Genome-wide association study of habitual physical activity in over 277,000 UK Biobank participants identifies multiple variants includingCADM2andAPOE

Background/Objectives Physical activity (PA) protects against a wide range of diseases. Engagement in habitual PA has been shown to be heritable, motivating the search for specific genetic variants that may ultimately inform efforts to promote PA and target the best type of PA for each individual. Subjects/Methods We used data from the UK Biobank to perform the largest genome-wide association study of PA to date, using three measures based on self-report (n=277,656) and two measures based on wrist-worn accelerometry data (n=67,808). We examined genetic correlations of PA with other traits and diseases, as well as tissue-specific gene expression patterns. With data from the Atherosclerosis Risk in Communities (ARIC; n=8,556) study, we performed a meta-analysis of our top hits for moderate-to-vigorous PA (MVPA). Results We identified 26 genome-wide loci across the five PA measures examined. Upon meta-analysis of the top hits for MVPA with results from the ARIC study, 8 of 10 remained significant at p<5×10 −8 . Interestingly, among these, the rs429358 variant in the APOE gene was the most strongly associated with MVPA. Variants in CADM2 , a gene recently implicated in risk-taking behavior and other personality and cognitive traits, were found to be associated with regular engagement in strenuous sports or other exercises. We also identified thirteen loci consistently associated (p<0.005) with each of the five PA measures. We find genetic correlations of PA with educational attainment traits, chronotype, psychiatric traits, and obesity-related traits. Tissue enrichment analyses implicate the brain and pituitary gland as locations where PA-associated loci may exert their actions. Conclusions These results provide new insight into the genetic basis of habitual PA, and the genetic links connecting PA with other traits and diseases.