Finntwin16 is a family data collected as a twin follow-up study. Data collecting started between 1991 and 1995 when questionnaires were mailed to all Finnish twins born between 1974 and 1979 as well as to their parents. Twins were 16 years old at the time when first questionnaires were sent. Later questionnaires have been mailed when twins were 17, 18½ and 23 to 27 years old. Finnish Population Register Centre provided twins' contact information for the study.
Questionnaires in adolescence (age 16, 17 and 18½)
The study began by mailing an invitation to twins, so that correct address and possible partipication refusals could be defined. Twins and their parents got the questionnaires few weeks after their 16th birthday. This gave us the possibility to standardize twins' age rather precisely. Twins were approximately 16 years and two months old as they filled up the questionnaires. It was very important to have the twins answering the questionnaire at same age, because use of alcohol changes rapidly at that age. 17-year-old questionnaires were also sent in the same way described above. 18-year-old questionnaires have been mailed when twins were approximately 18 and half years old. Both Finnish and Swedish speaking participants could answer the questionnaires in their own language. Later the questionnaires have been also translated into English to documentate the study more precisely.
If the sent questionnaire wasn't given back, a reminder was sent. If we still couln't get a reply, we either tried to contact the twin by phone or mailed a new reminder. Small gifts with information about the results of the study have been sent to those who participated. Motivating twins is important in a long-term follow-up study to keep the participation procents as high as possible.
The 16-year-old questionnaire was given back by 5563 twins (2881 girls and 2682 boys), which is about 92 % of girls and 87 % of boys invited. 85 % of Swedish speaking twins invited participated the study. New questionnaires (as described above) were sent to those who participated in the 16-year-old questionnaire. Over 90 % of invited twins and their families participated in the follow-up study, in which last questionnaires were sent in 1998. In overall 87 % of girls and 76 % of boys took part in the whole study. 84 % of twins' fathers and 87 % of mothers participated. Mothers were approximately 46 years old and fathers were approximately 44 years old at the time of the baseline questionnaire. 82 % of families lived together. Five families had two twin pairs.
Wave 4 questionnaire as younger adults (ages 23-27)
A fourth wave of data collection was conducted in 2000-2002 and described in Kaprio J. Twin Research and Human Genetics 2006.
Wave 5 questionnaire (mid-thirties)
The fifth wave of data collection of the Finntwin16 cohort was done in May 2010 (a pilot study), October 2010 to November 2011 for Finnish speaking subjects and in the spring of 2012 for Swedish speaking subjects. The invitation to take part in an internet survey was sent to all twins living in Finland irrespective of earlier participation. Twins who had indicated that they no longer wished to participate were naturally not contacted. Of the 6132 twins that we contacted, 4414 participated, a response rate of 72%.
The internet survey permitted us to tailor questions depending on answers to certain key questions. Thus, questions on their children were asked only for twins who indicated that they had children, items on nicotine dependence were asked only of smokers, and abstainers were not asked detailed alcohol items. The balance of questions was between retaining items from earlier questionnaires to permit longitudinal analyses and including items of relevance to these twins now in their mid-thirties. We asked them about their twin relationships, study and work, general health, symptoms, selected specific diseases and reading disorders. Seven items on weight and weight changes were included. Ten physical activity items were asked. Then they were asked about their partners, whether they had children and some details about each child and intentions to have more children. Alcohol use and alcohol-related problems, diet and tobacco use were assessed. A short personality scale was included before asking about satisfaction in various life domains. Waist circumference was self-recorded using the tape measure supplied in the invitation letter.
After completion of the survey items, some respondents were asked to administer a net-based battery of neuropsychological tests on spatial ability, memory and reading speed. Responses to these tests were obtained from 1391 twins. Because many of the twins also had partners or spouses, we asked the twins to invite their partner to participate. This was done using a fully anonymous code, supplied in a closed envelope to the twin to be given onwards to the partner. Partner responses were obtained from 1948 persons, spouse pair responses (i.e. both twin and partner replied) from 1826 dyads. Some of the partners were also asked to take the neuropsychological tests, and 710 did so successfully, with 677 twin-partner dyads. The study has received ethical committee approval.
The first article based on wave 5 has been published: Aaltonen S, Rottensteiner M, Kaprio J, Kujala UM. Motives for physical activity among active and inactive persons in their mid-30s. Scand J Med Sci Sports. 2013 Jan 17. doi: 10.1111/sms.12040
In conclusion, the Finntwin16 dataset represents a rich longitudinal design and covers well the Finnish population.
Many articles and doctoral theses have been published from this study. Below are a couple of samples:
Anna Keski-Rahkonen: Genetic and environmental influences on body image, disordered eating, and intentional weight loss. University of Helsinki, 2004. [read]
Eero Vuoksimaa: Sex differences in cognitive functions: a study of same-sex and opposite-sex twin pairs. University of Helsinki, 2004. [read]