including the Cass Review, a controversial independent report commissioned by the United Kingdom’s National Health Service that documented practices and care for children reporting gender identity disorders.
Named for its primary author, Dr. Hilary Cass, the 388-page review found medical professionals reported “no guidance, no evidence, no training” regarding gender disorders and were “afraid” to discuss the topic. It concluded that evidence supporting transgender medical treatments for children and adolescents was “remarkably weak.”
The Cass Review has been criticized by WPATH and transgender rights groups, which claim it ignored recent evidence that supports transgender medical procedures as beneficial for transgender minors and made “assumptions about transgender children and adolescents which are outdated and untrue, which then form the basis of harmful interventions.”
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Doctors Protecting Children cited several studies that show puberty-blocking drugs did not have significant benefits for young people experiencing gender dysphoria. (iStock)
Doctors Protecting Children said the Cass Review and related research from the University of York “further demonstrate the failure of the WPATH, American Academy of Pediatrics and Endocrine Society protocols.”
The coalition argues that research shows there is a lack of evidence that social transition in childhood has any positive or negative mental health outcomes; that puberty blockers succeed in suppressing secondary sex characteristics but demonstrate “no changes in gender dysphoria or body satisfaction”; and that there is insufficient research on the long-term effects of cross-sex hormone therapies to determine if they are beneficial or harmful.
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“Psychotherapy for underlying mental health issues such as depression, anxiety, and autism, as well as prior emotional trauma or abuse should be the first line of treatment for these vulnerable children experiencing discomfort with their biological sex,” Doctors Protecting Children states.
The coalition calls on the American Academy of Pediatrics, the Endocrine Society, the Pediatric Endocrine Society, the American Medical Association, the American Psychological Association and the American Academy of Child and Adolescent Psychiatry to “follow the science and their European professional colleagues and immediately stop the promotion of social affirmation, puberty blockers, cross-sex hormones and surgeries for children and adolescents who experience distress over their biological sex (emphasis original).”
“It is time that these American medical institutions follow the science and the lead of our European professional colleagues and cease to promote protocols that harm children, including the promotion of social affirmation, puberty blockers, cross-sex hormones and surgeries for children and adolescents who experience distress over their biological sex,” said Dr. Jill Simons, pediatrician and executive director of the American College of Pediatricians.
AAP, the Endocrine Society, the Pediatric Endocrine Society, AMA, APA and AACAP did not immediately respond to requests for comment.
More than a dozen Republican-led states, including Texas, have already acted to ban or limit the use of puberty blockers on minors, with fierce opposition from American medical groups.
Fox News Digital’s Melissa Rudy, Anders Hagstrom and Timothy H.J. Nerozzi contributed to this report.
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Health
Everyday task may help detect early dementia signs before diagnosis, study finds
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A simple writing test could detect cognitive impairment in older individuals before more serious symptoms occur, scientists have discovered.
Writing is a complex, brain-heavy workout that requires the mind to process information, organize thoughts and send precise signals to the fingers all at once, according to experts.
Because writing draws on so many complex mental functions, researchers believe that small changes in how people write could provide early warning signs for cognitive impairment.
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Researchers in Portugal wanted to see if analyzing the process of writing — such as how long a person pauses or how they organize their strokes — could catch cognitive changes earlier than traditional paper-and-pencil tests, which usually only grade the final answer.
The study looked at 58 older adults between the ages of 62 and 92 living in care homes, according to a press release.
Researchers hoped to catch cognitive changes earlier than traditional paper-and-pencil tests, which usually only focus on the final output. (iStock)
Among the participants, 38 had already been diagnosed with cognitive impairment. Each volunteer was asked to complete various writing exercises using an ink pen on a specialized digital tablet that tracked their precise hand movements.
The tests covered basic pen control, copying sentences from a flashcard, and writing sentences that others spoke aloud, the researchers said.
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Simple tasks, like drawing lines or copying text, did not reveal major differences between the two groups. Because these activities rely mostly on basic motor skills, the team hypothesized that they weren’t mentally challenging enough to expose subtle cognitive issues.
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When writing from dictation, older adults with cognitive impairment had writing patterns that were noticeably slower, more fragmented and less coordinated.
“Dictation tasks are more sensitive because they require the brain to do multiple things at once: listen, process language, convert sounds into written form and coordinate movement,” Dr. Ana Rita Matias, the study’s senior author from the University of Évora, stated in the press release.
When writing from dictation, older adults with cognitive impairment showed noticeably slower, more fragmented and less coordinated writing patterns. (iStock)
As a sentence became more complex, the brain struggled to keep up. Adults with cognitive decline took longer to start writing, paused more frequently and struggled with stroke organization, the study found.
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Currently, diagnosing cognitive decline often involves expensive brain scans or lengthy psychological testing.
“The long-term goal is to develop a tool that is easy to administer, time-efficient and affordable, allowing integration into everyday healthcare contexts without requiring specialized or expensive equipment,” Matias said.
