The causal relationships of device-measured physical activity with bipolar disorder and schizophrenia in adults: A 2-Sample mendelian randomization study
Abstract
Background To examine the causal association of device-measured physical activity with Bipolar disorder (BIP) and schizophrenia (SCZ) in adults by performing 2-sample MR analysis.Methods Summary-level data for exposure variable including overall physical activity, and three different types of physical activities(sedentary, moderate intensity activity, sleep duration) were derived from UK Biobank(n = 91,105). Summary-level data for outcomes were obtained from Psychiatric Genomics Consortium (PGC) including BIP (n = 51,710) and SCZ(n = 65,967). Cochran's Q statistics, MR-Egger regression, and MR-PRESSO global test were used to identify pleiotropy and MR-PRESSO outlier test for removing the pleiotropy of the genetic instruments. For assessing causality, proven MR techniques including one main analysis(IVW)and four sensitive analysis(MLE,SME,WME, MR-PRESSO)were applied for robust results.Results Five MR methods provided consistent genetically evidence that overall physical activity was associated with lower risk of BIP(OR, 0.491; 95% CI: 0.314-0.767; p = 0.002), there was no significant relationship between overall physical activity and SCZ(IVW OR; 1.133; 95% CI: 0.636-2.020; p = 0.672). In addition, no significant causal association was observed between any other types of physical activities and both mental disorders.Limitations The nonlinear association of physical activities on BIP and SCZ were unaccessible through MR analysis.Conclusions This study provides genetic evidence that overall physical activity is an effective preventive factor for BIP but not for SCZ. Together with evidence from observational studies, our finding provides further rationale for individuals at risk for BIP to maintain physical activity.
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The two-sample MR did find indication of causal relations between increased overall physical activity and decreased risk for bipolar disorder, equating to a 51% lower risk per 8 milligravity increase in mean acceleration (IVW OR=0.491, 95% CI: 0.314-0.767, p=0.002).
“However, the two-sample MR did find indication of causal relations between increased overall physical activity and decreased risk for bipolar disorder, equating to a 51% lower risk per 8 milligravity increase in mean acceleration (IVW OR=0.491, 95% CI: 0.314-0.767, p=0.002).”
From A meta-review of "lifestyle psychiatry": the role of exercise, smoking, diet and sleep in the prevention and treatment of mental disorders (2020) · cites this paper as [39]
There was no strong evidence of causal relations between physical activity and schizophrenia in the MR study.
“There was no strong evidence of causal relations with schizophrenia.”
From A meta-review of "lifestyle psychiatry": the role of exercise, smoking, diet and sleep in the prevention and treatment of mental disorders (2020) · cites this paper as [39]
The estimate for overall physical activity and bipolar disorder was consistent across multiple sensitivity analyses to test for pleiotropy.
“This estimate was consistent across multiple sensitivity analyses to test for pleiotropy.”
From A meta-review of "lifestyle psychiatry": the role of exercise, smoking, diet and sleep in the prevention and treatment of mental disorders (2020) · cites this paper as [39]
Associations with specific domains of sedentary behavior or moderate intensity activity were non-significant for bipolar disorder.
“Associations with specific domains of sedentary behavior or moderate intensity activity were non-significant.”
From A meta-review of "lifestyle psychiatry": the role of exercise, smoking, diet and sleep in the prevention and treatment of mental disorders (2020) · cites this paper as [39]
No evidence for causal associations between hours of sleep and depression, schizophrenia, or bipolar disorder.
“There was no evidence for causal associations between hours of sleep with depression, schizophrenia or bipolar disorder.”
From A meta-review of "lifestyle psychiatry": the role of exercise, smoking, diet and sleep in the prevention and treatment of mental disorders (2020) · cites this paper as [39]
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- Authors
- Sun, H., Gao, X., Que, X., Liu, L., Ma, J., He, S., Gao, Q., & Wang, T.
- Affiliations
- Shanxi Medical University (CN)
- Corresponding author
- Wang, Tong
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2020-02
- Volume
- 263
- Pages
- 598-604
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W2988262833
- Cited by
- 33
- References
- 51
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 5 · 2023: 8 · 2022: 6 · 2021: 2 · 2020: 3
- FWCI
- 1.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Natural Science Foundation of China (81872715)
- Innovation Foundation for Graduate Student of Shanxi Province (2018JD25)
- Applied Basic Research Programs of Shanxi Province (201801D221399)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- physical activity, bipolar disorder, schizophrenia, device-measured physical activity, sedentary behavior, moderate physical activity, sleep duration, causal relationship, mental illness
- MeSH terms
- Adult, Bipolar Disorder, Humans, Schizophrenia, Exercise, Genome-Wide Association Study, Mendelian Randomization Analysis
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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