Associations between physical activities and self-harm behaviour in depression across the genotype: findings from the UK biobank

Background Physical activities are widely implemented for non-pharmacological intervention to alleviate depressive symptoms. However, there is little evidence supporting their genotype-specific effectiveness in reducing the risk of self-harm in patients with depression. Aims To assess the associati...

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Main Authors: Jaegyun Jung, Sangyeon Lee, Jeong Ho Lee, Doheon Lee
Format: Article
Language:English
Published: Cambridge University Press 2025-01-01
Series:BJPsych Open
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Online Access:https://www.cambridge.org/core/product/identifier/S2056472424008457/type/journal_article
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author Jaegyun Jung
Sangyeon Lee
Jeong Ho Lee
Doheon Lee
author_facet Jaegyun Jung
Sangyeon Lee
Jeong Ho Lee
Doheon Lee
author_sort Jaegyun Jung
collection DOAJ
description Background Physical activities are widely implemented for non-pharmacological intervention to alleviate depressive symptoms. However, there is little evidence supporting their genotype-specific effectiveness in reducing the risk of self-harm in patients with depression. Aims To assess the associations between physical activity and self-harm behaviour and determine the recommended level of physical activity across the genotypes. Method We developed the bidirectional analytical model to investigate the genotype-specific effectiveness on UK Biobank. After the genetic stratification of the depression phenotype cohort using hierarchical clustering, multivariable logistic regression models and Cox proportional hazards models were built to investigate the associations between physical activity and the risk of self-harm behaviour. Results A total of 28 923 subjects with depression phenotypes were included in the study. In retrospective cohort analysis, the moderate and highly active groups were at lower risk of self-harm behaviour. In the followed prospective cohort analysis, light-intensity physical activity was associated with a lower risk of hospitalisations due to self-harm behaviour in one genetic cluster (adjusted hazard ratio, 0.28 [95% CI, 0.08–0.96]), which was distinguished by three genetic variants: rs1432639, rs4543289 and rs11209948. Compliance with the guideline-level moderate-to-vigorous physical activities was not significantly related to the risk of self-harm behaviour. Conclusions A genotype-specific dose of light-intensity physical activity reduces the risk of self-harm by around a fourth in depressive patients.
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spelling doaj-art-e0fc2e4cac3340549865461ec50d835a2025-01-31T08:17:58ZengCambridge University PressBJPsych Open2056-47242025-01-011110.1192/bjo.2024.845Associations between physical activities and self-harm behaviour in depression across the genotype: findings from the UK biobankJaegyun Jung0https://orcid.org/0000-0002-3222-2965Sangyeon Lee1Jeong Ho Lee2Doheon Lee3Graduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Republic of KoreaDepartment of Bio and Brain Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Republic of KoreaGraduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Republic of KoreaDepartment of Bio and Brain Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Republic of KoreaBackground Physical activities are widely implemented for non-pharmacological intervention to alleviate depressive symptoms. However, there is little evidence supporting their genotype-specific effectiveness in reducing the risk of self-harm in patients with depression. Aims To assess the associations between physical activity and self-harm behaviour and determine the recommended level of physical activity across the genotypes. Method We developed the bidirectional analytical model to investigate the genotype-specific effectiveness on UK Biobank. After the genetic stratification of the depression phenotype cohort using hierarchical clustering, multivariable logistic regression models and Cox proportional hazards models were built to investigate the associations between physical activity and the risk of self-harm behaviour. Results A total of 28 923 subjects with depression phenotypes were included in the study. In retrospective cohort analysis, the moderate and highly active groups were at lower risk of self-harm behaviour. In the followed prospective cohort analysis, light-intensity physical activity was associated with a lower risk of hospitalisations due to self-harm behaviour in one genetic cluster (adjusted hazard ratio, 0.28 [95% CI, 0.08–0.96]), which was distinguished by three genetic variants: rs1432639, rs4543289 and rs11209948. Compliance with the guideline-level moderate-to-vigorous physical activities was not significantly related to the risk of self-harm behaviour. Conclusions A genotype-specific dose of light-intensity physical activity reduces the risk of self-harm by around a fourth in depressive patients. https://www.cambridge.org/core/product/identifier/S2056472424008457/type/journal_articleDepressive disordersself-harmbig datagenetic epidemiologyprecision medicine
spellingShingle Jaegyun Jung
Sangyeon Lee
Jeong Ho Lee
Doheon Lee
Associations between physical activities and self-harm behaviour in depression across the genotype: findings from the UK biobank
BJPsych Open
Depressive disorders
self-harm
big data
genetic epidemiology
precision medicine
title Associations between physical activities and self-harm behaviour in depression across the genotype: findings from the UK biobank
title_full Associations between physical activities and self-harm behaviour in depression across the genotype: findings from the UK biobank
title_fullStr Associations between physical activities and self-harm behaviour in depression across the genotype: findings from the UK biobank
title_full_unstemmed Associations between physical activities and self-harm behaviour in depression across the genotype: findings from the UK biobank
title_short Associations between physical activities and self-harm behaviour in depression across the genotype: findings from the UK biobank
title_sort associations between physical activities and self harm behaviour in depression across the genotype findings from the uk biobank
topic Depressive disorders
self-harm
big data
genetic epidemiology
precision medicine
url https://www.cambridge.org/core/product/identifier/S2056472424008457/type/journal_article
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AT sangyeonlee associationsbetweenphysicalactivitiesandselfharmbehaviourindepressionacrossthegenotypefindingsfromtheukbiobank
AT jeongholee associationsbetweenphysicalactivitiesandselfharmbehaviourindepressionacrossthegenotypefindingsfromtheukbiobank
AT doheonlee associationsbetweenphysicalactivitiesandselfharmbehaviourindepressionacrossthegenotypefindingsfromtheukbiobank