Traditional Indian sports – A case-control study on Kho Kho players investigating genomic instability and oxidative stress as a function of metabolic genotypes

The beneficial effects of physical exercise regularly for overall well being, or for recreational or professional purposes are widely accepted in clinical practice and have from time immemorial been the reasons for performing traditional sports. On the contrary, there is also evidence implying increased oxidative stress and genetic damage from intensive exercising. Depending on the intensity, time, frequency and characteristics of exercises, there can be differential induction of oxidative stress and provocation of oxidation of cellular macromolecules (including DNA) and cellular dysfunction which can likely accumulate with age, physical attributes and increase the susceptibility to disease on one hand, while stimulating cell signalling pathways leading to cell adaptation and improved resistance to stress, on the other. In order to observe if continuous sports activities as in Kho Kho increase oxidation capacity, which can also provoke oxidation of cellular macromolecules, the effects on oxidative/antioxidant changes and DNA damage in professional Kho Kho players modulated by individual genetic differences were assessed. Kho Kho, a traditional Indian game of ‘Tag’, is an all-time favourite which requires endurance, agility and strength. Healthy Kho Kho players (20.27 ± 0.28 y; sports age 6.78 ± 0.52 y) and controls (20.90 ± 0.45 y) were matched for age, gender, BMI, VO₂ max (maximal oxygen uptake), frequency of GSTT1 (present/null), M1 (present/null), SOD2 (C199T) polymorphisms but differed for variant allele frequencies of GSTP1 (A313G) and SOD2 (C47T). Players compared to controls had significantly increased levels of DNA damage (1.8x, 44.66 ± 1.68 vs. 23.85 ± 1.79 μm, p = 0.000), lipid (MDA) peroxidation (2x, 1.72 ± 0.06 vs. 0.83 ± 0.16 μmol/l, p = 0.000) and total antioxidant capacity (1.09x, 1.69 ± 0.06 vs. 1.11 ± 0.03 mmol Trolox equivalent/l, p = 0.000) but with no differences for SOD activity (94.99 ± 2.42 vs. 93.36 ± 2.54 U/ml, p = 0.935). These results suggest that the players have increased genetic damage and oxidative stress probably from the intense physical activity in the absence of other exposure(s) as other attributes were comparable in the study group. The players may therefore be at increased risk for susceptibility to cancer, various diseases and precocious age-related changes and should be sensitized to health risks related to regular intensive physical exercise.