Relationships between accelerometer-measured and multiple sclerosis: a 2-sample Mendelian randomization study

Hui Lu1, Peng-Fei Wu2,3, Rui-Zhuo Li4

  • 1Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China. erjihuixin@163.com.

Abstract

Insights

Physical activity (PA) does not appear to causally reduce the risk of developing multiple sclerosis (MS). This Mendelian randomization study found no significant genetic evidence linking higher PA levels to a lower likelihood of MS.

Area of Science:

  • Genetics
  • Epidemiology
  • Neurology

Background:

  • Observational studies indicate a potential link between physical activity (PA) and a modified risk of developing multiple sclerosis (MS).
  • The causal relationship between PA and MS risk remains unclear, necessitating robust investigation.

Purpose of the Study:

  • To investigate the potential causal effect of physical activity (PA) on the risk of developing multiple sclerosis (MS).
  • Utilize Mendelian randomization (MR) approaches for a robust assessment of causality.

Main Methods:

  • Genome-wide association study (GWAS) data from 91,105 UK Biobank participants identified 5 single-nucleotide polymorphisms (SNPs) associated with accelerometer-measured PA.
  • Summary-level MS data from a meta-analysis of 14,802 cases and 26,703 controls were used.
  • Mendelian randomization analyses were conducted using inverse-variance-weighted, weighted median, and MR-PRESSO methods, with MR-Egger intercept and Cochran's Q statistic for pleiotropy and heterogeneity assessment.

Main Results:

  • No statistically significant causal effect of PA on MS risk was detected using the random-effects inverse-variance-weighted method (OR, 0.60; 95% CI, 0.30-1.20; P=0.15).
  • Consistent findings were observed across additional MR methods, reinforcing the primary result.
  • MR-Egger regression indicated no significant horizontal pleiotropy (Intercept=0.14, P=0.21), and low heterogeneity was present among the SNPs (I²=29.8%, P=0.22).

Conclusions:

  • The study suggests that increasing physical activity may not independently alter the risk of developing multiple sclerosis.
  • Genetic evidence does not support a causal role for physical activity in modifying MS risk, independent of other known factors.