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Triantafyllou P, Nas Z, Zavos HMS, Sumathipala A, Jayaweera K, Siribaddana SH, Hotopf M, Ritchie SJ, Rijsdijk FV. The aetiological relationship between depressive symptoms and health-related quality of life: A population-based twin study in Sri Lanka. PLoS One 2022; 17:e0265421. [PMID: 35353839 PMCID: PMC8967029 DOI: 10.1371/journal.pone.0265421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Accepted: 03/01/2022] [Indexed: 11/25/2022] Open
Abstract
Objective Depression often co-occurs with poor health-related quality of life (HRQL). Twin studies report genetic and individual-level environmental underpinnings in the aetiology of both depression and HRQL, but there is limited twin research exploring this association further. There is also little evidence on sex differences and non-Western populations are underrepresented. In this paper we explored the phenotypic and aetiological relationship between depressive symptoms and HRQL and possible sex differences in a low-middle-income Sri Lankan population. Method Data for 3,948 participants came from the Colombo Twin and Singleton Follow-up Study (CoTaSS-2). Using self-report measures of depressive symptoms and HRQL, we conducted univariate and bivariate sex-limitation twin analyses. Results Depressive symptoms showed moderate genetic (33%) and strong nonshared environmental influences (67%). Nonshared environment accounted for the majority of variance in all the subscales of HRQL (ranging from 68 to 93%), alongside small genetic influences (ranging from 0 to 23%) and shared environmental influences (ranging from 0 to 28%). Genetic influences were significant for emotional wellbeing (23%). Shared environmental influences were significant for four out of the eight HRQL variables (ranging from 22–28%), and they were more prominent in females than males. Depressive symptoms were significantly associated with lower HRQL scores. These correlations were mostly explained by overlapping nonshared environmental effects. For traits related to emotional functioning, we also detected substantial overlapping genetic influences with depressive symptoms. Conclusions Our study confirmed previous findings of a negative association between depressive symptoms and HRQL. However, some of the aetiological factors of HRQL differed from Western studies, particularly regarding the effects of shared environment. Our findings highlight the importance of cross-cultural research in understanding associations between psychological wellbeing and HRQL.
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Affiliation(s)
- Panagiota Triantafyllou
- Social, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United Kingdom
- * E-mail:
| | - Zeynep Nas
- Social, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United Kingdom
| | - Helena M. S. Zavos
- Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United Kingdom
| | - Athula Sumathipala
- Institute for Research and Development, Colombo, Sri Lanka
- Research Institute for Primary Care and Health Sciences, Faculty of Health, Keele University, Keele, United Kingdom
| | | | - Sisira H. Siribaddana
- Faculty of Medicine & Allied Sciences, Rajarata University of Sri Lanka, Anuradhapura, Sri Lanka
| | - Matthew Hotopf
- Psychological Medicine Department, Institute of Psychiatry, Psychology, and Neuroscience, King’s College London, London, United Kingdom
- NIHR Biomedical Research Centre for Mental Health at the South London and Maudsley NHS Foundation Trust, King’s College London, London, United Kingdom
| | - Stuart J. Ritchie
- Social, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United Kingdom
| | - Frühling V. Rijsdijk
- Social, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United Kingdom
- Psychology Department, Faculty of Social Sciences, Anton de Kom University, Paramaribo, Suriname
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Silventoinen K, Bogl LH, Jelenkovic A, Vuoksimaa E, Latvala A, Li W, Tan Q, Zhang D, Pang Z, Ordoñana JR, Sánchez-Romera JF, Colodro-Conde L, Willemsen G, Bartels M, van Beijsterveldt CEM, Rebato E, Corley RP, Huibregtse BM, Hopper JL, Tyler J, Duncan GE, Buchwald D, Silberg JL, Maes HH, Kandler C, Cozen W, Hwang AE, Mack TM, Nelson TL, Whitfield KE, Medda E, Nisticò L, Toccaceli V, Krueger RF, McGue M, Pahlen S, Martin NG, Medland SE, Montgomery GW, Heikkilä K, Derom CA, Vlietinck RF, Loos RJF, Magnusson PKE, Pedersen NL, Dahl Aslan AK, Hotopf M, Sumathipala A, Rijsdijk F, Siribaddana SH, Rose RJ, Sørensen TIA, Boomsma DI, Kaprio J. Educational attainment of same-sex and opposite-sex dizygotic twins: An individual-level pooled study of 19 twin cohorts. Horm Behav 2021; 136:105054. [PMID: 34488063 DOI: 10.1016/j.yhbeh.2021.105054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Revised: 08/16/2021] [Accepted: 08/17/2021] [Indexed: 11/15/2022]
Abstract
Comparing twins from same- and opposite-sex pairs can provide information on potential sex differences in a variety of outcomes, including socioeconomic-related outcomes such as educational attainment. It has been suggested that this design can be applied to examine the putative role of intrauterine exposure to testosterone for educational attainment, but the evidence is still disputed. Thus, we established an international database of twin data from 11 countries with 88,290 individual dizygotic twins born over 100 years and tested for differences between twins from same- and opposite-sex dizygotic pairs in educational attainment. Effect sizes with 95% confidence intervals (CI) were estimated by linear regression models after adjusting for birth year and twin study cohort. In contrast to the hypothesis, no difference was found in women (β = -0.05 educational years, 95% CI -0.11, 0.02). However, men with a same-sex co-twin were slightly more educated than men having an opposite-sex co-twin (β = 0.14 educational years, 95% CI 0.07, 0.21). No consistent differences in effect sizes were found between individual twin study cohorts representing Europe, the USA, and Australia or over the cohorts born during the 20th century, during which period the sex differences in education reversed favoring women in the latest birth cohorts. Further, no interaction was found with maternal or paternal education. Our results contradict the hypothesis that there would be differences in the intrauterine testosterone levels between same-sex and opposite-sex female twins affecting education. Our findings in men may point to social dynamics within same-sex twin pairs that may benefit men in their educational careers.
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Affiliation(s)
- Karri Silventoinen
- Department of Social Research, University of Helsinki, Helsinki, Finland; Osaka University Graduate School of Medicine, Osaka University, Osaka, Japan.
| | - Leonie H Bogl
- Institute for Molecular Medicine FIMM, Helsinki, Finland; Department of Epidemiology, Center for Public Health, Medical University of Vienna, Vienna, Austria
| | - Aline Jelenkovic
- Department of Physiology, University of the Basque Country (UPV/EHU), Bilbao, Spain; Department of Public Health, University of Helsinki, Helsinki, Finland
| | - Eero Vuoksimaa
- Institute for Molecular Medicine FIMM, Helsinki, Finland
| | - Antti Latvala
- Department of Social Research, University of Helsinki, Helsinki, Finland
| | - Weilong Li
- Department of Social Research, University of Helsinki, Helsinki, Finland
| | - Qihua Tan
- Epidemiology, Biostatistics and Biodemography, Department of Public Health, University of Southern Denmark, Odense, Denmark
| | - Dongfeng Zhang
- Department of Public Health, Qingdao University Medical College, Qingdao, China
| | - Zengchang Pang
- Department of Noncommunicable Diseases Prevention, Qingdao Centers for Disease Control and Prevention, Qingdao, China
| | - Juan R Ordoñana
- Department of Human Anatomy and Psychobiology, University of Murcia, Murcia, Spain; IMIB-Arrixaca, Murcia, Spain
| | - Juan F Sánchez-Romera
- Department of Human Anatomy and Psychobiology, University of Murcia, Murcia, Spain; IMIB-Arrixaca, Murcia, Spain
| | - Lucia Colodro-Conde
- Department of Human Anatomy and Psychobiology, University of Murcia, Murcia, Spain; QIMR Berghofer Medical Research Institute, Brisbane, Australia
| | - Gonneke Willemsen
- Department of Biological Psychology, VU University Amsterdam, Amsterdam, Netherlands
| | - Meike Bartels
- Department of Biological Psychology, VU University Amsterdam, Amsterdam, Netherlands
| | | | - Esther Rebato
- Department of Genetics, Physical Anthropology and Animal Physiology, University of the Basque Country (UPV/EHU), Bilbao, Spain
| | - Robin P Corley
- Institute for Behavioral Genetics, University of Colorado, Boulder, CO, USA
| | | | - John L Hopper
- Twin Research Australia, Centre for Epidemiology and Biostatistics, The University of Melbourne, Melbourne, Victoria, Australia; Department of Epidemiology, School of Public Health, Seoul National University, Seoul, Republic of Korea
| | - Jessica Tyler
- Twin Research Australia, Centre for Epidemiology and Biostatistics, The University of Melbourne, Melbourne, Victoria, Australia
| | - Glen E Duncan
- Washington State Twin Registry, Washington State University - Health Sciences Spokane, Spokane, WA, USA
| | - Dedra Buchwald
- Washington State Twin Registry, Washington State University - Health Sciences Spokane, Spokane, WA, USA
| | - Judy L Silberg
- Department of Human and Molecular Genetics, Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA, USA
| | - Hermine H Maes
- Department of Human and Molecular Genetics, Psychiatry & Massey Cancer Center, Virginia Commonwealth University, Richmond, VA, USA
| | | | - Wendy Cozen
- Department of Preventive Medicine, Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA; USC Norris Comprehensive Cancer Center, Los Angeles, CA, USA
| | - Amie E Hwang
- Department of Preventive Medicine, Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA
| | - Thomas M Mack
- Department of Preventive Medicine, Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA; USC Norris Comprehensive Cancer Center, Los Angeles, CA, USA
| | - Tracy L Nelson
- Department of Health and Exercise Sciences and Colorado School of Public Health, Colorado State University, USA
| | | | - Emanuela Medda
- Istituto Superiore di Sanità Centre for Behavioural Sciences and Mental Health, Rome, Italy
| | - Lorenza Nisticò
- Istituto Superiore di Sanità Centre for Behavioural Sciences and Mental Health, Rome, Italy
| | - Virgilia Toccaceli
- Istituto Superiore di Sanità Centre for Behavioural Sciences and Mental Health, Rome, Italy
| | - Robert F Krueger
- Department of Psychology, University of Minnesota, Minneapolis, MN, USA
| | - Matt McGue
- Department of Psychology, University of Minnesota, Minneapolis, MN, USA
| | - Shandell Pahlen
- Department of Psychology, University of California, Riverside, Riverside, CA, USA
| | - Nicholas G Martin
- Genetic Epidemiology Department, QIMR Berghofer Medical Research Institute, Brisbane, Australia
| | - Sarah E Medland
- Genetic Epidemiology Department, QIMR Berghofer Medical Research Institute, Brisbane, Australia
| | - Grant W Montgomery
- Genetic Epidemiology Department, QIMR Berghofer Medical Research Institute, Brisbane, Australia
| | - Kauko Heikkilä
- Department of Public Health, University of Helsinki, Helsinki, Finland
| | - Catherine A Derom
- Centre of Human Genetics, University Hospitals Leuven, Leuven, Belgium; Department of Obstetrics and Gynaecology, Ghent University Hospitals, Ghent, Belgium
| | | | - Ruth J F Loos
- The Charles Bronfman Institute for Personalized Medicine, The Mindich Child Health and Development Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Patrik K E Magnusson
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - Nancy L Pedersen
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - Anna K Dahl Aslan
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; School of Health Sciences, University of Skövde, Skövde, Sweden; Institute of Gerontology and Aging Research Network-Jönköping (ARN-J), School of Health and Welfare Jönköping University, Jönköping, Sweden
| | - Matthew Hotopf
- NIHR Mental Health Biomedical Research Centre, South London and Maudsley NHS Foundation Trust and, Institute of Psychiatry Psychology and Neuroscience, King's College London, London, UK
| | - Athula Sumathipala
- Institute of Research & Development, Battaramulla, Sri Lanka; Research Institute for Primary Care and Health Sciences, School for Primary Care Research (SPCR), Faculty of Health, Keele University, Staffordshire, UK
| | - Fruhling Rijsdijk
- King's College London, MRC Social, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, London, UK
| | - Sisira H Siribaddana
- Institute of Research & Development, Battaramulla, Sri Lanka; Faculty of Medicine & Allied Sciences, Rajarata University of Sri Lanka Saliyapura, Sri Lanka
| | - Richard J Rose
- Department of Psychological & Brain Sciences, Indiana University, Bloomington, IN, USA
| | - Thorkild I A Sørensen
- Novo Nordisk Foundation Centre for Basic Metabolic Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Department of Public Health (Section of Epidemiology), Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Dorret I Boomsma
- Department of Biological Psychology, VU University Amsterdam, Amsterdam, Netherlands
| | - Jaakko Kaprio
- Institute for Molecular Medicine FIMM, Helsinki, Finland; Department of Public Health, University of Helsinki, Helsinki, Finland
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3
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Silventoinen K, Jelenkovic A, Sund R, Latvala A, Honda C, Inui F, Tomizawa R, Watanabe M, Sakai N, Rebato E, Busjahn A, Tyler J, Hopper JL, Ordoñana JR, Sánchez-Romera JF, Colodro-Conde L, Calais-Ferreira L, Oliveira VC, Ferreira PH, Medda E, Nisticò L, Toccaceli V, Derom CA, Vlietinck RF, Loos RJF, Siribaddana SH, Hotopf M, Sumathipala A, Rijsdijk F, Duncan GE, Buchwald D, Tynelius P, Rasmussen F, Tan Q, Zhang D, Pang Z, Magnusson PKE, Pedersen NL, Dahl Aslan AK, Hwang AE, Mack TM, Krueger RF, McGue M, Pahlen S, Brandt I, Nilsen TS, Harris JR, Martin NG, Medland SE, Montgomery GW, Willemsen G, Bartels M, van Beijsterveldt CEM, Franz CE, Kremen WS, Lyons MJ, Silberg JL, Maes HH, Kandler C, Nelson TL, Whitfield KE, Corley RP, Huibregtse BM, Gatz M, Butler DA, Tarnoki AD, Tarnoki DL, Park HA, Lee J, Lee SJ, Sung J, Yokoyama Y, Sørensen TIA, Boomsma DI, Kaprio J. Genetic and environmental variation in educational attainment: an individual-based analysis of 28 twin cohorts. Sci Rep 2020; 10:12681. [PMID: 32728164 PMCID: PMC7391756 DOI: 10.1038/s41598-020-69526-6] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Accepted: 07/10/2020] [Indexed: 01/07/2023] Open
Abstract
We investigated the heritability of educational attainment and how it differed between birth cohorts and cultural-geographic regions. A classical twin design was applied to pooled data from 28 cohorts representing 16 countries and including 193,518 twins with information on educational attainment at 25 years of age or older. Genetic factors explained the major part of individual differences in educational attainment (heritability: a2 = 0.43; 0.41-0.44), but also environmental variation shared by co-twins was substantial (c2 = 0.31; 0.30-0.33). The proportions of educational variation explained by genetic and shared environmental factors did not differ between Europe, North America and Australia, and East Asia. When restricted to twins 30 years or older to confirm finalized education, the heritability was higher in the older cohorts born in 1900-1949 (a2 = 0.44; 0.41-0.46) than in the later cohorts born in 1950-1989 (a2 = 0.38; 0.36-0.40), with a corresponding lower influence of common environmental factors (c2 = 0.31; 0.29-0.33 and c2 = 0.34; 0.32-0.36, respectively). In conclusion, both genetic and environmental factors shared by co-twins have an important influence on individual differences in educational attainment. The effect of genetic factors on educational attainment has decreased from the cohorts born before to those born after the 1950s.
