Tsang S

Cross-sectional associations between neighbourhood walkability and objective physical activity levels in identical twins

Duncan GE, Avery AR, Hurvitz P, Vernez-Moudon A, Tsang S Objectives  Physical activity is a cornerstone of chronic disease prevention and treatment, yet most US adults do not perform levels recommended for health. The neighborhood–built environment (BE) may support or hinder physical activity levels. This study investigated whether identical twins who reside in more walkable […]

The pillars of health: influence of multiple lifestyle behaviors on body mass index and depressive symptoms in adult twins

Duncan GE, Avery AR, Tsang S, Watson NF, Williams BD, Turkheimer E. Background Guidelines promoting healthy lifestyles are cornerstones of chronic disease prevention and treatment. The purpose of this study is to investigate independent and joint associations of five key health behaviors with health outcomes (body mass index (BMI kg/m2) and depressive symptoms) in adult […]

Do married and/or cohabiting individuals fare better during the COVID-19 pandemic? Satisfaction with life and depression among adult twins in the United States

Tsang S, Avery AR, Duncan GE Due to social distancing measures implemented to mitigate the COVID-19 pandemic, individuals are spending more time isolated at home with limited physical social interactions. The current study investigated whether marriage and/or cohabitation is associated with satisfaction with life and depression among 732 adult same-sex twin pairs (monozygotic and dizygotic) […]

Changes in physical activity levels and mental health during COVID-19: Prospective findings among adult twin pairs

Duncan GE, Avery AR, Tsang S, Williams BD, Seto E. Background Physical distancing and other COVID-19 pandemic mitigation strategies have negatively impacted physical activity (PA) levels and mental health in cross-sectional studies. The purpose of this study was to investigate associations between changes in PA and mental health outcomes during the COVID-19 pandemic, following implementation […]

Differences in Stress and Anxiety Among Women With and Without Children in the Household During the Early Months of the COVID-19 Pandemic

Avery AR, Tsang S, Seto EYW, Duncan GE The COVID-19 pandemic and resulting lockdowns have had a disproportionate impact on parents of children under 18, particularly women. Mandatory school closures and loss of childcare resulted in parents balancing work, teaching, and childcare needs. A number of studies have examined changes in mental health of parents, […]

Measurement of neighborhood-based physical activity bouts

Duncan GE, Hurvitz PM, Moudon AV, Avery AR, Tsang S. This study examined how buffer type (shape), size, and the allocation of activity bouts inside buffers that delineate the neighborhood spatially produce different estimates of neighborhood-based physical activity. A sample of 375 adults wore a global positioning system (GPS) data logger and accelerometer over 2 […]

Is COVID-19 keeping us up at night? Stress, anxiety, and sleep among adult twins

Tsang S, Avery AR, Seto EYW, Duncan GE In response to the COVID-19 pandemic, a variety of social distancing measures to mitigate the virus outbreak have been implemented. These measures may have unintended consequences on individuals’ well-being, such as increased stress, anxiety, and sleep disruptions. We investigated the extent to which individuals’ mental health status […]

Fear and depression linked to COVID-19 exposure A study of adult twins during the COVID-19 pandemic

Tsang S, Avery AR, Duncan GE. Millions of people have been impacted by the novel coronavirus (COVID-19) pandemic worldwide. High infection rates and death tolls, combined with social distancing measures, may have unintended psychological consequences on individuals. The goal of this study was to examine the interrelations between COVID-19 exposure, fear of COVID-19, and depression […]

Association Between Low Back Pain and Body Mass Index in Adult Twins: An analysis of monozygotic and dizygotic twins of the Washington State Twin Registry

Liechty A, Tsang S, Turkheimer E, Duncan GE. Background Context LBP is a common and significant cause of disability worldwide, however; questions about cause still remain. Purpose To investigate the association between low back pain (LBP), body mass index (BMI), and moderate to vigorous physical activity (MVPA) in a twin sample. Study Design Cross sectional […]

Stress, Anxiety, and Change in Alcohol Use During the COVID-19 Pandemic: Findings Among Adult Twin Pairs

Avery AR, Tsang S, Seto EYW, Duncan GE. The novel coronavirus (COVID-19) has impacted the lives of people worldwide since being declared a pandemic on March 11, 2020. Social restrictions aimed at flattening the curve may be associated with an increase in stress and anxiety, which may increase the use of alcohol as a coping […]

Perceived change in physical activity levels and mental health during COVID-19: Findings among adult twin pairs

Duncan GE, Avery AR, Seto E, Tsang S Background Physical distancing and other COVID-19 pandemic mitigation strategies may have unintended consequences on a number of health behaviors and health outcomes. The purpose of this study was to investigate the association between perceived change in physical activity or exercise and mental health outcomes over the short-term […]

Psychometric and Classification Properties of the Peas in a Pod Questionnaire

Avery AR, Turkheimer E, Tsang S, Duncan GE We examined the item properties of the Two Peas Questionnaire (TPQ) among a sample of same-sex twin pairs from the Washington State Twin Registry. With the exception of the ‘two peas’ item, three of the mistakenness items showed differential item functioning. Results showed that the monozygotic (MZ) […]

Neighborhood Deprivation Moderates Shared and Unique Environmental Influences on Hazardous Drinking: Findings from a Cross-Sectional Co-Twin Study

Rhew IC, Fleming CB, Tsang S, Horn E, Kosterman R, Duncan GE. Background There has been increased interest in the interplay of genetic and environmental factors in the development of problematic alcohol use, including socioeconomic conditions of the neighborhood. Using a co-twin design, we examined the extent to which contributions of genetic, shared environmental, and […]

Cohort Profile: TWINS study of environment, lifestyle behaviours and health

Duncan GE, Avery A, Hurvitz PM, Moudon AV, Tsang S, Turkheimer E. The role of built and social environments in supporting healthy lifestyles has received increased attention over the past decade, as research and prevention paradigms have shifted from a focus on individual-level behaviour change to macro-level influences embedded within social-ecological models of health that […]

Sleep Duration and Post-Traumatic Stress Disorder Symptoms: A Twin Study

McCall CA, Turkheimer E, Tsang S, Avery A, Duncan GE, Watson NF. Study Objectives Long and short sleep duration are associated with greater risk of developing post-traumatic stress disorder (PTSD); however, it is unknown how genetic and environmental influences impact this relationship. Thus, we investigated the association between sleep duration and PTSD symptoms using twin […]

The Washington State Twin Registry: 2019 Update

Duncan GE, Avery AR, Strachan E, Turkheimer E, Tsang S. It has been over 5 years since the last special issue of Twin Research and Human Genetics on ‘Twin Registries Worldwide: An Important Resource for Scientific Research’ was published. Much progress has been made in the broad field of twin research since that time, and the current […]

Differential models of twin correlations in skew for body-mass index (BMI)

Tsang S, Duncan GE, Dinescu D, Turkheimer E. Background Body Mass Index (BMI), like most human phenotypes, is substantially heritable. However, BMI is not normally distributed; the skew appears to be structural, and increases as a function of age. Moreover, twin correlations for BMI commonly violate the assumptions of the most common variety of the […]

Cross-sectional association between soda consumption and body mass index in a community-based sample of twins

Eney AE, Tsang S, Delaney JA, Turkheimer E, Duncan GE. Background Consumption of sugar-sweetened beverages, such as soda, have been shown to play an important role in weight gain. Although soda consumption has been associated with body mass index (BMI) in many studies, it has been difficult to ascertain a true causal relationship between soda […]