scholarly journals A Comparison of Personality, Life Events, Comorbidity, and Health in Monozygotic Twins Discordant for Anorexia Nervosa

2017 ◽  
Vol 20 (4) ◽  
pp. 310-318 ◽  
Author(s):  
Laura M. Thornton ◽  
Sara E. Trace ◽  
Kimberly A. Brownley ◽  
Monica Ålgars ◽  
Suzanne E. Mazzeo ◽  
...  

Genetic and environmental factors contribute to the etiology of anorexia nervosa (AN). The co-twin control design is one of the most powerful methods available to evaluate environmental factors that could contribute to differences between monozygotic (MZ) twins who are discordant for AN. Using available data from a unique and rare sample of 22 Swedish female MZ pairs discordant for AN, we compared personality, life events, comorbidity, and health factors. Twins with AN had significantly higher perfectionism scores than unaffected co-twins and reported younger ages at first diet than unaffected co-twins who had dieted. Consistent with previous literature, more twins with AN reported gastrointestinal problems than unaffected co-twins. Although not significant due to low statistical power, more unaffected co-twins reported experiencing emotional neglect than twins with AN. Early dieting may be a harbinger of the development of AN or an early symptom. Higher perfectionism may represent a risk factor, sequela, or both. Sibling perception of neglect is noteworthy given the impact of an ill child with AN on family function and wellbeing. The health and wellbeing of siblings should be addressed clinically when one child in the family suffers from AN.

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Maria Seidel ◽  
Stefan Ehrlich ◽  
Lauren Breithaupt ◽  
Elisabeth Welch ◽  
Camilla Wiklund ◽  
...  

Abstract Background Anorexia nervosa (AN) is a severe disorder, for which genetic evidence suggests psychiatric as well as metabolic origins. AN has high somatic and psychiatric comorbidities, broad impact on quality of life, and elevated mortality. Risk factor studies of AN have focused on differences between acutely ill and recovered individuals. Such comparisons often yield ambiguous conclusions, as alterations could reflect different effects depending on the comparison. Whereas differences found in acutely ill patients could reflect state effects that are due to acute starvation or acute disease-specific factors, they could also reflect underlying traits. Observations in recovered individuals could reflect either an underlying trait or a “scar” due to lasting effects of sustained undernutrition and illness. The co-twin control design (i.e., monozygotic [MZ] twins who are discordant for AN and MZ concordant control twin pairs) affords at least partial disambiguation of these effects. Methods Comprehensive Risk Evaluation for Anorexia nervosa in Twins (CREAT) will be the largest and most comprehensive investigation of twins who are discordant for AN to date. CREAT utilizes a co-twin control design that includes endocrinological, neurocognitive, neuroimaging, genomic, and multi-omic approaches coupled with an experimental component that explores the impact of an overnight fast on most measured parameters. Discussion The multimodal longitudinal twin assessment of the CREAT study will help to disambiguate state, trait, and “scar” effects, and thereby enable a deeper understanding of the contribution of genetics, epigenetics, cognitive functions, brain structure and function, metabolism, endocrinology, microbiology, and immunology to the etiology and maintenance of AN.


2014 ◽  
Vol 85 (6) ◽  
pp. 980-985 ◽  
Author(s):  
Kwang Ho Jeong ◽  
Daeeun Kim ◽  
Yun-Mi Song ◽  
Joohon Sung ◽  
Young Ho Kim