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Affiliation(s)
- Karri Silventoinen
- Department of Social Research, Faculty of Social Sciences, University of Helsinki, P.O. Box 18, 00014, Helsinki, Finland.
- Center for Twin Research, Osaka University Graduate School of Medicine, Osaka, Japan.
| | - Aline Jelenkovic
- Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country, Leioa, Spain
- Department of Public Health, University of Helsinki, Helsinki, Finland
| | - Reijo Sund
- Department of Social Research, Faculty of Social Sciences, University of Helsinki, P.O. Box 18, 00014, Helsinki, Finland
- Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland
| | - Antti Latvala
- Department of Social Research, Faculty of Social Sciences, University of Helsinki, P.O. Box 18, 00014, Helsinki, Finland
| | - Chika Honda
- Center for Twin Research, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Fujio Inui
- Center for Twin Research, Osaka University Graduate School of Medicine, Osaka, Japan
- Faculty of Health Science, Kio University, Nara, Japan
| | - Rie Tomizawa
- Center for Twin Research, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Mikio Watanabe
- Center for Twin Research, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Norio Sakai
- Center for Twin Research, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Esther Rebato
- Department of Genetics, Physical Anthropology and Animal Physiology, University of the Basque Country UPV/EHU, Leioa, Spain
| | | | - Jessica Tyler
- Twins Research Australia, Centre for Epidemiology and Biostatistics, The University of Melbourne, Melbourne, VIC, Australia
| | - John L Hopper
- Twins Research Australia, Centre for Epidemiology and Biostatistics, The University of Melbourne, Melbourne, VIC, Australia
- Department of Epidemiology, School of Public Health, Seoul National University, Seoul, Korea
| | - Juan R Ordoñana
- Department of Human Anatomy and Psychobiology, University of Murcia, Murcia, Spain
- IMIB-Arrixaca, Murcia, Spain
| | - Juan F Sánchez-Romera
- Department of Human Anatomy and Psychobiology, University of Murcia, Murcia, Spain
- IMIB-Arrixaca, Murcia, Spain
| | - Lucia Colodro-Conde
- Department of Human Anatomy and Psychobiology, University of Murcia, Murcia, Spain
- Genetic Epidemiology Department, QIMR Berghofer Medical Research Institute, Brisbane, Australia
| | - Lucas Calais-Ferreira
- Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia
| | - Vinicius C Oliveira
- Pós-Graduação em Reabilitação e Desempenho Funcional, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil
| | - Paulo H Ferreira
- Musculoskeletal Health Research Group, Faculty of Health Sciences, The University of Sydney, Sydney, Australia
| | - Emanuela Medda
- Istituto Superiore di Sanità - Centre for Behavioural Sciences and Mental Health, Rome, Italy
| | - Lorenza Nisticò
- Istituto Superiore di Sanità - Centre for Behavioural Sciences and Mental Health, Rome, Italy
| | - Virgilia Toccaceli
- Istituto Superiore di Sanità - Centre for Behavioural Sciences and Mental Health, Rome, Italy
| | - Catherine A Derom
- Centre of Human Genetics, University Hospitals Leuven, Leuven, Belgium
- Department of Obstetrics and Gynaecology, Ghent University Hospitals, Ghent, Belgium
| | | | - Ruth J F Loos
- The Charles Bronfman Institute for Personalized Medicine, The Mindich Child Health and Development Institute, Icahn School of Medicine At Mount Sinai, New York, NY, USA
| | - Sisira H Siribaddana
- Institute of Research and Development, Battaramulla, Sri Lanka
- Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka Saliyapura, Anuradhapura, Sri Lanka
| | - Matthew Hotopf
- Institute of Psychiatry Psychology and Neuroscience, King's College London, London, UK
- South London and Maudsley NHS Foundation Trust, London, UK
| | - Athula Sumathipala
- Institute of Research and Development, Battaramulla, Sri Lanka
- Research Institute for Primary Care and Health Sciences, School for Primary Care Research (SPCR), Faculty of Health, Keele University, Staffordshire, UK
| | - Fruhling Rijsdijk
- Social Genetic and Developmental Psychiatry Research Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - Glen E Duncan
- Washington State Twin Registry, Washington State University - Health Sciences Spokane, Spokane, WA, USA
| | - Dedra Buchwald
- Washington State Twin Registry, Washington State University - Health Sciences Spokane, Spokane, WA, USA
| | - Per Tynelius
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
| | - Finn Rasmussen
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
| | - Qihua Tan
- Epidemiology, Biostatistics and Biodemography, Department of Public Health, University of Southern Denmark, Odense, Denmark
| | - Dongfeng Zhang
- Department of Public Health, Qingdao University Medical College, Qingdao, China
| | - Zengchang Pang
- Department of Noncommunicable Diseases Prevention, Qingdao Centers for Disease Control and Prevention, Qingdao, China
| | - Patrik K E Magnusson
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - Nancy L Pedersen
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - Anna K Dahl Aslan
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
- Institute of Gerontology and Aging Research Network - Jönköping (ARN-J), School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Amie E Hwang
- Department of Preventive Medicine, Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA
- USC Norris Comprehensive Cancer Center, Los Angeles, CA, USA
| | - Thomas M Mack
- Department of Preventive Medicine, Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA
- USC Norris Comprehensive Cancer Center, Los Angeles, CA, USA
| | - Robert F Krueger
- Department of Psychology, University of Minnesota, Minneapolis, MN, USA
| | - Matt McGue
- Department of Psychology, University of Minnesota, Minneapolis, MN, USA
| | - Shandell Pahlen
- Department of Psychology, University of California, Riverside, Riverside, CA, 92521, USA
| | - Ingunn Brandt
- Division of Health Data and Digitalization, Norwegian Institute of Public Health, Oslo, Norway
| | - Thomas S Nilsen
- Division of Health Data and Digitalization, Norwegian Institute of Public Health, Oslo, Norway
| | - Jennifer R Harris
- Division of Health Data and Digitalization, Norwegian Institute of Public Health, Oslo, Norway
| | - Nicholas G Martin
- Genetic Epidemiology Department, QIMR Berghofer Medical Research Institute, Brisbane, Australia
| | - Sarah E Medland
- Genetic Epidemiology Department, QIMR Berghofer Medical Research Institute, Brisbane, Australia
| | - Grant W Montgomery
- Institute for Molecular Bioscience, The University of Queensland, Brisbane, Australia
| | - Gonneke Willemsen
- Department of Biological Psychology, Netherlands Twin Register, Vrije Universiteit, Amsterdam, Amsterdam, The Netherlands
| | - Meike Bartels
- Department of Biological Psychology, Netherlands Twin Register, Vrije Universiteit, Amsterdam, Amsterdam, The Netherlands
| | | | - Carol E Franz
- Department of Psychiatry, University of California, San Diego, CA, USA
| | - William S Kremen
- Department of Psychiatry, University of California, San Diego, CA, USA
- VA San Diego Center of Excellence for Stress and Mental Health, La Jolla, CA, USA
| | - Michael J Lyons
- Department of Psychological and Brain Sciences, Boston University, Boston, MA, USA
| | - Judy L Silberg
- Department of Human and Molecular Genetics, Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA, USA
| | - Hermine H Maes
- Department of Human and Molecular Genetics, Psychiatry and Massey Cancer Center, Virginia Commonwealth University, Richmond, VA, USA
| | | | - Tracy L Nelson
- Department of Health and Exercise Sciences and Colorado School of Public Health, Colorado State University, Fort Collins, USA
| | | | - Robin P Corley
- Institute for Behavioral Genetics, University of Colorado, Boulder, CO, USA
| | | | - Margaret Gatz
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
- Center for Economic and Social Research, University of Southern California, Los Angeles, CA, USA
| | - David A Butler
- Health and Medicine Division, The National Academies of Sciences, Engineering, and Medicine, Washington, DC, USA
| | - Adam D Tarnoki
- Medical Imaging Centre, Semmelweis University, Budapest, Hungary
- Hungarian Twin Registry, Budapest, Hungary
| | - David L Tarnoki
- Medical Imaging Centre, Semmelweis University, Budapest, Hungary
- Hungarian Twin Registry, Budapest, Hungary
| | - Hang A Park
- Department of Epidemiology, School of Public Health, Seoul National University, Seoul, Korea
- Department of Emergency Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea
| | - Jooyeon Lee
- Department of Epidemiology, School of Public Health, Seoul National University, Seoul, Korea
| | - Soo Ji Lee
- Department of Epidemiology, School of Public Health, Seoul National University, Seoul, Korea
- Institute of Health and Environment, Seoul National University, Seoul, South Korea
| | - Joohon Sung
- Department of Epidemiology, School of Public Health, Seoul National University, Seoul, Korea
- Institute of Health and Environment, Seoul National University, Seoul, South Korea
| | - Yoshie Yokoyama
- Department of Public Health Nursing, Osaka City University, Osaka, Japan
| | - Thorkild I A Sørensen
- Novo Nordisk Foundation Centre for Basic Metabolic Research (Section of Metabolic Genetics), Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
- Department of Public Health (Section of Epidemiology), Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Dorret I Boomsma
- Department of Biological Psychology, Netherlands Twin Register, Vrije Universiteit, Amsterdam, Amsterdam, The Netherlands
| | - Jaakko Kaprio
- Department of Public Health, University of Helsinki, Helsinki, Finland
- Institute for Molecular Medicine Finland FIMM, University of Helsinki, Helsinki, Finland
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Schokman A, Bin YS, Simonelli G, Pye J, Morris R, Sumathipala A, Siribaddana SH, Hotopf M, Rijsdijk F, Jayaweera K, Glozier N. Agreement between subjective and objective measures of sleep duration in a low-middle income country setting. Sleep Health 2018; 4:543-550. [DOI: 10.1016/j.sleh.2018.08.008] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2018] [Revised: 08/24/2018] [Accepted: 08/30/2018] [Indexed: 01/01/2023]
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Agampodi SB, Amarasinghe GS, Naotunna PGCR, Jayasumana CS, Siribaddana SH. Early renal damage among children living in the region of highest burden of chronic kidney disease of unknown etiology (CKDu) in Sri Lanka. BMC Nephrol 2018; 19:115. [PMID: 29769043 PMCID: PMC5956963 DOI: 10.1186/s12882-018-0911-8] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2018] [Accepted: 04/30/2018] [Indexed: 12/31/2022] Open
Abstract
Background Chronic kidney disease of unknown origin (CKDu) in Sri Lanka is grouped with several other epidemics of similar nature across the world as Chronic Interstitial Nephritis in Agricultural Communities (CINAC). In CKDu endemic countries, the focus has mainly been on adults. We hypothesized that studying distribution and factors associated with elevated urine albumin to creatinine ratio (UACR), an early marker of kidney injury, among children living in a CKDu endemic area may provide important clues about the onset and progression of the disease. Methods This cross sectional study was performed in rural primary schools in North Central Province of Sri Lnaka, a CKDu high endemic region. Total of 2880 students aging 5 to 11 years from 67 schools were enrolled for urinalysis in a random spot urine sample. Bedside Schwartz formula was used to measure estimated glomerular filtration rate (eGFR) on all children with UACR > 30 mg/g in Polonnaruwa district and a group of age matched controls. A standard multiple linear regression using log transformed UACR as the dependent variable was performed. Mean eGFR were compared between UACR elevated group and controls using independent sample t test. Results Median UACR was 10.3 mg/g. Sex, ethnicity, history of having a chronic disease and age uniquely contributed to the multiple regression model which only explained 2.8% of the variance in the log of the UACR (p < 0.001). Only 15 (0.5%) had UACR> 300 mg/g while 8.2% (n = 236) had UACR between 30 to 300 mg/g and 89.8% (n = 203) of them did not have a chronic disease (Chi square 2.21, p = 0.091). Mean eGFR was significantly lower in the group with elevated UACR (88.9 mg/dl/1.73 m2, 95% CI for mean 86.4- 91.3) compared to group with normal UACR (93.7 mg/dl/1.73 m2,95% CI 91.1- 96.3) (t 2.7, p 0.007). Three out of the four students with eGFR less than 60 mg/dl/1.73 m2 had moderately elevated UACR. Conclusion This study provides evidence to suggest that children in CKDu endemic regions are having an early renal damage. This observation needs to be investigated further in order to understand the worldwide epidemic of CKDu.
