Differential muscle damage response of ACTN3 R577X polymorphism in male adolescent badminton athletes

Authors

DOI:

https://doi.org/10.47197/retos.v82.119396

Keywords:

ACTN3 R577X Polymorphism, ACTN3, Muscle Damage, Badminton

Abstract

Background: Badminton's explosive movements carry a high risk of muscle injury. This study investigates the relationship between the ACTN3 R577X polymorphism and muscle damage biomarkers Creatine Kinase (CK) and myoglobin in male adolescent badminton athletes following the Badminton Fatigue Test (BFT).

Methods: This longitudinal observational study utilized a pre-post design involving 30 male athletes. Participants were categorized by ACTN3 genotype into RR (n=8), RX (n=13), and XX (n=9) groups before undergoing the BFT to induce muscle damage. Biomarker levels were evaluated at three time points: pre-test, 1-hour post-BFT, and 24-hours post-BFT.

Results: Repeated-measures ANOVA revealed a significant increase in CK and myoglobin (p<0.001) across all gene variants at both post-BFT time points. A two-way ANOVA showed no significant interaction between genotype and time for CK levels (p=0.404), but indicated a significant difference for myoglobin (p=0.038). Although CK differences lacked statistical significance, Cohen's d analysis demonstrated a moderate-to-large effect size (0.8–1.4), indicating higher CK and myoglobin responses in the XX variant (α-actinin-3 deficiency) compared to the other genotypes at both post-test points.

Conclusion: The absence of the α-actinin-3 protein (XX genotype) is associated with a substantially greater muscle damage response. This is of practical importance, as evidenced by the statistically significant increase in myoglobin levels following induced fatigue.

References

Abián-Vicén, J., Abián, P., Bravo-Sánchez, A., Piñas-Bonilla, I., Lara, B., & Del Coso, J. (2022). Genotype Distribution of the ACTN3 p.R577X Polymorphism in Elite Badminton Players: A Preliminary Study. Genes, 14(1), 50. https://doi.org/10.3390/genes14010050

Blazevich, A. J., & Babault, N. (2019). Post-activation Potentiation Versus Post-activation Performance Enhancement in Humans: Historical Perspective, Underlying Mechanisms, and Current Issues. Frontiers in Physiology, 10. https://doi.org/10.3389/fphys.2019.01359

Brancaccio, P., Lippi, G., & Maffulli, N. (2010). Biochemical markers of muscular damage. Cclm, 48(6), 757–767. https://doi.org/10.1515/CCLM.2010.179

Brancaccio, P., Maffulli, N., & Limongelli, F. M. (2007). Creatine kinase monitoring in sport medicine. British Medical Bulletin, 81–82(1), 209–230. https://doi.org/10.1093/bmb/ldm014

Eston, R. (2012). Use of Ratings of Perceived Exertion in Sports. International Journal of Sports Physi-ology and Performance, 7(2), 175–182. https://doi.org/10.1123/ijspp.7.2.175

Fröhlich, M., Emrich, E., Pieter, A., & Stark, R. (2009). Outcome effects and effects sizes in sport scienc-es. International Journal of Sports Science and Engineering, 3, 175–179.

Ghatak, S., Muthukumaran, R. B., & Nachimuthu, S. K. (2013). A Simple Method of Genomic DNA Ex-traction from Human Samples for PCR-RFLP Analysis. Journal of Biomolecular Techniques : JBT, jbt.13-2404-001. https://doi.org/10.7171/jbt.13-2404-001

Hasan, M. F., Apriantono, T., Winata, B., Septina, T. A., Latief, G. R. G., & Pambudi, Y. T. (2024). Develop-ments in research on monitoring training loads in athletes: bibliometric analysis. Retos, 60, 937–946. https://doi.org/10.47197/retos.v60.108223

Huang, H., Chatchawan, U., Eungpinichpong, W., & Hunsawong, T. (2019). Progressive decrease in leg-power performance during a fatiguing badminton field test. Journal of Physical Therapy Sci-ence, 31(10), 765–770. https://doi.org/10.1589/jpts.31.765

Iizuka, T., Hirano, K., Atomi, T., Shimizu, M., & Atomi, Y. (2020). Changes in Duration and Intensity of theWorld’s Top-Level Badminton Matches: A Consideration of the Increased Acute Injuries among EliteWomen’s Singles Players. Sports, 8(2). https://doi.org/10.3390/sports8020019

Lee, F. X. Z., Houweling, P. J., North, K. N., & Quinlan, K. G. R. (2016). How does α-actinin-3 deficiency alter muscle function? Mechanistic insights into ACTN3 , the ‘gene for speed.’ Biochimica et Bi-ophysica Acta (BBA) - Molecular Cell Research, 1863(4), 686–693. https://doi.org/10.1016/j.bbamcr.2016.01.013

