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Are Twins and Singletons Comparable? A Study of Disease-related and Lifestyle Characteristics in Adult Women
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The classic twin study is sometimes described as "the perfect natural experiment" for the investigation of the aetiology of complex disease, but assumptions of the twin design need to be empirically tested if their results are to be considered unbiased and representative of singleton populations. In this study comparisons of disease and prevalence of lifestyle characteristics have been made between twin participants in the St Thomas' Hospital UK adult twin registry, the largest twin volunteer register in the UK for the study of diseases of ageing, and a parallel population-based study of singleton women. The only differences found were for weight, where monozygotic (MZ) twins were lighter and had a smaller variance than dizygotic (DZ) twins and singletons. For the other variables studied, volunteer twins were not found to differ from age-matched singleton women in distribution or prevalence of: bone mineral density, osteoarthritis, blood pressure, hypertensive drug use, height, history of hysterectomy and ovariectomy, menopausal status and current alcohol and overall tobacco consumption. We conclude that the results of twin studies can be generalised to singleton populations for these measures and disease outcomes.
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“For the study of both personality and somatic health, twins have been shown to be representative for the general population [31, 32]”
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Cites
Fetal origins of coronary heart disease
Barker, D. J. P. (1995) · BMJ · doi:10.1136/bmj.311.6998.171 · Cited by 3,570
Fetal nutrition and cardiovascular disease in adult life
Barker, D. J. P., Godfrey, K. M., Gluckman, P. D., Harding, J. E., Owens, J. A., & Robinson, J. S. (1993) · The Lancet · doi:10.1016/0140-6736(93)91224-a · Cited by 2,753
Fetal and infant origins of adult disease
Barker, D. J. P. (2001) · Monatsschrift Kinderheilkunde · doi:10.1007/s001120170002 · Cited by 1,042
Fetal origins of adult disease---the hypothesis revisited
Lucas, A., Fewtrell, M. S., & Cole, T. J. (1999) · BMJ · doi:10.1136/bmj.319.7204.245 · Cited by 788
Genetic influences on osteoarthritis in women: a twin study
Spector, T. D., Cicuttini, F., Baker, J., Loughlin, J. A., & Hart, D. J. (1996) · BMJ · doi:10.1136/bmj.312.7036.940 · Cited by 690
Self-citationA twin-pronged attack on complex traits
Martin, N. G., Boomsma, D. I., & Machin, G. A. (1997) · Nature Genetics · doi:10.1038/ng1297-387 · Cited by 654
Sham, P. C. (1997) · The HKU Scholars Hub (University of Hong Kong) · Cited by 550
A test of the equal-environment assumption in twin studies of psychiatric illness
Kendler, K., Neale, M., Kessler, R., Heath, A., & Eaves, L. (1993) · Behavior Genetics · doi:10.1007/bf01067551 · Cited by 420
Genetic Influences on Muscle Strength, Lean Body Mass, and Bone Mineral Density: A Twin Study
Arden, N., & Spector, T. D. (1997) · Journal of Bone and Mineral Research · doi:10.1359/jbmr.1997.12.12.2076 · Cited by 414
Self-citationSnieder, H., MacGregor, A. J., & Spector, T. D. (1998) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.83.6.4890 · Cited by 382
Self-citationRole of the prenatal environment in the development of obesity
Whitaker, R. C., & Dietz, W. H. (1998) · The Journal of Pediatrics · doi:10.1016/s0022-3476(98)70302-6 · Cited by 357
Mortality among twins after age 6: fetal origins hypothesis versus twin method
Christensen, K., Vaupel, J. W., Holm, N. V., & Yashin, A. I. (1995) · BMJ · doi:10.1136/bmj.310.6977.432 · Cited by 277
Twin studies in medical research: can they tell us whether diseases are genetically determined?
Phillips, D. I. W. (1993) · The Lancet · doi:10.1016/0140-6736(93)91086-2 · Cited by 241
Volunteer bias in twin research: The rule of two‐thirds
Lykken, D. T., Tellegen, A., & DeRubeis, R. J. (1978) · Social Biology · doi:10.1080/19485565.1978.9988312 · Cited by 219
Recruitment bias in twin research: The rule of two-thirds reconsidered
Lykken, D. T., McGue, M. K., & Tellegen, A. (1987) · Behavior Genetics · doi:10.1007/bf01068136 · Cited by 185
Radiographic assessment of osteoarthritis in population studies: whither kellgren and lawrence?