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Affiliation(s)
- S B Agampodi
- Department of Community Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka
| | - G S Amarasinghe
- Department of Community Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka.
| | - P G C R Naotunna
- Department of Community Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka
| | - C S Jayasumana
- Department of Pharmacology, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka
| | - S H Siribaddana
- Department of Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka
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6
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Silventoinen K, Jelenkovic A, Sund R, Yokoyama Y, Hur YM, Cozen W, Hwang AE, Mack TM, Honda C, Inui F, Iwatani Y, Watanabe M, Tomizawa R, Pietiläinen KH, Rissanen A, Siribaddana SH, Hotopf M, Sumathipala A, Rijsdijk F, Tan Q, Zhang D, Pang Z, Piirtola M, Aaltonen S, Öncel SY, Aliev F, Rebato E, Hjelmborg JB, Christensen K, Skytthe A, Kyvik KO, Silberg JL, Eaves LJ, Cutler TL, Ordoñana JR, Sánchez-Romera JF, Colodro-Conde L, Song YM, Yang S, Lee K, Franz CE, Kremen WS, Lyons MJ, Busjahn A, Nelson TL, Whitfield KE, Kandler C, Jang KL, Gatz M, Butler DA, Stazi MA, Fagnani C, D’Ippolito C, Duncan GE, Buchwald D, Martin NG, Medland SE, Montgomery GW, Jeong HU, Swan GE, Krasnow R, Magnusson PKE, Pedersen NL, Dahl Aslan AK, McAdams TA, Eley TC, Gregory AM, Tynelius P, Baker LA, Tuvblad C, Bayasgalan G, Narandalai D, Spector TD, Mangino M, Lachance G, Burt SA, Klump KL, Harris JR, Brandt I, Nilsen TS, Krueger RF, McGue M, Pahlen S, Corley RP, Huibregtse BM, Bartels M, van Beijsterveldt CEM, Willemsen G, Goldberg JH, Rasmussen F, Tarnoki AD, Tarnoki DL, Derom CA, Vlietinck RF, Loos RJF, Hopper JL, Sung J, Maes HH, Turkheimer E, Boomsma DI, Sørensen TIA, Kaprio J. Differences in genetic and environmental variation in adult BMI by sex, age, time period, and region: an individual-based pooled analysis of 40 twin cohorts. Am J Clin Nutr 2017; 106:457-466. [PMID: 28679550 PMCID: PMC5525120 DOI: 10.3945/ajcn.117.153643] [Citation(s) in RCA: 82] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2017] [Accepted: 06/08/2017] [Indexed: 12/20/2022] Open
Abstract
Background: Genes and the environment contribute to variation in adult body mass index [BMI (in kg/m2)], but factors modifying these variance components are poorly understood.Objective: We analyzed genetic and environmental variation in BMI between men and women from young adulthood to old age from the 1940s to the 2000s and between cultural-geographic regions representing high (North America and Australia), moderate (Europe), and low (East Asia) prevalence of obesity.Design: We used genetic structural equation modeling to analyze BMI in twins ≥20 y of age from 40 cohorts representing 20 countries (140,379 complete twin pairs).Results: The heritability of BMI decreased from 0.77 (95% CI: 0.77, 0.78) and 0.75 (95% CI: 0.74, 0.75) in men and women 20-29 y of age to 0.57 (95% CI: 0.54, 0.60) and 0.59 (95% CI: 0.53, 0.65) in men 70-79 y of age and women 80 y of age, respectively. The relative influence of unique environmental factors correspondingly increased. Differences in the sets of genes affecting BMI in men and women increased from 20-29 to 60-69 y of age. Mean BMI and variances in BMI increased from the 1940s to the 2000s and were greatest in North America and Australia, followed by Europe and East Asia. However, heritability estimates were largely similar over measurement years and between regions. There was no evidence of environmental factors shared by co-twins affecting BMI.Conclusions: The heritability of BMI decreased and differences in the sets of genes affecting BMI in men and women increased from young adulthood to old age. The heritability of BMI was largely similar between cultural-geographic regions and measurement years, despite large differences in mean BMI and variances in BMI. Our results show a strong influence of genetic factors on BMI, especially in early adulthood, regardless of the obesity level in the population.
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Affiliation(s)
- Karri Silventoinen
- Departments of Social Research and .,Osaka University Graduate School of Medicine, Osaka University, Osaka, Japan
| | - Aline Jelenkovic
- Departments of Social Research and,Department of Genetics, Physical Anthropology, and Animal Physiology, University of the Basque Country, Leioa, Spain
| | - Reijo Sund
- Departments of Social Research and,Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland
| | - Yoshie Yokoyama
- Department of Public Health Nursing, Osaka City University, Osaka, Japan
| | - Yoon-Mi Hur
- Department of Education, Mokpo National University, Jeonnam, South Korea
| | - Wendy Cozen
- Department of Preventive Medicine, Keck School of Medicine,,Norris Comprehensive Cancer Center, and
| | - Amie E Hwang
- Department of Preventive Medicine, Keck School of Medicine
| | - Thomas M Mack
- Department of Preventive Medicine, Keck School of Medicine,,Norris Comprehensive Cancer Center, and
| | - Chika Honda
- Osaka University Graduate School of Medicine, Osaka University, Osaka, Japan
| | - Fujio Inui
- Osaka University Graduate School of Medicine, Osaka University, Osaka, Japan;,Faculty of Health Science, Kio University, Nara, Japan
| | - Yoshinori Iwatani
- Osaka University Graduate School of Medicine, Osaka University, Osaka, Japan
| | - Mikio Watanabe
- Osaka University Graduate School of Medicine, Osaka University, Osaka, Japan
| | - Rie Tomizawa
- Osaka University Graduate School of Medicine, Osaka University, Osaka, Japan
| | - Kirsi H Pietiläinen
- Obesity Research Unit, Research Programs Unit, University of Helsinki, Helsinki, Finland;,Endocrinology, Abdominal Center, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland
| | - Aila Rissanen
- Obesity Research Unit, Research Programs Unit, University of Helsinki, Helsinki, Finland;,Endocrinology, Abdominal Center, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland
| | - Sisira H Siribaddana
- Institute of Research and Development, Battaramulla, Sri Lanka;,Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka
| | - Matthew Hotopf
- National Institute for Health Research Mental Health Biomedical Research Centre, South London and Maudsley National Health Service Foundation Trust, Institute of Psychiatry Psychology and Neuroscience
| | - Athula Sumathipala
- Institute of Research and Development, Battaramulla, Sri Lanka;,Research Institute for Primary Care and Health Sciences, School for Primary Care Research, Faculty of Health, Keele University, Staffordshire, United Kingdom
| | - Fruhling Rijsdijk
- Medical Research Council Social, Genetic, and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology, and Neuroscience, and
| | - Qihua Tan
- Unit of Epidemiology, Biostatistics, and Biodemography, Departments of Public Health and
| | - Dongfeng Zhang
- Department of Public Health, Qingdao University Medical College, Qingdao, China
| | - Zengchang Pang
- Department of Noncommunicable Diseases Prevention, Qingdao Centers for Disease Control and Prevention, Qingdao, China
| | - Maarit Piirtola
- Departments of Social Research and,Institute for Molecular Medicine, Helsinki, Finland
| | - Sari Aaltonen
- Departments of Social Research and,Public Health, and
| | - Sevgi Y Öncel
- Department of Statistics, Faculty of Arts and Sciences, Kırıkkale University, Kırıkkale, Turkey
| | - Fazil Aliev
- Faculty of Business, Karabuk University, Karabuk, Turkey;,Departments of Psychology and,African American Studies
| | - Esther Rebato
- Department of Genetics, Physical Anthropology, and Animal Physiology, University of the Basque Country, Leioa, Spain
| | | | - Kaare Christensen
- The Danish Twin Registry,,Departments of Clinical Biochemistry and Pharmacology and Clinical Genetics, and
| | | | - Kirsten O Kyvik
- Clinical Research, University of Southern Denmark, Odense, Denmark;,Odense Patient Data Explorative Network, Odense University Hospital, Odense, Denmark
| | - Judy L Silberg
- Department of Human and Molecular Genetics, Virginia Institute for Psychiatric and Behavioral Genetics, and
| | - Lindon J Eaves
- Department of Human and Molecular Genetics, Virginia Institute for Psychiatric and Behavioral Genetics, and
| | - Tessa L Cutler
- The Australian Twin Registry, Centre for Epidemiology and Biostatistics, University of Melbourne, Melbourne, Victoria, Australia
| | - Juan R Ordoñana
- Department of Human Anatomy and Psychobiology, University of Murcia, Murcia, Spain;,Biomedical Research Institute of Murcia (IMIB)-Arrixaca, Murcia, Spain
| | - Juan F Sánchez-Romera
- Department of Human Anatomy and Psychobiology, University of Murcia, Murcia, Spain;,Biomedical Research Institute of Murcia (IMIB)-Arrixaca, Murcia, Spain
| | - Lucia Colodro-Conde
- Department of Human Anatomy and Psychobiology, University of Murcia, Murcia, Spain;,Quantitative Genetics Laboratory and
| | - Yun-Mi Song
- Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea
| | - Sarah Yang
- Department of Epidemiology, School of Public Health, and,Institute of Health and Environment, Seoul National University, Seoul, South Korea
| | - Kayoung Lee
- Department of Family Medicine, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea
| | - Carol E Franz
- Department of Psychiatry, University of California, San Diego, CA
| | - William S Kremen
- Department of Psychiatry, University of California, San Diego, CA;,US Department of Veterans Affairs San Diego Center of Excellence for Stress and Mental Health, La Jolla, CA
| | | | | | - Tracy L Nelson
- Department of Health and Exercise Sciences, Colorado School of Public Health, Colorado State University, Aurora, CO
| | | | | | - Kerry L Jang
- Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada; Departments of
| | - Margaret Gatz
- Department of Psychology, University of Southern California, Los Angeles, CA;,Medical Epidemiology and Biostatistics and
| | - David A Butler
- Health and Medicine Division, National Academies of Sciences, Engineering, and Medicine, Washington, DC
| | - Maria A Stazi
- Italian National Institute of Health National Center for Epidemiology, Surveillance, and Health Promotion, Rome, Italy
| | - Corrado Fagnani
- Italian National Institute of Health National Center for Epidemiology, Surveillance, and Health Promotion, Rome, Italy
| | - Cristina D’Ippolito
- Italian National Institute of Health National Center for Epidemiology, Surveillance, and Health Promotion, Rome, Italy
| | - Glen E Duncan
- Washington State Twin Registry, Health Sciences, Washington State University, Spokane, WA
| | - Dedra Buchwald
- Washington State Twin Registry, Health Sciences, Washington State University, Spokane, WA
| | - Nicholas G Martin
- Genetic Epidemiology Department, Queensland Institute of Medical Research Berghofer Medical Research Institute, Brisbane, Australia
| | - Sarah E Medland
- Genetic Epidemiology Department, Queensland Institute of Medical Research Berghofer Medical Research Institute, Brisbane, Australia
| | - Grant W Montgomery
- Molecular Bioscience, University of Queensland, Brisbane, Queensland, Australia
| | - Hoe-Uk Jeong
- Department of Education, Mokpo National University, Jeonnam, South Korea
| | - Gary E Swan
- Department of Medicine, Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA
| | - Ruth Krasnow
- Center for Health Sciences, SRI International, Menlo Park, CA
| | | | | | - Anna K Dahl Aslan
- Medical Epidemiology and Biostatistics and,Institute of Gerontology and Aging Research Network, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Tom A McAdams
- Medical Research Council Social, Genetic, and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology, and Neuroscience, and
| | - Thalia C Eley
- Medical Research Council Social, Genetic, and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology, and Neuroscience, and
| | - Alice M Gregory
- Department of Psychology, Goldsmiths, University of London, London, United Kingdom
| | - Per Tynelius
- Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
| | - Laura A Baker
- Department of Psychology, University of Southern California, Los Angeles, CA
| | - Catherine Tuvblad
- Department of Psychology, University of Southern California, Los Angeles, CA;,School of Law, Psychology, and Social Work, Örebro University, Örebro, Sweden
| | | | - Danshiitsoodol Narandalai
- Healthy Twin Association of Mongolia, Ulaanbaatar, Mongolia;,Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Timothy D Spector
- Department of Twin Research and Genetic Epidemiology, King’s College London, London, United Kingdom
| | - Massimo Mangino
- Department of Twin Research and Genetic Epidemiology, King’s College London, London, United Kingdom;,National Institute for Health Research Biomedical Research Centre at Guy’s and St. Thomas’ Foundation Trust, London, United Kingdom
| | - Genevieve Lachance
- Department of Twin Research and Genetic Epidemiology, King’s College London, London, United Kingdom
| | | | | | | | | | | | - Robert F Krueger
- Department of Psychology, University of Minnesota, Minneapolis, MN
| | - Matt McGue
- Department of Psychology, University of Minnesota, Minneapolis, MN