Lin, Z., Blazevich, A. J., Abbiss, C. R., Wilkie, J. C., & Nosaka, K. (2023). Neuromuscular fatigue and mus-cle damage following a simulated singles badminton match. European Journal of Applied Phys-iology, 123(6), 1229–1240. https://doi.org/10.1007/s00421-023-05148-w

Marchena-Rodriguez, A., Gijon-Nogueron, G., Cabello-Manrique, D., & Ortega-Avila, A. B. (2020). Inci-dence of injuries among amateur badminton players: A cross-sectional study. Medicine (United States), 99(18), E19785. https://doi.org/10.1097/MD.0000000000019785

Markovic, G., Dizdar, D., Jukic, I., & Cardinale, M. (2004). RELIABILITY AND FACTORIAL VALIDITY OF SQUAT AND COUNTERMOVEMENT JUMP TESTS. In Journal of Strength and Conditioning Re-search (Vol. 18, Number 3).

Pardiwala, D. N., Subbiah, K., Rao, N., & Modi, R. (2020). Badminton Injuries in Elite Athletes: A Review of Epidemiology and Biomechanics. Indian Journal of Orthopaedics, 54(3), 237–245. https://doi.org/10.1007/s43465-020-00054-1

Phomsoupha, M., & Laffaye, G. (2015). The Science of Badminton: Game Characteristics, Anthropome-try, Physiology, Visual Fitness and Biomechanics. Sports Medicine, 45(4), 473–495. https://doi.org/10.1007/s40279-014-0287-2

Pickering, C., & Kiely, J. (2017). ACTN3: More than Just a Gene for Speed. Frontiers in Physiology, 8. https://doi.org/10.3389/fphys.2017.01080

SAITA, Y., HATTORI, K., HOKARI, A., OHYAMA, T., INOUE, J., NISHIMURA, T., NEMOTO, S., & AOYAGI, S. (2023). Plasma myoglobin indicates muscle damage associated with acceleration/deceleration during football. The Journal of Sports Medicine and Physical Fitness, 63(12). https://doi.org/10.23736/S0022-4707.23.15203-0

Seto, J. T., Lek, M., Quinlan, K. G. R., Houweling, P. J., Zheng, X. F., Garton, F., MacArthur, D. G., Raftery, J. M., Garvey, S. M., Hauser, M. A., Yang, N., Head, S. I., & North, K. N. (2011). Deficiency of α-actinin-3 is associated with increased susceptibility to contraction-induced damage and skele-tal muscle remodeling. Human Molecular Genetics, 20(15), 2914–2927. https://doi.org/10.1093/hmg/ddr196

Silva, A. de S. e, Santos, J. H. dos, Silva, J. A. de O., Barbosa, C. G. R., Ribeiro, A. G. S. V., & Oliveira, J. J. de. (2025). Impact of ACTN3 R577X Polymorphism on Muscle Damage Susceptibility Following Aerobic or Strength Exercises: A Systematic Review. International Journal of Preventive Medi-cine, 16. https://doi.org/10.4103/ijpvm.ijpvm_268_24

Stepper, B., Hecksteden, A., Stagge, H., Faude, O., & Donath, L. (2025). Systematic review on badminton injuries: incidence, characteristics and risk factors. BMJ Open Sport & Exercise Medicine, 11(1), e002127. https://doi.org/10.1136/bmjsem-2024-002127

Stožer, A., Vodopivc, P., & Križančić Bombek, L. (2020). Pathophysiology of exercise-induced muscle damage and its structural, functional, metabolic, and clinical consequences. Physiological Re-search, 565–598. https://doi.org/10.33549/physiolres.934371

Sullivan, G. M., & Feinn, R. (2012). Using Effect Size—or Why the P Value Is Not Enough. Journal of Graduate Medical Education, 4(3), 279–282. https://doi.org/10.4300/JGME-D-12-00156.1

Twist, C., & Eston, R. (2005). The effects of exercise-induced muscle damage on maximal intensity in-termittent exercise performance. European Journal of Applied Physiology, 94(5–6), 652–658. https://doi.org/10.1007/s00421-005-1357-9

Vincent, B., Windelinckx, A., Nielens, H., Ramaekers, M., Van Leemputte, M., Hespel, P., & Thomis, M. A. (2010). Protective role of α-actinin-3 in the response to an acute eccentric exercise bout. Jour-nal of Applied Physiology, 109(2), 564–573. https://doi.org/10.1152/japplphysiol.01007.2009

Downloads

Published

30-05-2026

Issue

Section

Original Research Article

How to Cite

Apriantono, T., Riko, M., Tan, M. I., Hasan, M. F., & Septina, T. A. (2026). Differential muscle damage response of ACTN3 R577X polymorphism in male adolescent badminton athletes. Retos, 82, 863-875. https://doi.org/10.47197/retos.v82.119396