Spector, T. D., & Cooper, C. C. (1993) · Osteoarthritis and Cartilage · doi:10.1016/s1063-4584(05)80325-5 · Cited by 177
Self-citationMacGregor, A. J., Snieder, H., Schork, N. J., & Spector, T. D. (2000) · Trends in Genetics · doi:10.1016/s0168-9525(99)01946-0 · Cited by 154
Self-citationVågerö, D. H., & Leon, D. A. (1994) · The Lancet · doi:10.1016/s0140-6736(94)91112-6 · Cited by 152
Spector, T. D., McCloskey, E. V., Doyle, D., & Kanis, J. А. (1993) · Journal of Bone and Mineral Research · doi:10.1002/jbmr.5650080707 · Cited by 145
Self-citationAssociation between birth weight and adult blood pressure in twins: historical cohort study
Poulter, N. R., Chang, C. L., MacGregor, A. J., Snieder, H., & Spector, T. D. (1999) · BMJ · doi:10.1136/bmj.319.7221.1330 · Cited by 145
Self-citationTwins and maternal smoking: ordeals for the fetal origins hypothesis? A cohort study
Williams, S., & Poulton, R. (1999) · BMJ · doi:10.1136/bmj.318.7188.897 · Cited by 120
Twin registers in Europe: an overview
Boomsma, D. I. (1998) · Twin Research · doi:10.1375/136905298320566465 · Cited by 119
Hart, D. J., & Spector, T. D. (1993) · Annals of the Rheumatic Diseases · doi:10.1136/ard.52.2.93 · Cited by 112
Self-citationHeritability of Central Systolic Pressure Augmentation: A Twin Study
Snieder, H., Hayward, C. S., Perks, U., Kelly, R. P., Kelly, P. J., & Spector, T. D. (2000) · Hypertension · doi:10.1161/01.hyp.35.2.574 · Cited by 86
Self-citationSelection Bias in Samples of Older Twins?
Simmons, S. F., Johansson, B. E. A., Zarit, S. H., Ljungquist, B., Plomin, R. J., & McClearn, G. E. (1997) · Journal of Aging and Health · doi:10.1177/089826439700900407 · Cited by 69
Ramos-Arroyo, M. A., Ulbright, T. M., Yu, P., & Christian, J. C. (1988) · Acta geneticae medicae et gemellologiae · doi:10.1017/s0001566000003834 · Cited by 62
MacGregor, A. J., Snieder, H., & Spector, T. D. (2000) · PubMed · Cited by 49
Self-citationConcordance of ischemic heart disease in the NHLBI twin study after 14–18 years of follow-up
Reed, T., Quiroga, J., Selby, J. V., Carmelli, D., Christian, J. C., Fabsitz, R. R., & Grime, C. E. (1991) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(91)90132-s · Cited by 46
Representativeness of a roster of volunteer North American twins with chronic disease
Mack, T. M., Deapen, D., & Hamilton, A. S. (2000) · Twin Research · doi:10.1375/136905200320565670 · Cited by 28
Twin studies in medical research
Leslie, R. D., Pyke, D. A., Braun, M. M., Caporaso, N. E., Duffy, D. L., & Macdonald, A. (1993) · The Lancet · doi:10.1016/0140-6736(93)90992-p · Cited by 27
Twins and the fetal origins hypothesis
Phillips, D. I. W., Osmond, C., Doyle, P., Leon, D. A., Maconochie, N., Morton, S., Stavola, B. L. D., Ross, C. N., Williams, S., & Poulton, R. (1999) · BMJ · doi:10.1136/bmj.319.7208.517 · Cited by 16
Romanov, K., Koskenvuo, M., Kaprio, J. A., Sarna, S. J., & Heikkila, K. V. (1990) · Acta geneticae medicae et gemellologiae · doi:10.1017/s0001566000003664 · Cited by 10
Flagged first, then by citations
Research works printed but not linked: 13
- Burnett, S., Hart, D., Cooper, C., & Spector, T. (1994). A radi- ographic atlas of osteoarthritis. London: Springer-Verlag.
- Doyle, P., Leon, D., Maconochie, N., & de Stavola, B. (1999). Patterns of growth retardation differ in twins and singletons. British Medical Journal, 319, 517.
- Hart, D., Spector, T., Brown, P., Wilson, P., Doyle, D., & Silman, A. (1993). Clinical signs of early osteoarthritis: Reproducibility and relation to x-ray changes in 541 women in the general popula- tion. Annals of the Rheumatic Diseases, 52, 93-96.
- Hodge, S. E. (1998). Ascertainment. In P. Armitage & T. Colton (Eds.), Encyclopedia of biostatistics (pp. 197-201). New York: Wiley.