| | - Shandell Pahlen
- Department of Psychology, University of Minnesota, Minneapolis, MN
| | - Robin P Corley
- Institute for Behavioral Genetics, University of Colorado, Boulder, Colorado
| | - Brooke M Huibregtse
- Institute for Behavioral Genetics, University of Colorado, Boulder, Colorado
| | - Meike Bartels
- Department of Biological Psychology, VU University Amsterdam, Amsterdam, Netherlands
| | | | - Gonneke Willemsen
- Department of Biological Psychology, VU University Amsterdam, Amsterdam, Netherlands
| | - Jack H Goldberg
- Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA
| | - Finn Rasmussen
- Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
| | - Adam D Tarnoki
- Department of Radiology, Semmelweis University, Budapest, Hungary;,Hungarian Twin Registry, Budapest, Hungary
| | - David L Tarnoki
- Department of Radiology, Semmelweis University, Budapest, Hungary;,Hungarian Twin Registry, Budapest, Hungary
| | - Catherine A Derom
- Centre of Human Genetics, University Hospitals Leuven, Leuven, Belgium;,Department of Obstetrics and Gynaecology, Ghent University Hospitals, Ghent, Belgium
| | | | - Ruth JF Loos
- Charles Bronfman Institute for Personalized Medicine, Mindich Child Health and Development Institute, Icahn School of Medicine at Mount Sinai, New York, NY
| | - John L Hopper
- Department of Epidemiology, School of Public Health, and,The Australian Twin Registry, Centre for Epidemiology and Biostatistics, University of Melbourne, Melbourne, Victoria, Australia
| | - Joohon Sung
- Department of Epidemiology, School of Public Health, and,Institute of Health and Environment, Seoul National University, Seoul, South Korea
| | - Hermine H Maes
- Departments of Human and Molecular Genetics and Psychiatry, Massey Cancer Center, Virginia Commonwealth University, Richmond, VA
| | - Eric Turkheimer
- Department of Psychology, University of Virginia, Charlottesville, VA
| | - Dorret I Boomsma
- Department of Biological Psychology, VU University Amsterdam, Amsterdam, Netherlands
| | - Thorkild IA Sørensen
- Section on Metabolic Genetics, Novo Nordisk Foundation Centre for Basic Metabolic Research, Copenhagen, Denmark;,Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; and,Department of Clinical Epidemiology, Bispebjerg and Frederiksberg Hospitals, Copenhagen, Denmark
| | - Jaakko Kaprio
- Public Health, and,Institute for Molecular Medicine, Helsinki, Finland
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7
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Bogl LH, Jelenkovic A, Vuoksimaa E, Ahrenfeldt L, Pietiläinen KH, Stazi MA, Fagnani C, D'Ippolito C, Hur YM, Jeong HU, Silberg JL, Eaves LJ, Maes HH, Bayasgalan G, Narandalai D, Cutler TL, Kandler C, Jang KL, Christensen K, Skytthe A, Kyvik KO, Cozen W, Hwang AE, Mack TM, Derom CA, Vlietinck RF, Nelson TL, Whitfield KE, Corley RP, Huibregtse BM, McAdams TA, Eley TC, Gregory AM, Krueger RF, McGue M, Pahlen S, Willemsen G, Bartels M, van Beijsterveldt TCEM, Pang Z, Tan Q, Zhang D, Martin NG, Medland SE, Montgomery GW, Hjelmborg JVB, Rebato E, Swan GE, Krasnow R, Busjahn A, Lichtenstein P, Öncel SY, Aliev F, Baker LA, Tuvblad C, Siribaddana SH, Hotopf M, Sumathipala A, Rijsdijk F, Magnusson PKE, Pedersen NL, Aslan AKD, Ordoñana JR, Sánchez-Romera JF, Colodro-Conde L, Duncan GE, Buchwald D, Tarnoki AD, Tarnoki DL, Yokoyama Y, Hopper JL, Loos RJF, Boomsma DI, Sørensen TIA, Silventoinen K, Kaprio J. Does the sex of one's co-twin affect height and BMI in adulthood? A study of dizygotic adult twins from 31 cohorts. Biol Sex Differ 2017; 8:14. [PMID: 28465822 PMCID: PMC5408365 DOI: 10.1186/s13293-017-0134-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/23/2016] [Accepted: 04/05/2017] [Indexed: 12/11/2022] Open
Abstract
Background The comparison of traits in twins from opposite-sex (OS) and same-sex (SS) dizygotic twin pairs is considered a proxy measure of prenatal hormone exposure. To examine possible prenatal hormonal influences on anthropometric traits, we compared mean height, body mass index (BMI), and the prevalence of being overweight or obese between men and women from OS and SS dizygotic twin pairs. Methods The data were derived from the COllaborative project of Development of Anthropometrical measures in Twins (CODATwins) database, and included 68,494 SS and 53,808 OS dizygotic twin individuals above the age of 20 years from 31 twin cohorts representing 19 countries. Zygosity was determined by questionnaires or DNA genotyping depending on the study. Multiple regression and logistic regression models adjusted for cohort, age, and birth year with the twin type as a predictor were carried out to compare height and BMI in twins from OS pairs with those from SS pairs and to calculate the adjusted odds ratios and 95% confidence intervals for being overweight or obese. Results OS females were, on average, 0.31 cm (95% confidence interval (CI) 0.20, 0.41) taller than SS females. OS males were also, on average, taller than SS males, but this difference was only 0.14 cm (95% CI 0.02, 0.27). Mean BMI and the prevalence of overweight or obesity did not differ between males and females from SS and OS twin pairs. The statistically significant differences between OS and SS twins for height were small and appeared to reflect our large sample size rather than meaningful differences of public health relevance. Conclusions We found no evidence to support the hypothesis that prenatal hormonal exposure or postnatal socialization (i.e., having grown up with a twin of the opposite sex) has a major impact on height and BMI in adulthood. Electronic supplementary material The online version of this article (doi:10.1186/s13293-017-0134-x) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Leonie H Bogl
- Institute for Molecular Medicine FIMM, University of Helsinki, P.O. Box 20, FI-00014 Helsinki, Finland.,Department of Public Health, University of Helsinki, Helsinki, Finland
| | - Aline Jelenkovic
- Department of Social Research, University of Helsinki, Helsinki, Finland.,Department of Genetics, Physical Anthropology and Animal Physiology, University of the Basque Country UPV/EHU, Leioa, Spain
| | - Eero Vuoksimaa
- Institute for Molecular Medicine FIMM, University of Helsinki, P.O. Box 20, FI-00014 Helsinki, Finland
| | - Linda Ahrenfeldt
- Department of Public Health, Epidemiology, Biostatistics & Biodemography, The Danish Twin Registry, University of Southern Denmark, Odense, Denmark
| | - Kirsi H Pietiläinen
- Obesity Research Unit, Research Programs Unit, University of Helsinki, Helsinki, Finland.,Endocrinology, Abdominal Center, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland
| | - Maria A Stazi
- Istituto Superiore di Sanità-National Center for Epidemiology, Surveillance and Health Promotion, Rome, Italy
| | - Corrado Fagnani
- Istituto Superiore di Sanità-National Center for Epidemiology, Surveillance and Health Promotion, Rome, Italy
| | - Cristina D'Ippolito
- Istituto Superiore di Sanità-National Center for Epidemiology, Surveillance and Health Promotion, Rome, Italy
| | - Yoon-Mi Hur
- Department of Education, Mokpo National University, Jeonnam, South Korea
| | - Hoe-Uk Jeong
- Department of Education, Mokpo National University, Jeonnam, South Korea
| | - Judy L Silberg
- Department of Human and Molecular Genetics, Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA USA
| | - Lindon J Eaves
- Department of Human and Molecular Genetics, Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA USA
| | - Hermine H Maes
- Department of Human and Molecular Genetics, Psychiatry & Massey Cancer Center, Virginia Commonwealth University, Richmond, VA USA
| | | | - Danshiitsoodol Narandalai
- Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.,Healthy Twin Association of Mongolia, Ulaanbaatar, Mongolia
| | - Tessa L Cutler
- The Australian Twin Registry, Centre for Epidemiology and Biostatistics, The University of Melbourne, Melbourne, VIC Australia
| | | | - Kerry L Jang
- Department of Psychiatry, University of British Columbia, Vancouver, BC Canada
| | - Kaare Christensen
- Department of Public Health, Epidemiology, Biostatistics & Biodemography, The Danish Twin Registry, University of Southern Denmark, Odense, Denmark.,Department of Clinical Biochemistry and Pharmacology and Department of Clinical Genetics, Odense University Hospital, Odense, Denmark
| | - Axel Skytthe
- Department of Public Health, Epidemiology, Biostatistics & Biodemography, The Danish Twin Registry, University of Southern Denmark, Odense, Denmark
| | - Kirsten O Kyvik
- Department of Clinical Research, University of Southern Denmark, Odense, Denmark.,Odense Patient data Explorative Network (OPEN), Odense University Hospital, Odense, Denmark
| | - Wendy Cozen
- Department of Preventive Medicine, Keck School of Medicine of USC, University of Southern California, Los Angeles, CA USA.,USC Norris Comprehensive Cancer Center, Los Angeles, CA USA
| | - Amie E Hwang
- Department of Preventive Medicine, Keck School of Medicine of USC, University of Southern California, Los Angeles, CA USA
| | - Thomas M Mack
- Department of Preventive Medicine, Keck School of Medicine of USC, University of Southern California, Los Angeles, CA USA.,USC Norris Comprehensive Cancer Center, Los Angeles, CA USA
| | - Catherine A Derom
- Centre of Human Genetics, University Hospitals Leuven, Leuven, Belgium.,Department of Obstetrics and Gynaecology, Ghent University Hospitals, Ghent, Belgium
| | | | - Tracy L Nelson
- Department of Health and Exercise Sciences and Colorado School of Public Health, Colorado State University, Fort Collins, USA
| | | | - Robin P Corley
- Institute for Behavioral Genetics, University of Colorado, Boulder, CO USA
| | | | - Tom A McAdams
- Institute of Psychiatry, Psychology & Neuroscience, MRC Social, Genetic & Developmental Psychiatry Centre, King's College London, London, UK
| | - Thalia C Eley
- Institute of Psychiatry, Psychology & Neuroscience, MRC Social, Genetic & Developmental Psychiatry Centre, King's College London, London, UK
| | - Alice M Gregory
- Department of Psychology, Goldsmiths, University of London, London, UK
| | - Robert F Krueger
- Department of Psychology, University of Minnesota, Minneapolis, MN USA
| | - Matt McGue
- Department of Psychology, University of Minnesota, Minneapolis, MN USA
| | - Shandell Pahlen
- Department of Psychology, University of Minnesota, Minneapolis, MN USA
| | - Gonneke Willemsen
- Department of Biological Psychology, VU University Amsterdam, Amsterdam, Netherlands
| | - Meike Bartels
- Department of Biological Psychology, VU University Amsterdam, Amsterdam, Netherlands
| | | | - Zengchang Pang
- Department of Noncommunicable Diseases Prevention, Qingdao Centers for Disease Control and Prevention, Qingdao, China
| | - Qihua Tan
- Institute of Public Health, Epidemiology, Biostatistics and Biodemography, University of Southern Denmark, Odense, Denmark
| | - Dongfeng Zhang
- Department of Public Health, Qingdao University Medical College, Qingdao, China
| | - Nicholas G Martin
- Genetic Epidemiology Department, QIMR Berghofer Medical Research Institute, Brisbane, Australia
| | - Sarah E Medland
- Genetic Epidemiology Department, QIMR Berghofer Medical Research Institute, Brisbane, Australia
| | - Grant W Montgomery
- Molecular Epidemiology Department, QIMR Berghofer Medical Research Institute, Brisbane, Australia
| | - Jacob V B Hjelmborg
- Department of Public Health, Epidemiology, Biostatistics & Biodemography, The Danish Twin Registry, University of Southern Denmark, Odense, Denmark
| | - Esther Rebato
- Department of Genetics, Physical Anthropology and Animal Physiology, University of the Basque Country UPV/EHU, Leioa, Spain
| | - Gary E Swan
- Department of Medicine, Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA USA
| | - Ruth Krasnow
- Center for Health Sciences, SRI International, Menlo Park, CA USA
| | | | - Paul Lichtenstein
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - Sevgi Y Öncel
- Department of Statistics, Faculty of Arts and Sciences, Kırıkkale University, Kırıkkale, Turkey
| | - Fazil Aliev
- Psychology and African American Studies, Virginia Commonwealth University, Richmond, USA.,Faculty of Business, Karabuk University, Karabuk, Turkey
| | - Laura A Baker
- Department of Psychology, University of Southern California, Los Angeles, CA USA
| | - Catherine Tuvblad
- Department of Psychology, University of Southern California, Los Angeles, CA USA.,School of Law, Psychology and Social Work, Örebro University, Örebro, Sweden
| | - Sisira H Siribaddana
- Institute of Research & Development, Battaramulla, Sri Lanka.,Faculty of Medicine & Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka
| | - Matthew Hotopf
- Institute of Psychiatry Psychology and Neuroscience, NIHR Mental Health Biomedical Research Centre, South London and Maudsley NHS Foundation Trust and King's College London, London, UK
| | - Athula Sumathipala
- Institute of Research & Development, Battaramulla, Sri Lanka.,Research Institute for Primary Care and Health Sciences, School for Primary Care Research (SPCR), Faculty of Health, Keele University, Staffordshire, UK
| | - Fruhling Rijsdijk