ABSTRACT Objective:  To identify genetic and environmental factors contributing to hypodontia and microdontia by using Korean twin family data. Materials and Methods:  A total of 1267 individuals (525 men and 742 women; 180 monozygotic twins [MZ] and 43 dizygotic twins [DZ] from 282 families) underwent an oral examination as part of the Healthy Twin Study in Korea. Dental anomalies classified as hypodontia or microdontia were diagnosed using radiographs and clinical examinations. In order to estimate genetic contributions to dental anomalies, we estimated the pairwise concordance rate (PCR), recurrence risk ratio (RRR), and heritability (h2). Results:  The prevalence of hypodontia and microdontia was 3.55% and 3.00%, respectively. MZ had the highest PCR and RRR (13.0–15.3). The PCR and RRR values for both anomalies were much higher for DZ (5.0–11.9) than for siblings (1.4–2.6), despite the fact that DZ pairs and sibling pairs share 50% genetic identity. Further genetic analysis revealed both an additive genetic effect (0.38 when hypodontia and microdontia were pooled) and a strong “twin effect” (0.52 when hypodontia and microdontia were pooled). Conclusions:  This twin-based study revealed that the formation of dental anomalies is affected by both genetic and environmental factors, and that the impact of these factors varies according to the specific dental anomaly.


2009 ◽  
Vol 55 (2) ◽  
pp. 256-264 ◽  
Author(s):  
Jian Shen ◽  
Jose M Ordovas

Abstract Background: Inflammation plays an instrumental role in all stages of atherosclerosis. High-sensitivity C-reactive protein (hsCRP), a systemic inflammatory marker, has been gaining recognition as an independent risk factor for cardiovascular disease (CVD). Both baseline hsCRP concentrations and drug-induced hsCRP changes are highly variable and potentially subject to genetic regulation. Content: This review summarizes the current studies examining the effect of genetic and environmental factors on baseline plasma hsCRP concentrations, with a main focus on C-reactive protein, pentraxin-related (CRP) genetic polymorphisms and various dietary components that affect hsCRP concentrations. We also address the association of CRP genetic variations with CVD risk, a relationship that may support or refute the causality of CRP in the atherosclerotic process. Moreover, we discuss the impact of CRP genetic polymorphisms on hsCRP changes in response to 3-week fenofibrate treatment in the genetic intervention of the Genetics of Lipid Lowering Drugs and Diet Network study. Summary: Genetic variants on the CRP locus and other loci and dietary and lifestyle factors are responsible for the interindividual variability of plasma hsCRP concentrations. CRP genetic variants further influence differing plasma hsCRP response after 3-week fenofibrate treatment in patients with metabolic syndrome. Future studies focusing on the influence and interaction of genetic variation on the hsCRP response to dietary and other behavior modification as well as drug treatment could have important implications for the development of more personalized preventive and therapeutic approaches to reduce CVD.


2020 ◽  
Vol 15 (2) ◽  
pp. 171-176
Author(s):  
Annu ◽  
Bimla Dhanda

The present investigation of twin study elucidated the contribution of genetic and environment to a wide range of general cognitive abilities. To conduct twin study 100 pairs of twins from two districts, namely: Bhiwani (n = 90) and Hisar (n = 110) of Haryana State, genetic and environmental influences were assessed in twin study design. The cognitive abilities of twins were measured using the Wechsler Intelligence Scale for Children (WISC-R). Home Observation for Measurement of the Environment (HOME) Inventory was taken to examine the home environment of twins. Heritability estimate was used to analyze the genes contributing to shape the cognitive abilities of twins. The result of heritability estimates revealed that the heritability estimates of general cognitive abilities namely: information (62%), similarities (57%), vocabulary (60%) and comprehension (55%) in Bhiwani district and in Hisar district, the heritability estimates were 58 per cent, 55 per cent, 56 per cent and 51 per cent for information, similarities, vocabulary and comprehension general cognitive abilities, respectively. The findings clearly elucidated that the general cognitive abilities were more influenced by genetic background than the environmental factors. The paternal involvement and physical environment were strongly associated with general cognitive abilities of twins. The monozygotic twins were more correlated in their general cognitive abilities than the dizygotic twins.


