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The Evolution of A Transgender Male’s Relationship with Food and Exercise: A Narrative Inquiry

ABSTRACT Eating disorders are a clinically relevant concern for the transgender population, though existing research has not addressed the role of diet and nutrition beyond a pathologized approach. This narrative inquiry follows the evolution of a 27 year-old transgender male’s relationship with food and exercise during his physical transition. Data collection included a review of the notes from his electronic health record and an unstructured, in-depth interview. The researchers analyzed the data through a hybrid biographical and psychological lens using gender schema theory and transgender theory. Five themes were constructed to characterize his relationship with food and exercise: punishment, control, physical transition, health promotion, and self-care. Though transgender individuals may be vulnerable to developing an unhealthy relationship with food and exercise, this heightened focus on the body may be an ideal time to instill healthy dietary and exercise patterns with the support of mental health counselors and registered dietitians.