- Institute of Psychiatry, Psychology & Neuroscience, MRC Social, Genetic & Developmental Psychiatry Centre, King's College London, London, UK
| | - Patrik K E Magnusson
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - Nancy L Pedersen
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - Anna K Dahl Aslan
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.,Institute of Gerontology and Aging Research Network-Jönköping (ARN-J), School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Juan R Ordoñana
- Department of Human Anatomy and Psychobiology, University of Murcia, Murcia, Spain.,IMIB-Arrixaca, Murcia, Spain
| | - Juan F Sánchez-Romera
- Department of Developmental and Educational Psychology, University of Murcia, Murcia, Spain.,IMIB-Arrixaca, Murcia, Spain
| | - Lucia Colodro-Conde
- Department of Human Anatomy and Psychobiology, University of Murcia, Murcia, Spain.,QIMR Berghofer Medical Research Institute, Brisbane, Australia
| | - Glen E Duncan
- Washington State Twin Registry, Washington State University-Health Sciences Spokane, Spokane, WA USA
| | - Dedra Buchwald
- Washington State Twin Registry, Washington State University-Health Sciences Spokane, Spokane, WA USA
| | - Adam D Tarnoki
- Department of Radiology, Semmelweis University, Budapest, Hungary.,Hungarian Twin Registry, Budapest, Hungary
| | - David L Tarnoki
- Department of Radiology, Semmelweis University, Budapest, Hungary.,Hungarian Twin Registry, Budapest, Hungary
| | - Yoshie Yokoyama
- Department of Public Health Nursing, Osaka City University, Osaka, Japan
| | - John L Hopper
- The Australian Twin Registry, Centre for Epidemiology and Biostatistics, The University of Melbourne, Melbourne, VIC Australia.,Department of Epidemiology, School of Public Health, Seoul National University, Seoul, South Korea
| | - Ruth J F Loos
- The Charles Bronfman Institute for Personalized Medicine, The Mindich Child Health and Development Institute, Icahn School of Medicine at Mount Sinai, New York, NY USA
| | - Dorret I Boomsma
- Department of Biological Psychology, VU University Amsterdam, Amsterdam, Netherlands
| | - Thorkild I A Sørensen
- Novo Nordisk Foundation Centre for Basic Metabolic Research (Section on Metabolic Genetics), and Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.,Institute of Preventive Medicine, Bispebjerg and Frederiksberg Hospitals, Copenhagen, The Capital Region Denmark
| | - Karri Silventoinen
- Department of Social Research, University of Helsinki, Helsinki, Finland.,Osaka University Graduate School of Medicine, Osaka University, Osaka, Japan
| | - Jaakko Kaprio
- Institute for Molecular Medicine FIMM, University of Helsinki, P.O. Box 20, FI-00014 Helsinki, Finland.,Department of Public Health, University of Helsinki, Helsinki, Finland
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8
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Jelenkovic A, Hur YM, Sund R, Yokoyama Y, Siribaddana SH, Hotopf M, Sumathipala A, Rijsdijk F, Tan Q, Zhang D, Pang Z, Aaltonen S, Heikkilä K, Öncel SY, Aliev F, Rebato E, Tarnoki AD, Tarnoki DL, Christensen K, Skytthe A, Kyvik KO, Silberg JL, Eaves LJ, Maes HH, Cutler TL, Hopper JL, Ordoñana JR, Sánchez-Romera JF, Colodro-Conde L, Cozen W, Hwang AE, Mack TM, Sung J, Song YM, Yang S, Lee K, Franz CE, Kremen WS, Lyons MJ, Busjahn A, Nelson TL, Whitfield KE, Kandler C, Jang KL, Gatz M, Butler DA, Stazi MA, Fagnani C, D'Ippolito C, Duncan GE, Buchwald D, Derom CA, Vlietinck RF, Loos RJ, Martin NG, Medland SE, Montgomery GW, Jeong HU, Swan GE, Krasnow R, Magnusson PK, Pedersen NL, Dahl-Aslan AK, McAdams TA, Eley TC, Gregory AM, Tynelius P, Baker LA, Tuvblad C, Bayasgalan G, Narandalai D, Lichtenstein P, Spector TD, Mangino M, Lachance G, Bartels M, van Beijsterveldt TC, Willemsen G, Burt SA, Klump KL, Harris JR, Brandt I, Nilsen TS, Krueger RF, McGue M, Pahlen S, Corley RP, Hjelmborg JVB, Goldberg JH, Iwatani Y, Watanabe M, Honda C, Inui F, Rasmussen F, Huibregtse BM, Boomsma DI, Sørensen TIA, Kaprio J, Silventoinen K. Genetic and environmental influences on adult human height across birth cohorts from 1886 to 1994. eLife 2016; 5. [PMID: 27964777 PMCID: PMC5156525 DOI: 10.7554/elife.20320] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2016] [Accepted: 11/21/2016] [Indexed: 12/23/2022] Open
Abstract
Human height variation is determined by genetic and environmental factors, but it remains unclear whether their influences differ across birth-year cohorts. We conducted an individual-based pooled analysis of 40 twin cohorts including 143,390 complete twin pairs born 1886–1994. Although genetic variance showed a generally increasing trend across the birth-year cohorts, heritability estimates (0.69-0.84 in men and 0.53-0.78 in women) did not present any clear pattern of secular changes. Comparing geographic-cultural regions (Europe, North America and Australia, and East Asia), total height variance was greatest in North America and Australia and lowest in East Asia, but no clear pattern in the heritability estimates across the birth-year cohorts emerged. Our findings do not support the hypothesis that heritability of height is lower in populations with low living standards than in affluent populations, nor that heritability of height will increase within a population as living standards improve. DOI:http://dx.doi.org/10.7554/eLife.20320.001
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Affiliation(s)
- Aline Jelenkovic
- Department of Social Research, University of Helsinki, Helsinki, Finland.,Department of Genetics, Physical Anthropology and Animal Physiology, University of the Basque Country, Leioa, Spain
| | - Yoon-Mi Hur
- Department of Education, Mokpo National University, Jeonnam, South Korea
| | - Reijo Sund
- Department of Social Research, University of Helsinki, Helsinki, Finland
| | - Yoshie Yokoyama
- Department of Public Health Nursing, Osaka City University, Osaka, Japan
| | - Sisira H Siribaddana
- Institute of Research & Development, Battaramulla, Sri Lanka.,Faculty of Medicine & Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka
| | - Matthew Hotopf
- NIHR Mental Health Biomedical Research Centre, South London and Maudsley NHS Foundation Trust and, Institute of Psychiatry Psychology and Neuroscience, King's College London, London, United Kingdom
| | - Athula Sumathipala
- Institute of Research & Development, Battaramulla, Sri Lanka.,Research Institute for Primary Care and Health Sciences, School for Primary Care Research, Faculty of Health, Keele University, Staffordshire, United Kingdom
| | - Fruhling Rijsdijk
- MRC Social, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom
| | - Qihua Tan
- Epidemiology, Biostatistics and Biodemography, Institute of Public Health, University of Southern Denmark, Odense, Denmark
| | - Dongfeng Zhang
- Department of Public Health, Qingdao University Medical College, Qingdao, China
| | - Zengchang Pang
- Department of Noncommunicable Diseases Prevention, Qingdao Centers for Disease Control and Prevention, Qingdao, China
| | - Sari Aaltonen
- Department of Social Research, University of Helsinki, Helsinki, Finland.,Department of Public Health, University of Helsinki, Helsinki, Finland
| | - Kauko Heikkilä
- Department of Public Health, University of Helsinki, Helsinki, Finland
| | - Sevgi Y Öncel
- Department of Statistics, Faculty of Arts and Sciences, Kirikkale University, Kirikkale, Turkey
| | - Fazil Aliev
- Faculty of Business, Karabuk University, Karabuk, Turkey.,Department of Psychology, Virginia Commonwealth University, Richmond, United States.,Department of African American Studies, Virginia Commonwealth University, Richmond, United States
| | - Esther Rebato
- Department of Genetics, Physical Anthropology and Animal Physiology, University of the Basque Country, Leioa, Spain
| | - Adam D Tarnoki
- Department of Radiology and Oncotherapy, Semmelweis University, Budapest, Hungary.,Hungarian Twin Registry, Budapest, Hungary
| | - David L Tarnoki
- Department of Radiology and Oncotherapy, Semmelweis University, Budapest, Hungary.,Hungarian Twin Registry, Budapest, Hungary
| | - Kaare Christensen
- The Danish Twin Registry, University of Southern Denmark, Odense, Denmark.,Department of Public Health, Epidemiology, Biostatistics & Biodemography, University of Southern Denmark, Odense, Denmark.,Department of Clinical Biochemistry and Pharmacology, Odense University Hospital, Odense, Denmark.,Department of Clinical Genetics, Odense University Hospital, Odense, Denmark
| | - Axel Skytthe
- The Danish Twin Registry, University of Southern Denmark, Odense, Denmark.,Department of Public Health, Epidemiology, Biostatistics & Biodemography, University of Southern Denmark, Odense, Denmark
| | - Kirsten O Kyvik
- Department of Clinical Research, University of Southern Denmark, Odense, Denmark.,Odense Patient data Explorative Network (OPEN), Odense University Hospital, Odense, Denmark
| | - Judy L Silberg
- Department of Human and Molecular Genetics, Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, Virginia, United States
| | - Lindon J Eaves
- Department of Human and Molecular Genetics, Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, Virginia, United States
| | - Hermine H Maes
- Department of Human and Molecular Genetics, Psychiatry & Massey Cancer Center, Virginia Commonwealth University, Richmond, Virginia, United States
| | - Tessa L Cutler
- The Australian Twin Registry, Centre for Epidemiology and Biostatistics, The University of Melbourne, Melbourne, Australia
| | - John L Hopper
- The Australian Twin Registry, Centre for Epidemiology and Biostatistics, The University of Melbourne, Melbourne, Australia.,Department of Epidemiology, School of Public Health, Seoul National University, Seoul, Korea
| | - Juan R Ordoñana
- Department of Human Anatomy and Psychobiology, University of Murcia, Murcia, Spain.,IMIB-Arrixaca, Murcia, Spain
| | - Juan F Sánchez-Romera
- IMIB-Arrixaca, Murcia, Spain.,Department of Developmental and Educational Psychology, University of Murcia, Murcia, Spain
| | - Lucia Colodro-Conde
- Department of Human Anatomy and Psychobiology, University of Murcia, Murcia, Spain.,QIMR Berghofer Medical Research Institute, Brisbane, Australia
| | - Wendy Cozen
- Department of Preventive Medicine, Keck School of Medicine of USC, University of Southern California, Los Angeles, United States.,USC Norris Comprehensive Cancer Center, Los Angeles, United States
| | - Amie E Hwang
- Department of Preventive Medicine, Keck School of Medicine of USC, University of Southern California, Los Angeles, United States
| | - Thomas M Mack
- Department of Preventive Medicine, Keck School of Medicine of USC, University of Southern California, Los Angeles, United States.,USC Norris Comprehensive Cancer Center, Los Angeles, United States
| | - Joohon Sung
- Department of Epidemiology, School of Public Health, Seoul National University, Seoul, Korea.,Institute of Health and Environment, Seoul National University, Seoul, South-Korea
| | - Yun-Mi Song
- Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South-Korea
| | - Sarah Yang
- Department of Epidemiology, School of Public Health, Seoul National University, Seoul, Korea.,Institute of Health and Environment, Seoul National University, Seoul, South-Korea
| | - Kayoung Lee
- Department of Family Medicine, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea
| | - Carol E Franz
- Department of Psychiatry, University of California, San Diego, San Diego, United States
| | - William S Kremen
- Department of Psychiatry, University of California, San Diego, San Diego, United States.,VA San Diego Center of Excellence for Stress and Mental Health, La Jolla, CA, United States
| | - Michael J Lyons
- Department of Psychology, Boston University, Boston, United States
| | | | - Tracy L Nelson
- Department of Health and Exercise Sciences and Colorado School of Public Health, Colorado State University, Colorado, United States
| | | | | | - Kerry L Jang
- Department of Psychiatry, University of British Columbia, Vancouver, Canada
| | - Margaret Gatz
- Department of Psychology, University of Southern California, Los Angeles, United States.,Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - David A Butler
- Health and Medicine Division, The National Academies of Sciences, Engineering, and Medicine, Washington, United States
| | - Maria A Stazi
- Istituto Superiore di Sanità - National Center for Epidemiology, Surveillance and Health Promotion, Rome, Italy
| | - Corrado Fagnani
- Istituto Superiore di Sanità - National Center for Epidemiology, Surveillance and Health Promotion, Rome, Italy
| | - Cristina D'Ippolito
- Istituto Superiore di Sanità - National Center for Epidemiology, Surveillance and Health Promotion, Rome, Italy
| | - Glen E Duncan
- Washington State Twin Registry, Washington State University - Health Sciences Spokane, Spokane, United States
| | - Dedra Buchwald
- Washington State Twin Registry, Washington State University, Seattle, United States
| | - Catherine A Derom
- Centre of Human Genetics, University Hospitals Leuven, Leuven, Belgium.,Department of Obstetrics and Gynaecology, Ghent University Hospitals, Ghent, Belgium
| | | | - Ruth Jf Loos
- The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, United States.,The Mindich Child Health and Development Institute, Icahn School of Medicine at Mount Sinai, New York, United States