2016 ◽  
Vol 18 (3) ◽  
pp. 180-193 ◽  
Author(s):  
Mark Mulville ◽  
Nicola Callaghan ◽  
David Isaac

Purpose This paper sets out to understand the impact of the ambient environment on perceived comfort, health, wellbeing and by extension productivity in the workplace. Design/methodology/approach The research combined an occupant survey considering satisfaction with the ambient environment, health and wellbeing and workplace behaviour with the monitoring of ambient environmental conditions. Findings The paper demonstrates that the ambient environment can have a significant impact on occupant comfort, health and wellbeing, which in turn has implications for built asset performance. Within the ambient environmental factors considered, a hierarchy may exist with noise being of particular importance. Occupant behaviour within the workplace was also found to be influential. Research limitations/implications The research was limited to a single commercial office building, and a wider range of case studies would therefore be of benefit. The research was also limited to the summer months. Practical implications The findings show that an active approach to asset management is required, by continuously monitoring internal environment and engaging with occupants. This must carefully consider how ambient environmental factors and workplace behaviour impact upon occupants’ comfort, health and wellbeing to ensure the performance of the built asset is maximised. Originality/value This paper demonstrates that both occupiers’ workplace behaviour and ambient environmental conditions can have an impact on occupant comfort, health, wellbeing and productivity. The paper strengthens the case for the active management of the workplace environment through environmental monitoring and behaviour change campaigns supported by corresponding changes to workplace culture.


2018 ◽  
Vol 35 (1) ◽  
pp. 52-68 ◽  
Author(s):  
Richard H. Lewis ◽  
Eric J. Connolly ◽  
Danielle L. Boisvert ◽  
Brian B. Boutwell

A developed line of research has found that psychopathic personality traits and criminal behavior are correlated with one another. Although there is little question about the association between psychopathic personality traits and criminal behavior, what remains less clear is whether psychopathic traits exert a direct effect on criminal behavior. An alternative possibility is that previously unmeasured genetic and shared environmental factors account for much of the association between the two. Understanding the extent to which genetic and environmental factors influence the covariance between psychopathic personality traits and criminal behavior can further our understanding of individual differences in propensity to engage in antisocial behavior. The current study analyzes 872 twins (MZ twins = 352, DZ twins = 520) from the National Longitudinal Study of Adolescent to Adult Health (Add Health) to examine the magnitude of genetic and environmental effects on the covariation between psychopathic personality and criminal behavior. Results from bivariate behavioral genetic analyses revealed that the correlation between psychopathic personality traits and criminal behavior was accounted for by common additive genetic (58%) and nonshared environmental (42%) influences. Fixed-effect linear regression models, however, suggested that psychopathic personality traits were not significantly associated with criminal behavior once common genetic and environmental influences were taken into account.


1971 ◽  
Vol 118 (547) ◽  
pp. 675-682 ◽  
Author(s):  
K. Davison ◽  
H. Brierley ◽  
C. Smith

The relative contribution of genetic and environmental factors to the development of homosexual behaviour is a controversial subject. The original suggestion that homosexuality is a purely inherited trait has been attributed to Krafft-Ebing (Kallmann, 1952). Perhaps the strongest support for this view was Kallmann's series of 40 male monozygotic twin pairs showing 100 per cent concordance for the overt practice and quantitative rating of homosexual behaviour (Kallmann, 1952). This report has been criticized, and Kallmann later conceded that the 100 per cent concordance was possibly a statistical artefact (Kallmann, 1960). Habel (1950), who obtained the index twins from a prison population, found concordant homosexuality in 3 out of 5 monozygotic pairs (60 per cent), but none of 5 dizygotic pairs. In a more recent study, Heston and Shields (1968) found concordant homosexuality in 2 out of 5 monozygotic pairs (40 per cent) and 1 out of 7 dizygotic pairs (14 per cent). Heston and Shields (1968) also report a family with a sibship of 14 which included 3 pairs of male monozygotic twins, in two of which both twins were homosexual and in the third both heterosexual; no environmental factors which differentiated the homosexual from the heterosexual sibs could be detected. These workers also refute the suggestion that the tendency for monozygotic twins to be more alike with regard to homosexuality than dizygotic twins is related not to genetic factors but to problems of sexual identification which predispose to homosexuality (Money, 1962) by pointing out that there is no evidence that monozygotic twins per se are especially prone to become homosexual.


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