Range of motion measurements diverge with increasing age forCOL5A1genotypes

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Abstract

Increased and decreased joint range of motion (ROM) are modifiable risk factors for musculoskeletal soft-tissue injuries. Certain heritable disorders of connective tissue, which have a unifying symptom of joint hypermobility, are caused by mutations within theCOL5A1gene. Furthermore, theCOL5A1 BstUI restriction fragment length polymorphism (RFLP) sequence variant is associated with ROM measurements in a mixed injured/uninjured cohort. The association betweenCOL5A1 BstUI RFLP and sit and reach (SR) ROM in an apparently healthy and physically active cohort was investigated. The SR test was performed on 325 white subjects (204 males). Subjects were also genotyped for theBstUI RFLP (C/T) within the 3′-untranslated region of theCOL5A1gene. TheCOL5A1 BstUI RFLP genotype was associated with SR ROM in older (≥35 years) subjects (TT: 225 ± 96 mm, TC: 245 ± 100 mm, CC: 32 ± 108 mm,N=96,P=0.017). Age andCOL5A1 BstUI genotype interacted significantly for SR ROM. Sex andCOL5A1genotype accounted for 22.8% of the variance in SR ROM in the older group. TheCOL5A1 BstUI RFLP is associated with SR ROM, particularly with increasing age and is an important contributing factor to ROM variation, particularly in older, apparently healthy and physically active individuals.

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