| | - Nicholas G Martin
- Genetic Epidemiology Department, QIMR Berghofer Medical Research Institute, Brisbane, Australia
| | - Sarah E Medland
- Genetic Epidemiology Department, QIMR Berghofer Medical Research Institute, Brisbane, Australia
| | - Grant W Montgomery
- Molecular Epidemiology Department, QIMR Berghofer Medical Research Institute, Brisbane, Australia
| | - Hoe-Uk Jeong
- Department of Education, Mokpo National University, Jeonnam, South Korea
| | - Gary E Swan
- Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, United States
| | - Ruth Krasnow
- Center for Health Sciences, SRI International, Menlo Park, United States
| | - Patrik Ke Magnusson
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - Nancy L Pedersen
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - Anna K Dahl-Aslan
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.,Institute of Gerontology and Aging Research Network - Jönköping (ARN-J), School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Tom A McAdams
- MRC Social, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom
| | - Thalia C Eley
- MRC Social, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom
| | - Alice M Gregory
- Department of Psychology, Goldsmiths, University of London, London, United Kingdom
| | - Per Tynelius
- Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
| | - Laura A Baker
- Department of Psychology, University of Southern California, Los Angeles, United States
| | - Catherine Tuvblad
- Department of Psychology, University of Southern California, Los Angeles, United States.,School of Law, Psychology and Social Work, Örebro University, Örebro, Sweden
| | | | - Danshiitsoodol Narandalai
- Healthy Twin Association of Mongolia, Ulaanbaatar, Mongolia.,Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Paul Lichtenstein
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - Timothy D Spector
- Department of Twin Research and Genetic Epidemiology, King's College, London, United Kingdom
| | - Massimo Mangino
- Department of Twin Research and Genetic Epidemiology, King's College, London, United Kingdom
| | - Genevieve Lachance
- Department of Twin Research and Genetic Epidemiology, King's College, London, United Kingdom
| | - Meike Bartels
- Department of Biological Psychology, VU University Amsterdam, Amsterdam, Netherlands
| | | | - Gonneke Willemsen
- Department of Biological Psychology, VU University Amsterdam, Amsterdam, Netherlands
| | - S Alexandra Burt
- Michigan State University, East Lansing, Michigan, United States
| | - Kelly L Klump
- Michigan State University, East Lansing, Michigan, United States
| | | | | | | | - Robert F Krueger
- Department of Psychology, University of Minnesota, Minneapolis, United States
| | - Matt McGue
- Department of Psychology, University of Minnesota, Minneapolis, United States
| | - Shandell Pahlen
- Department of Psychology, University of Minnesota, Minneapolis, United States
| | - Robin P Corley
- Institute for Behavioral Genetics, University of Colorado, Boulder, United States
| | - Jacob V B Hjelmborg
- The Danish Twin Registry, University of Southern Denmark, Odense, Denmark.,Department of Public Health, Epidemiology, Biostatistics & Biodemography, University of Southern Denmark, Odense, Denmark
| | - Jack H Goldberg
- Department of Epidemiology, School of Public Health, University of Washington, Seattle, United States
| | - Yoshinori Iwatani
- Osaka University Graduate School of Medicine, Osaka University, Osaka, Japan
| | - Mikio Watanabe
- Osaka University Graduate School of Medicine, Osaka University, Osaka, Japan
| | - Chika Honda
- Osaka University Graduate School of Medicine, Osaka University, Osaka, Japan
| | - Fujio Inui
- Osaka University Graduate School of Medicine, Osaka University, Osaka, Japan.,Faculty of Health Science, Kio University, Nara, Japan
| | - Finn Rasmussen
- Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
| | - Brooke M Huibregtse
- Institute for Behavioral Genetics, University of Colorado, Boulder, United States
| | - Dorret I Boomsma
- Department of Biological Psychology, VU University Amsterdam, Amsterdam, Netherlands
| | - Thorkild I A Sørensen
- Novo Nordisk Foundation Centre for Basic Metabolic Research (Section on Metabolic Genetics), University of Copenhagen, Copenhagen, Denmark.,Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.,Institute of Preventive Medicine, Bispebjerg and Frederiksberg Hospitals, Copenhagen, Denmark
| | - Jaakko Kaprio
- Department of Public Health, University of Helsinki, Helsinki, Finland.,Institute for Molecular Medicine FIMM, Helsinki, Finland
| | - Karri Silventoinen
- Department of Social Research, University of Helsinki, Helsinki, Finland.,Osaka University Graduate School of Medicine, Osaka University, Osaka, Japan
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9
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Wijerathne BTB, Pilapitiya SD, Vijitharan V, Farah MMF, Wimalasooriya YVM, Siribaddana SH. Exertional heat stroke in a young military trainee: is it preventable? Mil Med Res 2016; 3:8. [PMID: 27042327 PMCID: PMC4818451 DOI: 10.1186/s40779-016-0078-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/23/2015] [Accepted: 03/16/2016] [Indexed: 01/19/2023] Open
Abstract
BACKGROUND Heat stroke is a life-threatening condition with exertional heat stroke occurring frequently among soldiers and athletes. Because of its common occurrence, many military trainees practice preventive measures prior to any activity requiring severe exertion. Although it is said to be common in practice, different presentations of heat stroke are scarcely described in literature. CASE PRESENTATION We describe a case of an exertional heat stroke in a 23-year-old male Sinhalese soldier who developed early changes of renal failure, liver failure and rhabdomyolysis. The patient initially presented with convulsions, delirium and loss of consciousness to an outside health care facility before being transferred to our institution. CONCLUSION It is clear that heat stroke does occur in military trainees while preventive strategies are being practiced. It is important for those who provide healthcare to soldiers to provide proper advice on how to identify impending heat stroke prior to any exercises resulting in severe physical exertion. Further, treating physicians should educate all military trainees about preventive strategies.
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Affiliation(s)
- Buddhika T B Wijerathne
- Department of Forensic Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka
| | - Senaka D Pilapitiya
- Department of Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka
| | - Vadivel Vijitharan
- Department of Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka
| | - Mohammed M F Farah
- Department of Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka
| | - Yashodhara V M Wimalasooriya
- Department of Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka
| | - Sisira H Siribaddana
- Department of Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka
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10
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Zavos HMS, Kovas Y, Ball HA, Ball D, Siribaddana SH, Glozier N, Sumathipala A, McGuffin P, Hotopf M, Rijsdijk FV. Genetic and environmental etiology of nicotine use in Sri Lankan male twins. Behav Genet 2012; 42:798-807. [PMID: 22610514 DOI: 10.1007/s10519-012-9544-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2009] [Accepted: 04/25/2012] [Indexed: 11/30/2022]
Abstract
Little is known about the prevalence and etiology of tobacco use in Asian populations. This study aims to test whether the finding of substantial heritability for tobacco-related phenotypes in Western populations is generalizable to developing countries. The twin method was used to estimate the relative contribution of genetic and environmental influences on nicotine-related phenotypes. Participants were selected from the population based Sri Lankan Twin Registry. The Composite International Diagnostic Interview was administered to 1,804 male individuals to assess five phenotypes: nicotine use; desire and unsuccessful attempts to quit smoking; subjective feeling of being tobacco dependent; and two DSM-IV diagnoses; nicotine dependence and nicotine withdrawal. Almost one-third of the male twins were life-time smokers. The genetic results were consistent with the previously reported findings from Western and Chinese populations, in that the nicotine use traits were significantly heritable, with environmental influences being of the non-shared nature. The results derived from the Causal Contingent Common pathway model (CCC) supported previous findings that show that liabilities to regular smoking and subsequent problem smoking have both shared and specific genetic influences.
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Affiliation(s)
- Helena M S Zavos
- Social Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Kings College, London, SE5 8AF, UK.
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11
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Sumathipala A, Siribaddana SH, De Silva N, Abeysingha NMR, Sivayogam S, Fernando DJS. Feasibility of Using Different Approaches for Recruiting Younger Twins to Establish a Population Based Twin Register in Sri Lanka. ACTA ACUST UNITED AC 2012. [DOI: 10.1375/twin.4.6.459] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
AbstractIdentifying twins for a population-based register can be achieved through birth records or community surveys. We studied the feasibility and effectiveness of different methods of identifying and recruiting twins to establish a population based register. To trace twins a population survey was carried out using an interviewer administered questionnaire. We also inspected the birth registration certificates at a divisional secretariat reported from a specified hospital between the years of 1985–1997 and compared it to the birth register of this same hospital. To recruit twins a random sample of 75 twin pairs (150 twins) identified at the Divisional Secretariat were contacted through the post and 25 twin pairs (50 twins) were personally visited. The prevalence of twins was 6.5 twins per 1000 people in the area surveyed. The twinning rate at the hospital was 18.92 twins per 1000 births. A discrepancy of 38 multiples births between the hospital labour room records and those registered at the DS was noted. The response from the postal invitation for recruitment was 59% and the response from the personal invitation was 68%. (Difference 9.4% 95% CI; 7.06–11.73). Community survey and systematic inspection of birth records either at the hospital or the birth registration office was an effective method to trace twins. Once traced, personal contact was more effective than the postal invitation for recruitment of younger twins. A cost-effective approach would be to use a postal coverage followed by personal contact for non-responders. The alternative method, community coverage, would have financial implications.
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12
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Sumathipala A, De Silva N, Siribaddana SH, Abeysingha MRN, Fernando DJS. Cross-cultural adaptation and preliminary validation of a zygosity determination questionnaire for twins in Sri Lanka. ACTA ACUST UNITED AC 2012. [DOI: 10.1375/twin.3.4.205] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
AbstractWe report the process of adaptation into Sinhala of a questionnaire given to mothers of twins to determine zygosity. Adaptation and validation was carried out in three stages. Firstly, we used a nominal group to translate the English version and to assess the extent of agreement (consensus measurement) on the appropriateness of the translation and resolve disagreement (consensus development). Secondly we used a qualitative interview with 25 mothers of twins. The three main stems of the translated questionnaire were used as a semi-structured interview, and the responses noted verbatim. These were categorised and analysed, and the translated full questionnaire was then presented as closed questions with fixed choice responses. The categorised responses generated during the qualitative interview were compared with the responses to the fixed choices in the full questionnaire. The third stage was the appraisal of the questionnaire by 17 bilingual parents of twins. The source and translated version of the questionnaire were given to them at least 3 days apart. The responses were rated and the total scores were computed to determine the zygosity. This step was carried out to measure the validity and reliability of the Sinhala version. A perfect correlation between the original and adapted version was obtained, with a kappa of 1. The results suggest that the Sinhala version of the questionnaire is conceptually equivalent to the original questionnaire. Comparison of the zygosity determination by using this adapted questionnaire with results from analysis of genetic markers on Sri Lankan twins is needed for final validation of the translated questionnaire. Twin Research (2000) 3, 205–212.
