Increasing young people's physical activity, along with their motivation and confidence to be active, is widely advocated for supporting desirable health outcomes. Trans and gender diverse (henceforth; trans) young people experience significant physical activity-related barriers compared to cisgender (i.e., an individual for whom gender identity and sex presumed at birth are in alignment) peers. This scoping review aimed to synthesise information relating to physical activity, sport, and exercise, as well as participation experiences among trans young people aged 10–25 years. Database searches of CINAHL, Embase, Medline, PsychINFO, and SportDiscus were conducted for publication until August 2023. Broad search terms included exercise, physical activity, sport, transgender, gender diverse, youth, child, and adolescents, with 24 studies identified for full text review. Following title, abstract, and full text review, 12 studies were retained for data extraction. Methodological quality was assessed with scores ranging from 0.14 to 0.95. Eleven studies reported trans young people participated in less physical activity compared to cisgender peers. All 12 studies reported on barriers to exercise participation—resulting from gender-based isolation, exclusion, and rejection in sports or school physical education—that were associated with mental health-related concerns. Findings demonstrate trans young people typically have lower physical activity participation levels, feel less safe while playing sport, and face more barriers to participation than their cisgender peers, resulting in isolation and exclusion. Findings suggest a need to create more inclusive opportunities and harness motivating factors (e.g., gender affirmation, social capital) to assist the adoption of healthy exercise behaviours.

人们广泛提倡增加年轻人的身体活动，以及他们积极活动的动力和信心，以支持理想的健康结果。与顺性别（即出生时性别认同和性别一致的个体）同龄人相比，跨性别和性别多元化（以下简称“跨性别”）年轻人经历了与身体活动相关的显着障碍。本次范围界定审查旨在综合 10-25 岁跨性别年轻人的身体活动、体育运动和锻炼以及参与经验相关的信息。对 CINAHL、Embase、Medline、PsychINFO 和 SportDiscus 的数据库进行了检索，以便在 2023 年 8 月之前发表。广泛的检索术语包括运动、体力活动、运动、跨性别者、性别多样化、青年、儿童和青少年，其中 24 项研究被确定为完整的研究。文字审查。经过标题、摘要和全文审查后，保留了 12 项研究用于数据提取。方法学质量的评估分数范围为 0.14 至 0.95。十一项研究报告称，与顺性别同龄人相比，跨性别年轻人参与的体力活动较少。所有 12 项研究均报告了参与运动的障碍——由于运动或学校体育教育中基于性别的孤立、排斥和拒绝——这些障碍与心理健康相关的问题有关。调查结果表明，跨性别年轻人通常比同性别同龄人的体育活动参与水平较低，在运动时感觉不太安全，并且在参与方面面临更多障碍，从而导致孤立和排斥。研究结果表明，需要创造更具包容性的机会并利用激励因素（例如性别肯定、社会资本）来帮助采取健康的锻炼行为。