Researchers did not account for the participants’ medication use, which could potentially impact both handwriting and brain function. (iStock)
The study did have some limitations, including that it was relatively small. As it was limited to 58 older adults living in care homes, larger and more diverse groups need to be tested to confirm the findings, the researchers noted.
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The study also did not account for the participants’ use of medications, which could potentially impact both handwriting and brain function.
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The study was published in Frontiers in Human Neuroscience.
Health
Sleep doctor reveals the brutal health downside of daylight saving time
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The Trump administration is taking another look at ending biannual clock changes, with an eye toward making daylight saving time (DST), or the “summer clock,” permanent.
On May 21, the House Energy and Commerce Committee advanced legislation that would make daylight saving time permanent in a 48-1 vote, part of a largely bipartisan push to end twice-yearly clock changes.
Although gaining extra winter evening daylight might seem like a win, health experts say permanent daylight saving time could disrupt people’s natural circadian rhythms.
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In an interview with Fox News Digital, Dr. Wendy Troxel, a licensed clinical psychologist and senior behavioral scientist at RAND based in Utah, said science is being “misconstrued” in this decision.
“Ending the biannual clock change is something most sleep scientists and the public would welcome,” she said. “The disruption of springing forward every March is associated with real, measurable harm — spikes in car crashes, heart attacks and sleep deprivation.”
The Trump administration is taking another look at ending semiannual clock changes, with an eye toward making daylight saving time, or the “summer clock,” permanent. (iStock)
However, Troxel noted, implementing permanent daylight saving time is “not supported by science.” Instead, evidence “strongly supports” permanent standard time, or the “winter clock,” according to the expert.
Major sleep medicine organizations, including the American Academy of Sleep Medicine, have previously supported adopting permanent standard time over permanent daylight saving time.
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“Standard time is more closely aligned with human circadian biology, meaning the relationship between light, darkness and our internal clocks remains intact,” Troxel said.
“Permanent DST simply shifts an hour of morning sunlight to the evening, and there are significant health and safety costs of that trade.”
“Standard time is more closely aligned with human circadian biology,” the expert said. (iStock)
The U.S. attempted permanent DST in the early 1970s, but the plan was aborted in part due to these “morning consequences,” according to the sleep expert.
“Within a year, the law was repealed amid public displeasure with commuting to work and school in the dark and increases in morning car crashes, and with no demonstrable impact on energy savings,” Troxel told Fox News Digital.
Why morning sunlight matters
Human circadian rhythms are primarily “anchored” by morning light, Troxel said. Under permanent DST, most people waking up for work or school would be rising before the sun, which forces a “chronic misalignment between the body’s internal clock and the external world.”
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“You cannot override that biology by simply shifting external clocks forward,” the expert said. “What you get instead is a population that is effectively waking up in the middle of their biological night, every single day.”
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The public has typically supported having more daylight in winter evenings, which could alleviate mental health conditions such as seasonal depression.
Supporters of permanent daylight saving time argue that later evening daylight could encourage outdoor activity, recreation and consumer spending after work or school.
Morning light is “crucial to regulate sleep, [boost] alertness and support mental health,” according to a sleep expert. (iStock)
Troxel agreed that light is a “powerful regulator” for sleep and moods, but noted that not all types have the same benefits.
“Morning light is crucial to regulate sleep, alertness and support mental health, and this would be sacrificed with permanent daylight saving time,” she noted.
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In some areas of the country, like Utah, Americans wouldn’t see the sunrise until about 9 a.m. in the winter, which some research has linked to higher rates of depression and seasonal mood challenges.
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“More evening light may feel enjoyable, in part because we equate it with lovely summer evenings, but permanent daylight saving time does not mean permanent summer,” Troxel emphasized. “It just means we will get less morning sunlight and more evening sunlight.”
“Exposure to light in the evening further pushes circadian rhythms later, making it more difficult to fall asleep and harder to wake up in the morning.”
Risks for vulnerable groups
Permanent daylight saving time can intensify people’s habit of “bedtime procrastination,” deepen sleep deprivation and contribute to the widespread public health issue of insufficient sleep already identified by the Institute of Medicine, according to Troxel.
Teens are most at risk of mental health complications if permanent DST extends darkness in the morning. (iStock)
Various studies have shown that people typically sleep less in summer compared to winter. Troxel said this is particularly concerning in a society where one in three people are already getting insufficient shuteye.
“This is especially alarming for teenagers, a population the U.S. surgeon general has identified as being in a mental health crisis,” she cautioned.
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For example, a teen waking up at 6:30 a.m. for an 8 a.m. school start time under permanent DST would be rising biologically at 5:30 a.m., Troxel noted, which is “in the middle of their biological night.”
“Framing permanent DST as a fix for seasonal depression gets the science exactly backwards,” she added.
Fox News Digital’s Alex Nitzberg contributed to this report.
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