Skip to main content

Asthma and the Twin Effect


On supporting science journalism

If you're enjoying this article, consider supporting our award-winning journalism by subscribing. By purchasing a subscription you are helping to ensure the future of impactful stories about the discoveries and ideas shaping our world today.


Being a twin may include benefits that extend beyond having a playmate from birth. According to a report in the British Medical Journal, twins are less prone to asthma than singletons. Researchers identified all twins born in Scotland from 1981 to 1984 and tracked subsequent respiratory illness-related hospital admissions up until 1994. They found that although twins were more likely to be admitted for acute bronchitis and bronchiolitis, they were less than half as likely to be admitted for asthma.

The reasons for this so-called twin effect remain somewhat mysterious. Previous studies linked low birthweight to an increased risk of asthma, yet twins tend to weigh less at birth than singletons. A more plausible explanation, the authors suggest, is that the reduced risk of asthma associated with twinship represents a special case of the protective effect against allergic disease that large families can bestow. This model holds that kids with many siblings more often avoid such ailments simply because they are exposed to more infection during childhood. The findings, the authors conclude, may provide insight into the early developmental influences on asthma and, as such, warrant further investigation.

Kate Wong is an award-winning science writer and senior editor at Scientific American focused on evolution, ecology, anthropology, archaeology, paleontology and animal behavior. She is fascinated by human origins, which she has covered for more than 25 years. Recently she has become obsessed with birds. Her reporting has taken her to caves in France and Croatia that Neandertals once called home, to the shores of Kenya's Lake Turkana in search of the oldest stone tools in the world, to Madagascar on an expedition to unearth ancient mammals and dinosaurs, to the icy waters of Antarctica, where humpback whales feast on krill, and on a "Big Day" race around the state of Connecticut to find as many bird species as possible in 24 hours. Kate is co-author, with Donald Johanson, of Lucy's Legacy: The Quest for Human Origins. She holds a bachelor of science degree in biological anthropology and zoology from the University of Michigan. Follow Wong on X (formerly Twitter) @katewong

More by Kate Wong