Purpose: We have reported a significant association between Tie,,, in the s
edentary state and its response (Delta (V) over dot O-2max) to an endurance
training program with a muscle-specific creatine kinase (CKMM) gene polymo
rphism. The purpose of this study was to test the hypothesis of genetic lin
kage between the same CKMM marker and (V) over dot O-2max in the sedentary
state as well as Delta (V) over dot O-2max. Methods: Sib-pair linkage analy
sis was performed on 277 full sib-pairs from 98 Caucasian nuclear families
of the HERITAGE Family Study. (V) over dot O-2max was measured during cycle
ergometry tests before and after 20 wk of endurance training. The CKMM pol
ymorphism was detected by the polymerase chain reaction and digestion with
the Ncol restriction enzyme. Results: Frequencies for the rare (1170 base p
airs) and common(985 + 185 base pairs) alleles were 0.32 and 0.68, respecti
vely. No significant linkage (t = -0.02, P = 0.49) was detected between the
CKMM marker and the age and sex adjusted (V) over dot O-2max (mL.kg(-1).mi
n(-1)) in the sedentary state. However, after adjustment of Delta (V) over
dot O-2max for the effects of age, sex, initial (V) over dot O-2max and bod
y mass, evidence for linkage between the CKMM locus and Delta (V) over dot
O-2max was suggestive (P = 0.04). Conclusion: The present results provide f
urther support for the notion that the CKMM gene, or some gene in close Lin
kage disequilibrium with it, may contribute to individual differences in th
e (V) over dot O-2max response to endurance training.