Kobayashi Tetsuro, Hwang Inkwan
Faculty of Sports Science, Nippon Sport Science University, Yokohama, Japan.
Womens Health Rep (New Rochelle). 2021 Jan 11;2(1):11-19. doi: 10.1089/whr.2020.0106. eCollection 2021.
The relationship between bone metabolism-related gene polymorphisms and low bone mineral density (BMD) risk factors in female athletes is unclear. This study aimed at investigating whether the sensitivity of low BMD risk factors to BMD depends on estrogen receptor α (ERα) gene polymorphisms in Japanese female athletes. This study included 280 collegiate female athletes from 12 competitive sports (age, 19.2 ± 1.3 years). Data on sports participation, age at menarche, menstrual cycles, prior stress fractures, and prior eating disorders were obtained through a questionnaire-type survey. Sports types were classified into endurance, esthetic, aquatic, ball, and high load in consideration of exercise load characteristics. ERα gene II (rs2234693) and I (rs9340799) polymorphisms were analyzed by TaqMan assay. The total body BMD was measured by dual-energy X-ray absorptiometry. On multiple regression analysis, sports types, body mass index (BMI), menarche, and I polymorphism remained robust independent predictors of BMD. However, prior stress fractures and menstrual cycles were excluded. In athletes carrying the XX+Xx genotype of I polymorphism, sports types and BMI were associated with BMD. However, in athletes carrying the xx genotype of I polymorphism, sports types, BMI, and menarche were associated with BMD. These results indicated that athletes carrying the xx genotype with delayed menarche had low BMD. In collegiate female athletes, participation in endurance, esthetic, and aquatic sports types and a low BMI are associated with low BMD. In addition, delayed menarche may negatively affect BMD in athletes carrying the xx type of ERα gene I polymorphism.
女性运动员中骨代谢相关基因多态性与低骨密度(BMD)风险因素之间的关系尚不清楚。本研究旨在调查日本女性运动员中低BMD风险因素对BMD的敏感性是否取决于雌激素受体α(ERα)基因多态性。本研究纳入了来自12项竞技运动的280名大学女运动员(年龄19.2±1.3岁)。通过问卷调查收集了运动参与情况、初潮年龄、月经周期、既往应力性骨折和既往饮食失调的数据。考虑到运动负荷特征,将运动类型分为耐力型、审美型、水上型、球类和高负荷型。通过TaqMan分析检测ERα基因II(rs2234693)和I(rs9340799)多态性。采用双能X线吸收法测量全身BMD。在多元回归分析中,运动类型、体重指数(BMI)、初潮和I多态性仍然是BMD的有力独立预测因素。然而,既往应力性骨折和月经周期被排除在外。在携带I多态性XX+Xx基因型的运动员中,运动类型和BMI与BMD相关。然而,在携带I多态性xx基因型的运动员中,运动类型、BMI和初潮与BMD相关。这些结果表明,携带xx基因型且初潮延迟的运动员BMD较低。在大学女运动员中,参与耐力型、审美型和水上运动类型以及低BMI与低BMD相关。此外,初潮延迟可能会对携带ERα基因I多态性xx型的运动员的BMD产生负面影响。