Alpha-actinin-3 (ACTN-3), a structural protein in type II skeletal muscle fibers, is important for maintaining structure of the myofibrillar array. Although not all studies agree, recent data suggest that the R577X variant in the ACTN3 gene explains some of the inter-individual variability in muscle functioning in older adults. PURPOSE: To examine the association of the ACTN3R577X polymorphism with muscle function and physical performance in older adults. METHODS: To determine the association of the R577X polymorphism (RR, RX, & XX groups) with muscle function and physical performance, we measured knee extensor torque, mid-thigh muscle cross-sectional area, muscle quality, short physical performance battery score, and 400-meter walk time at baseline and after five-years of age in white older adults between the ages of 70-79 yr in the Health, Aging and Body Composition (Health ABC) Study cohort (n = 1,367). Incident persistent lower extremity limitation (PLL) over five-years was also assessed. The X-homozygote frequency in the black sub-group was too low to include in the analysis. RESULTS: There were no significant differences between R577X genotype groups in men or women for baseline muscle function or for performance phenotypes, when these data were adjusted for potential confounders. Men who were X-homozygotes had a significantly greater adjusted five-year increase in their 400-meter walk time compared to R-homozygotes (p= 0.008) and heterozygotes (p= 0.075). In women, R-homozygotes had an ∼ 35% lower risk of incident PLL compared to X-homozygotes (HR = 0.65, 95% CI = 0.44 - 0.94), but this association was not observed in men. CONCLUSIONS: The present results indicate the ACTN3R577X polymorphism may influence declines in physical performance with age in older white adults. However, the influence of the ACTN3R577X polymorphism should be interpreted with caution based on the strength of these associations and lack of a replication sample. This research was supported in part by the Intramural Research Program of the NIH, National Institute on Aging. NIA contract #s: N01-AG-6-2101, N01-AG-6-2103, N01-AG-6-2106.
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