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13
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Ball HA, Siribaddana SH, Sumathipala A, Kovas Y, Glozier N, Rijsdijk F, McGuffin P, Hotopf M. Genetic and environmental contributions to the overlap between psychological, fatigue and somatic symptoms: a twin study in Sri Lanka. Twin Res Hum Genet 2011; 14:53-63. [PMID: 21314256 DOI: 10.1375/twin.14.1.53] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
BACKGROUND Somatic symptoms often co-occur with psychological symptoms but this overlap is poorly understood. Some aspects of this overlap differ in the South Asian context, but it is not clear whether this is a reporting effect or an underlying difference in experienced illness. METHODS Home interviews were administered to 4,024 twins randomly selected from a population-based twin register in the Colombo district of Sri Lanka (the CoTASS study). These included assessments of psychological, somatic and fatigue symptoms. The data were analyzed using factor analytic and quantitative genetic approaches. RESULTS Confirmatory factor analysis showed that the symptoms from the three scales represented three separate dimensions, rather than all tapping into a single dimension. However, familial correlations among the data were most consistent with a common pathway model. This implies that a portion of the underlying vulnerability is common across psychological, fatigue and somatic symptoms. There were sex differences in the etiology of this model, with shared environmental and genetic influences playing different roles in men and women. CONCLUSIONS There is a complex etiological relationship between psychological, fatigue and somatic symptoms. This is similar in Sri Lanka to Western countries, but there may be a greater influence from the family environment, suggesting that care needs to be taken when generalizing research findings between countries. People who complain of certain fatigue or somatic symptoms may well also have psychological symptoms, or may have genetic or environmental vulnerabilities to such problems.
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Affiliation(s)
- Harriet A Ball
- MRC Social Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, United Kingdom.
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14
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Chandrasena LG, Peiris H, Williams S, Siribaddana SH. Hemoglobin variants in patients with type 2 diabetes mellitus. Southeast Asian J Trop Med Public Health 2010; 41:1247-1251. [PMID: 21073046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Measurement of HbA1c levels in diabetic patients is an established procedure for evaluating long-term control of diabetes. Despite its usefulness, conditions that effect hemoglobin concentration, such as hemoglobinopathies give rise to inappropriate HbA1c values. Since information about hemoglobinopathies in the diabetic population in Sri Lanka is limited, a prospective cross-sectional study was carried out among 2,695 diabetic subjects attending the diabetic clinic at Nawaloka Hospital, Sri Lanka. Hemoglobin type and HbA1c were measured by the HPLC method. The results reveal among 2,695 diabetic subjects, 53 (2%) had abnormal hemoglobin types (HbF and HbS). HbA1c concentrations in diabetic patients without Hb abnormalities show a higher correlation with fasting blood glucose than those with hemoglobin abnormalities. This study emphasizes that patients with inappropriate HbA1c values should be investigated for hemoglobinopathies.
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Affiliation(s)
- Lal G Chandrasena
- Department of Biochemistry and Clinical Chemistry, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
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Ball HA, Sumathipala A, Siribaddana SH, Kovas Y, Glozier N, McGuffin P, Hotopf M. Aetiology of fatigue in Sri Lanka and its overlap with depression. Br J Psychiatry 2010; 197:106-13. [PMID: 20679262 PMCID: PMC2913272 DOI: 10.1192/bjp.bp.109.069674] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
BACKGROUND Fatigue is a common symptom in Western high-income countries but is often medically unexplained and little is known about its presentation in other populations. AIMS To explore the epidemiology and aetiology of fatigue in Sri Lanka, and of its overlap with depression. METHOD A total of 4024 randomly selected twins from a population-based register in Sri Lanka (Colombo district) completed home interviews including the Chalder Fatigue Questionnaire. RESULTS The prevalence of fatigue was similar to that in other countries, although prolonged fatigue may be less common. There was substantial comorbidity with a screen for lifetime depression. Non-shared environmental factors made the largest contributions, although genetic/family factors also contributed. The aetiology appeared consistent across the spectrum of severity. CONCLUSIONS The aetiology of fatigue is broadly similar in Sri Lanka and Western high-income countries. Abnormal experiences of fatigue appear to be the extreme form of more common fatigue, rather than representing independent entities with different genetic or environmental risk factors.
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Ball HA, Siribaddana SH, Kovas Y, Glozier N, McGuffin P, Sumathipala A, Hotopf M. Epidemiology and symptomatology of depression in Sri Lanka: a cross-sectional population-based survey in Colombo District. J Affect Disord 2010; 123:188-96. [PMID: 19762085 PMCID: PMC2946561 DOI: 10.1016/j.jad.2009.08.014] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2009] [Revised: 08/13/2009] [Accepted: 08/13/2009] [Indexed: 12/02/2022]
Abstract
BACKGROUND It is important to understand the nature of depression in non-Western and lower-income countries, but little such research exists. This study aimed to examine the characteristic features of depression in Sri Lanka, and to identify environmental risk factors. METHODS Depression diagnoses, symptoms and impairment were measured using the Composite International Diagnostic Interview, in a population-based sample of 6014 twins and non-twins in the Colombo region of Sri Lanka (the CoTASS sample). Socio-demographic factors and environments were assessed via questionnaires. RESULTS Lifetime-ever depression was reported in 6.6% of participants, rising to 11.2% if the functional impairment criterion was excluded. The symptom profile of depression and its socio-demographic associations were very comparable to those in Western and more economically developed countries, whether functional impairment was included in the definition or not. Standard of living was independently associated with depression, especially among men at the more deprived end of the distribution. Specific associations were found with both financial wellbeing and material characteristics of the home environment. LIMITATIONS The observational associations identified are cross-sectional, so do not necessarily imply causal links. CONCLUSIONS Aside from a lower prevalence, depression is very similar in this predominantly urban Sri Lankan sample to higher-income, Western countries, and may be under-identified due to a relatively low cultural appropriateness of the assessment of impairment. Under Sri Lanka's cultural and environmental context, certain aspects of the material environment are associated with depression among certain segments of society, perhaps because of their particular link to social status and social networks.
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Affiliation(s)
- Harriet A. Ball
- MRC Social Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, De Crespigny Park, London, SE5 8AF, UK,Corresponding author. Tel.: +44 207 8485415; fax: +44 207 8480866.
| | - Sisira H. Siribaddana
- Sri Lanka Twin Registry, Institute of Research and Development, Battaramulla, Sri Lanka
| | - Yulia Kovas
- MRC Social Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, De Crespigny Park, London, SE5 8AF, UK
| | - Nick Glozier
- Sydney Medical School, University of Sydney, Sydney, Australia,Department of Psychological Medicine, Institute of Psychiatry, King's College London, UK
| | - Peter McGuffin
- MRC Social Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, De Crespigny Park, London, SE5 8AF, UK
| | - Athula Sumathipala
- Sri Lanka Twin Registry, Institute of Research and Development, Battaramulla, Sri Lanka,Section of Epidemiology, Institute of Psychiatry, King's College London, UK
| | - Matthew Hotopf
- Department of Psychological Medicine, Institute of Psychiatry, King's College London, UK
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Ball HA, Siribaddana SH, Sumathipala A, Kovas Y, Glozier N, McGuffin P, Hotopf M. Environmental exposures and their genetic or environmental contribution to depression and fatigue: a twin study in Sri Lanka. BMC Psychiatry 2010; 10:13. [PMID: 20122265 PMCID: PMC2828435 DOI: 10.1186/1471-244x-10-13] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/05/2009] [Accepted: 02/02/2010] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND There is very little genetically informative research identifying true environmental risks for psychiatric conditions. These may be best explored in regions with diverse environmental exposures. The current study aimed to explore similarities and differences in such risks contributing to depression and fatigue. METHODS Home interviews assessed depression (lifetime-ever), fatigue and environmental exposures in 4,024 randomly selected twins from a population-based register in the Colombo district of Sri Lanka. RESULTS Early school leaving and standard of living showed environmentally-mediated effects on depression, in men. In women, life events were associated with depression partly through genetic pathways (however, the temporal order is consistent with life events being an outcome of depression, as well as the other way around). For fatigue, there were environmentally mediated effects (through early school leaving and life events) and strong suggestions of family-environmental influences. CONCLUSIONS Compared to previous studies from higher-income countries, novel environmentally-mediated risk factors for depression and fatigue were identified in Sri Lanka. But as seen elsewhere, the association between life events and depression was partially genetically mediated in women. These results have implications for understanding environmental mechanisms around the world.
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Affiliation(s)
- Harriet A Ball
- MRC Social Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, London, UK.
| | - Sisira H Siribaddana
- Sri Lanka Twin Registry, Institute of Research and Development, Battaramulla, Sri Lanka
| | - Athula Sumathipala
- Sri Lanka Twin Registry, Institute of Research and Development, Battaramulla, Sri Lanka,Section of Epidemiology, Institute of Psychiatry, Kings College London, London, UK
| | - Yulia Kovas
- MRC Social Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, London, UK,Goldsmiths, University of London, London, UK
| | - Nick Glozier
- Sydney Medical School, University of Sydney, Sydney, Australia,Department of Psychological Medicine, Institute of Psychiatry, Kings College London, London, UK
| | - Peter McGuffin
- MRC Social Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, London, UK
| | - Matthew Hotopf
- Department of Psychological Medicine, Institute of Psychiatry, Kings College London, London, UK
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Ball HA, Sumathipala A, Siribaddana SH, Kovas Y, Glozier N, McGuffin P, Hotopf M. Genetic and environmental contributions to depression in Sri Lanka. Br J Psychiatry 2009; 195:504-9. [PMID: 19949199 PMCID: PMC2802529 DOI: 10.1192/bjp.bp.109.063529] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Susceptibility to depression results from genetic and non-familially shared environmental influences in high-income, Western countries. Environments may play a different role for populations in different contexts. AIMS To examine heritability of depression in the first large, population-based twin study in a low-income country. METHOD Lifetime depression and a broader measure of depression susceptibility (D-probe) were assessed in 3908 adult twins in Sri Lanka (the CoTASS study). RESULTS There were gender differences for the broad definition (D-probe), with a higher genetic contribution in females (61%) than males (4%). Results were similar for depression, but the prevalence was too low to estimate heritability for males. CONCLUSIONS Genetic influences on depression in women appear to be at least as strong in this Sri Lankan sample as in higher-income countries. Conclusions are less clear for men but suggest a larger role for environments rather than genes. The nature as well as the magnitude of environmental influences may also differ across populations.
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Siribaddana SH, Ball HA, Hewage SN, Glozier N, Kovas Y, Dayaratne DARK, Sumathipala A, McGuffin P, Hotopf M. Colombo Twin and Singleton Study (CoTASS): a description of a population based twin study of mental disorders in Sri Lanka. BMC Psychiatry 2008; 8:49. [PMID: 18588676 PMCID: PMC2475532 DOI: 10.1186/1471-244x-8-49] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2007] [Accepted: 06/27/2008] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The Sri Lankan twin registry is one of the first to be established in a developing country, and its design has ensured sampling from a wide range of environmental conditions. It thus has great potential to examine environmental and genetic influences on diverse phenotypes, including psychiatric disorders, in the context of a diversity of environmental exposures, which may not have been fully explored in previous twin studies in developed countries. This paper presents the rationale for the study, describes its context, and the methods for twin ascertainment and data collection. METHODS A population-based twin register was established in the Colombo district of Sri Lanka using infrastructure designed to periodically update the electoral register. We invited a subsample from this register to participate in the project on common mental disorders, using random ascertainment. A separate non-twin sample was randomly selected from the geographical areas where twins were found. Home interviewers collected diagnostic information on common mental disorders, as well as environmental exposures including life events, socio-economic conditions, and the impact of the civil war and the Tsunami of 2004. RESULTS We identified 19,302 individuals in the creation of the population based twin register. We randomly selected a subsample, of whom 4,387 were eligible to participate and 4,024 agreed to be interviewed (including data on 1,954 complete pairs of twins and 5 sets of triplets). Those who refused consent had a similar mean age and sex ratio to those who were interviewed. We invited 2,485 singletons to participate and 2,019 were interviewed. CONCLUSION Initial exploration of the data suggests the samples are very representative of the Colombo district of Sri Lanka, so we have created a unique resource for understanding the influences on mental disorders in developing countries, and to compare to the influences found in developed countries.
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Affiliation(s)
- Sisira H Siribaddana
- Sri Lanka Twin Registry, Institute of Research and Development, Battaramulla, Sri Lanka
| | - Harriet A Ball
- Social Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, London, UK
| | - Suwin N Hewage
- Sri Lanka Twin Registry, Institute of Research and Development, Battaramulla, Sri Lanka
| | - Nick Glozier
- The George Institute for International Health, University of Sydney, Sydney, Australia
| | - Yulia Kovas
- Social Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, London, UK
| | - DARK Dayaratne
- Sri Lanka Twin Registry, Institute of Research and Development, Battaramulla, Sri Lanka
| | - Athula Sumathipala
- Sri Lanka Twin Registry, Institute of Research and Development, Battaramulla, Sri Lanka
- Section of Epidemiology, Institute of Psychiatry, Kings College, University of London, London, UK
| | - Peter McGuffin
- Social Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, London, UK
| | - Matthew Hotopf
- Department of Psychological Medicine, Institute of Psychiatry, Kings College, London, UK
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Abstract
BACKGROUND Culture-bound syndrome is a term used to describe the uniqueness of some syndromes in specific cultures. Dhat (semen-loss anxiety) has been considered to be an exotic 'neurosis of the Orient'. AIMS To ascertain the presence of similar symptoms and syndromes in different cultures and historical settings. METHOD Electronic and manual literature searches were used to gather information on the existence and description of semen-loss anxiety in different cultures and settings. RESULTS Most of the empirical studies on dhat syndrome have emerged from Asia, whereas its concepts have been described historically in other cultures, including Britain, the USA and Australia. The different sources indicate the universality of symptoms and global prevalence of this condition, despite its image as a 'neurosis of the Orient'. CONCLUSIONS It appears that dhat (semen-loss anxiety) is not as culture-bound as previously thought. We propose that the concept of culture-bound syndromes should be modified in line with DSM-IV recommendations.
