Evidence map›Paper›PMID 34284153›Full record

SynthesisJournal of sport and health science2023

Association between ACTN3 R577X genotype and risk of non-contact injury in trained athletes: A systematic review.

Hassane Zouhal, Juan Del Coso, Ayyappan Jayavel, Claire Tourny, Guillaume Ravé, Nidhal Jebabli, Cain C T Clark, Benjamin Barthélémy, Anthony C Hackney, Abderraouf Ben Abderrahman

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of sport and health science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Alpha-Actinin-3 Deficiency Links Genetic Susceptibility to Renal Fibrosis: Evidence From Hemodialysis Patients and Murine Models.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  5. Article
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  7. TheGenes · 2025
    Article
  8. Article
  9. Review
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  11. Article
  12. Article
  13. Article
  14. Association of theGenes · 2022
    Article
  15. Article
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Hassane ZouhalM2S (Laboratoire Mouvement, Sport, Santé)-EA 1274, Department of Sport Sciences, University of Rennes, Rennes F-35000, France. Electronic address: hassane.zouhal@univ-rennes2.fr.
Juan Del CosoRey Juan Carlos University, Centre for Sport Studies, Madrid 28032, Spain.
Ayyappan JayavelSRM College of Physiotherapy, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur 603203, India.
Claire TournyDepartment of Sport Sciences, University of Rouen, Mont Saint Aignan, CETAPS EA 3832, F-76821, France.
Guillaume RavéToulouse Football Club, Toulouse 31000, France.
Nidhal JebabliHigher Institute of Sport and Physical Education, Ksar-Said, University of Manouba, Tunis 2010, Tunisia.
Cain C T ClarkCentre for Intelligent Healthcare, Coventry University, Coventry CV1 5FB, UK.
Benjamin BarthélémyToulouse Football Club, Toulouse 31000, France.
Anthony C HackneyDepartment of Exercise & Sport Science, Department of Nutrition, University of North Carolina, Chapel Hill, NC 27514, USA.
Abderraouf Ben AbderrahmanHigher Institute of Sport and Physical Education, Ksar-Said, University of Manouba, Tunis 2010, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to review, systematically, evidence concerning the link between the ACTN3 R577X polymorphism and the rates and severity of non-contact injuries and exercise-induced muscle damage in athletes and individuals enrolled in exercise training programs.

methodsA computerized literature search was performed in the electronic databases PubMed, Web of Science, and SPORTDiscus, from inception until November 2020. All included studies compared the epidemiological characteristics of non-contact injury between the different genotypes of the ACTN3 R577X polymorphism.

resultsOur search identified 492 records. After the screening of titles, abstracts, and full texts, 13 studies examining the association between the ACTN3 genotypes and the rate and severity of non-contact injury were included in the analysis. These studies were performed in 6 different countries (Spain, Japan, Brazil, China, the Republic of Korea, and Italy) and involved a total participant pool of 1093 participants. Of the studies, 2 studies involved only women, 5 studies involved only men, and 6 studies involved both men and women. All the studies included were classified as high-quality studies (≥6 points in the Physiotherapy Evidence Database (PEDro) scale score). Overall, evidence suggests there is an association between the ACTN3 R577X genotype and non-contact injury in 12 investigations. Six studies observed a significant association between ACTN3 R577X polymorphism and exercise induced muscle damage: 2 with non-contact ankle injury, 3 with non-contact muscle injury, and 1 with overall non-contact injury.

conclusionThe present findings support the premise that possessing the ACTN3 XX genotype may predispose athletes to a higher probability of some non-contact injuries, such as muscle injury, ankle sprains, and higher levels of exercise-induced muscle damage.

Indexed as

ExercisePolymorphism, GeneticActininAthletesFemaleGenotypeHumansMaleSpainActininACTN3 protein, humanAthletic performanceExercise-related injuryMuscle injurySingle nucleotide polymorphismα-actinin-3 deficiency

Identifiers

PMID34284153
PMCPMC10199131

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.