- Holm, N. (1983). The use of twin studies to investigate causes of diseases with complex etiology, with a focus on cancer. Unpublishhed doc- toral dissertation, Odense University, Odense:.
- Kaprio, J., Verkasalo, P. K., & Koskenvuo, M. (2000). Sample selec- tion and outcome definition in twin studies: Experiences from the Finnish twin cohort study. In T. Spector, H. Snieder, & A. MacGregor (Eds.), Advances in twin and sib-pair analysis. London: Greenwich Medical Media Ltd.
- Kyvik, K. O. (2000). Generalisability and assumptions of twin studies. In T. Spector, H. Snieder, & A. MacGregor (Eds.), Advances in twin and sib-pair analysis. London: Greenwich Medical Media Ltd.
- MacGillivray, I., Campbell, D., Thompson, B., & et al. (Eds.; 1988). Twinning and twins. London: John Wiley.
- MacGregor, A. J., Snieder, H., Schork, N. J., & Spector, T. D. (2000). Twins. Novel uses to study complex traits and genetic diseases. Trends in Genetics, 16(3), 131-134.
- McMichael, A. (1976). Standardised mortality ratios and the 'healthy worker effect': Scratching beneath the surface. Journal of Clinical Epidemiology, 44(8), 797-805.
- Neale, M. (1995). Mx: Statistical modelling (Version 3rd edition). Richmond: Department of Psychiatry, Medical College of Virginia.
- Office For National Statistics (ONS). (1991). Census: Mid-year popu- lation figures (adjusted for under enumeration; Vol. 30 June 1991). Office For National Statistics, Department of Health Database.
- Strachan, D. P. (2000). Influence of design on the outcome of twin studies. In T. Spector, H. Snieder, & A. MacGregor (Eds.), Advances in twin and sib-pair analysis. London: Greenwich Medical Media Ltd.
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CARDIoGRAM, Suhre, K., Shin, S.-Y., Petersen, A.-K., Mohney, R. P., Meredith, D., Wägele, B., Altmaier, E., Deloukas, P., Erdmann, J., et al. (2011) · Nature · doi:10.1038/nature10354 · Cited by 1,017
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Visconti, A., Le Roy, C. I., Rosa, F., Rossi, N., Martin, T. C., Mohney, R. P., Li, W., de Rinaldis, E., Bell, J. T., Venter, J. C., et al. (2019) · Nature Communications · doi:10.1038/s41467-019-12476-z · Cited by 782
Self-citationMapping cis- and trans-regulatory effects across multiple tissues in twins
The Multiple Tissue Human Expression Resource (MuTHER) Consortium, Grundberg, E., Small, K. S., Hedman, Å. K., Nica, A. C., Buil, A., Keildson, S., Bell, J. T., Yang, T.-P., Meduri, E., et al. (2012) · Nature Genetics · doi:10.1038/ng.2394 · Cited by 729
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Self-citation
Metadata
- Authors
- Andrew, T., Hart, D. J., Snieder, H., de Lange, M., Spector, T. D., & MacGregor, A. J.
- Affiliations
- St Thomas' Hospital (GB)
- Corresponding author
- Andrew, Toby
- Venue
- Twin Research
- Publisher
- Cambridge University Press (CUP)
- Published
- 2001-12-01
- Volume
- 4
- Issue
- 6
- Pages
- 464-477
- ISSN
- 1369-0523 (ISSN-L)
- 0000-0000
- OpenAlex
- W2015612792
- Cited by
- 440
- References
- 32
- Citations by year
- 2025: 3 · 2024: 3 · 2023: 4 · 2022: 3 · 2021: 6 · 2020: 11 · 2019: 5 · 2018: 21 · 2017: 25 · 2016: 25 · 2015: 31 · 2014: 20 · 2013: 36 · 2012: 38
- FWCI
- 12.53
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Twin Research (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Wellcome Trust
- Chronic Disease Research Foundation
- British Heart Foundation
- Versus Arthritis (17489)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Assisted Reproductive Technology and Twin Pregnancy
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Abilities and Testing
- Keywords
- monozygotic twins, dizygotic twins, lifestyle characteristics, disease prevalence, body weight, bone mineral density, osteoarthritis, blood pressure, menopause, hysterectomy, ovariectomy, alcohol consumption, smoking, twin registry
- MeSH terms
- Alcohol Drinking, Antihypertensive Agents, Blood Pressure, Body Height, Female, Humans, Life Style, Menopause, Middle Aged, Morbidity, Osteoarthritis, Smoking, Social Class, Twins, Bone Density
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