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Affiliation(s)
- A Sumathipala
- Section of Epidemiology, Institute of Psychiatry, London, UK
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Sumathipala A, Siribaddana SH, Abeysingha NMR, De Silva N, Fernando DJS, Dayaratne DARK, De Silva D, Warnasuriya ND, Hotopf M. Challenges in recruiting older twins for the Sri Lankan twin registry. Twin Res 2003; 6:67-71. [PMID: 12626231 DOI: 10.1375/136905203762687924] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
The National Twin Registry of Sri Lanka was established in 1997 as a volunteer register. To extend it to a population-based register, we examined the effectiveness of tracing older twins by inspecting birth records and recruiting them by postal invitation and in-person contact. Birth records at a divisional secretariat reported from 2 maternity hospitals between the years of 1954-1970 were scrutinised to identify a random sample of twins. These hospitals had the highest twin delivery rates for the whole country. We identified 620 twins and a questionnaire was mailed to them. Research assistants visited a cohort of non-respondents (71) in the postal survey. These 620 twins were identified after perusing 20700 birth records. The twinning rate was estimated at 29.95 ([620/20700] x 1000) twins per 1000 registered births (CI 27.63-32.27). In the postal survey, 37 (12%) responded and 62 letters were returned (20%). Both twins were still alive in 20 pairs, one was still alive in 15 pairs, and both twins were dead in 2 pairs. During field visits, 42 (59.2%) addresses were located. Information was available on 16 twin pairs. Both twins were alive in 8 pairs, one each in 4 pairs, and both were dead in 4 pairs and at least one twin was traced in 10 pairs (14%). Both the postal and the field survey gave a low yield. This finding is different from tracing younger twins born between 1985-1997 by using the same methods. Migration, urbanization and development in the country might have affected tracing older twins from the birth record addresses, which were decades old.
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Affiliation(s)
- Athula Sumathipala
- Section of Epidemiology, Institute of Psychiatry, Kings College, University of London, UK.
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Malavige GN, de Alwis NMW, Weerasooriya N, Fernando DJS, Siribaddana SH. Increasing diabetes and vascular risk factors in a sub-urban Sri Lankan population. Diabetes Res Clin Pract 2002; 57:143-5. [PMID: 12062860 DOI: 10.1016/s0168-8227(02)00015-3] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Sumathipala A, Siribaddana SH, De Silva N, Abeysingha NM, Sivayogam S, Fernando DJ. Feasibility of using different approaches for recruiting younger twins to establish a population based twin register in Sri Lanka. Twin Res 2001; 4:459-63. [PMID: 11780938 DOI: 10.1375/1369052012795] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Identifying twins for a population-based register can be achieved through birth records or community surveys. We studied the feasibility and effectiveness of different methods of identifying and recruiting twins to establish a population based register. To trace twins a population survey was carried out using an interviewer administered questionnaire. We also inspected the birth registration certificates at a divisional secretariat reported from a specified hospital between the years of 1985-1997 and compared it to the birth register of this same hospital. To recruit twins a random sample of 75 twin pairs (150 twins) identified at the Divisional Secretariat were contacted through the post and 25 twin pairs (50 twins) were personally visited. The prevalence of twins was 6.5 twins per 1000 people in the area surveyed. The twinning rate at the hospital was 18.92 twins per 1000 births. A discrepancy of 38 multiples births between the hospital labour room records and those registered at the DS was noted. The response from the postal invitation for recruitment was 59% and the response from the personal invitation was 68%. (Difference 9.4% 95% CI; 7.06-11.73). Community survey and systematic inspection of birth records either at the hospital or the birth registration office was an effective method to trace twins. Once traced, personal contact was more effective than the postal invitation for recruitment of younger twins. A cost-effective approach would be to use a postal coverage followed by personal contact for non-responders. The alternative method, community coverage, would have financial implications.
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Affiliation(s)
- A Sumathipala
- Section of Epidemiology and General Practice, Institute of Psychiatry, Kings College, University of London, UK. spjuats@ iop.kcl.ac.uk
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Sumathipala A, De Silva N, Siribaddana SH, Abeysingha MR, Fernando DJ. Cross-cultural adaptation and preliminary validation of a zygosity determination questionnaire for twins in Sri Lanka. Twin Res 2000; 3:205-12. [PMID: 11463140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/20/2023]
Abstract
We report the process of adaptation into Sinhala of a questionnaire given to mothers of twins to determine zygosity. Adaptation and validation was carried out in three stages. Firstly, we used a nominal group to translate the English version and to assess the extent of agreement (consensus measurement) on the appropriateness of the translation and resolve disagreement (consensus development). Secondly we used a qualitative interview with 25 mothers of twins. The three main stems of the translated questionnaire were used as a semi-structured interview, and the responses noted verbatim. These were categorised and analysed, and the translated full questionnaire was then presented as closed questions with fixed choice responses. The categorised responses generated during the qualitative interview were compared with the responses to the fixed choices in the full questionnaire. The third stage was the appraisal of the questionnaire by 17 bilingual parents of twins. The source and translated version of the questionnaire were given to them at least 3 days apart. The responses were rated and the total scores were computed to determine the zygosity. This step was carried out to measure the validity and reliability of the Sinhala version. A perfect correlation between the original and adapted version was obtained, with a kappa of 1. The results suggest that the Sinhala version of the questionnaire is conceptually equivalent to the original questionnaire. Comparison of the zygosity determination by using this adapted questionnaire with results from analysis of genetic markers on Sri Lankan twins is needed for final validation of the translated questionnaire.
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Affiliation(s)
- A Sumathipala
- Section of Epidemiology and General Practice, Institute of Psychiatry, Kings College, University of London, UK.
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Sumathipala A, Fernando DJ, Siribaddana SH, Abeysingha MR, Jayasekare RW, Dissanayake VH, De Silva N. Establishing a twin register in Sri Lanka. Twin Res 2000; 3:202-4. [PMID: 11463139 DOI: 10.1375/136905200320565157] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Nearly all twin registers are based in developed countries and there is no twin register in the developing world. Our objectives were to initiate the process of establishing a nationwide twin register in Sri Lanka by starting a volunteer register first and working towards a population-based register. Regular newspaper advertisements, feature articles, radio talks, and television programmes were used to publicise a competition for twins, their parents/relatives and friends requesting them to participate by sending in details of twins. The competition ran from 28 March 1997 for a period of 3 months. It offered prizes for three winners selected by drawing lots. Advertisements highlighted the objective of the competition as establishing a twin register for future research and emphasised that informed consent would be obtained for individual research projects. Those who registered comprise 4602 twin pairs (same sex: male--1564, female--1885; different sex--1153), 80 sets of triplets (same sex: male--17, female--31; different sex--42) and two sets of quadruplets (different sex). The oldest twins, triplets, quadruplets are 85, 46, and 5 years old, respectively; 88.0% of twins are less than 30 years old. Although others have previously used media publicity to enrol twins in twin registers, we believe this to be the first time that twins have been enrolled through competition. We have more young twins, and our gender and zygosity proportions after applying Weinburg's rule do not match the proportions expected from a volunteer twin sample. Establishing a twin register for research purposes has proved possible in a developing country.
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Affiliation(s)
- A Sumathipala
- Section of Epidemiology and General Practice, Institute of Psychiatry, Kings College, University of London, UK.
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Siribaddana SH, Deshabandu R, Rajapakse D, Silva K, Fernando DJ. The prevalence of gestational diabetes in a Sri Lankan antenatal clinic. Ceylon Med J 1998; 43:88-91. [PMID: 9704548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
INTRODUCTION Early diagnosis of gestational diabetes mellitus (GDM) is a prerequisite to reducing fetal and neonatal complications of GDM. OBJECTIVES (a) To ascertain the prevalence of GDM in a Sri Lankan pregnant population. Using the 75 g oral glucose tolerance test (GTT) and WHO criteria. (b) To establish the predictive value of a 50 g glucose challenge test (GCT) compared to the GTT (c) To compare the outcome of pregnancy in GDM with 'non-diabetic pregnancy' (NDP) STUDY DESIGN: Prospective study on a cohort of pregnant women attending antenatal clinics. SETTING Sri Jayawardenepura General Hospital (SJGH) RESULTS: Of the 721 patients, 131 (18%) had a positive GCT. 40 (5.5%) patients had GDM. If a one-hour GCT of 7.8 mmol/l was considered suspicious of GDM the sensitivity of the glucose challenge test was 63% and the specificity 84%. Statistically significant differences in the prevalence was found when the women were > 35 years [Relative risk (RR) = 3.87 (95% CI-2.06 to 7.27)] or the body mass index > or = 25. (RR = 2.45 (95 CI-1.30 to 4.61) Presence or absence of high parity, family history of diabetes or recurrent abortions had no significant impact on the prevalence of GDM. Mean birth weight was higher (p < 0.05) in GDM (3615 SD 103) than in NDP (2898 SD 143.6). The likelihood of having a caesarean section was higher (p < 0.01, Relative risk (RR) 2.50, 95% CI 1.56-3.95) in GDM when compared to NDP. A higher incidence of hydramnios (p < 0.01 RR 3.41 95% CI 1.44-8.05) was recorded in GDM when compared to NDP. CONCLUSION The prevalence of GDM in the antenatal clinics at SJGH is 5.5%. Traditional risk factors did not predict GDM. GDM is associated with a higher risk of caesarean section, hydramnios and macrosomia. Hence screening for GDM should be performed in all pregnant women at 24 to 28 weeks of pregnancy using a GCT.
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Abstract
CASE REPORT An accidental exposure due to reuse of containers of toluene diisocyanate to transport nontoxic substances and subsequent occupational toxic exposure caused illness among forty workers in a glove manufacturing plant. Examination and investigation of the patients and factory site inspection were carried out. Toluene diisocyanate-contaminated latex was examined by the infrared spectroscopy. Thirty-two of forty patients had muscle pain and seven had elevated creatine phosphokinase activity. These features have not been reported previously as components of toluene diisocyanate toxicity and their underlying causation remains speculative.
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Dissanayake A, Hewage UC, Siribaddana SH, Fernando DJ. An audit of the (ab)use of thyroid function tests. Ceylon Med J 1998; 43:52-3. [PMID: 9624853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
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Affiliation(s)
- S H Siribaddana
- Sri Jayawardanepura General Hospital, Thalapathpitiva, Nugegoda, Sri Lanka
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Fernando DJ, Siribaddana SH, Silva DR, Perera SD. The prevalence of obesity and other coronary risk factors in a suburban Sri Lankan community. Asia Pac J Clin Nutr 1994; 3:155-159. [PMID: 24351325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Increasing numbers of developing nations experience a rising incidence of non-communicable diseases in parallel with economic development. Thus, developing countries such as Sri Lanka face the double burden of both communicable and non-communicable diseases. We therefore conducted a study to assess the prevalence of obesity, diabetes mellitus, impaired glucose tolerance (IGT), dyslipidaemias, hypertension, central (android) obesity, hypertension and smoking habits in a random sample of 633 (312 male) subjects selected from an electoral list with a target population of 2974 persons. The prevalence (age standardized to the world population of Segi 95% CI) was IGT 5.27 (3.74-7.78), diabetes 5.02 (3.59-6.53), hypertension 15.25 (11.67-18.8), hypercholesterolaemia 14.86 (11.09-18.61), hypertriglyceridaemia 8.46 (6.27-10.64), low HDL cholesterol 11.18 (8.35-13.99), obesity 9.89 (7.24-12.52) and android obesity 16.35 (12.47-20.24). We conclude that the high prevalence of coronary risk factors is an indication for initiating programmes for primary prevention of obesity, diabetes and coronary heart disease in Sri Lanka.
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Affiliation(s)
- D J Fernando
- Sri Jayawardenepura General Hospital, TalapathpitEya, Nugegoda, Sri Lanka and Faculty of Medicine, University of Colombo, Kynsey Road, Colombo 8, Sri Lanka
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Affiliation(s)
- S H Siribaddana
- Renal Unit, Sri Jayawardanepura General Hospital, Nugegoda, Sri Lanka
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Siribaddana SH, Fernando D. Lack of clarity in presenting statistical data. Ceylon Med J 1994; 39:147-8. [PMID: 7710501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
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Siribaddana SH, Fernando DJ. The dilemma of Cushing's sans tumour. Ceylon Med J 1994; 39:109-10. [PMID: 7923447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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