Chronic fatigue and chronic fatigue syndrome: a co-twin control study of functional status.
Herrell, Richard, Goldberg, Jack, Hartman, Suzanne et al.·Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation·2002
This study compared twins where one had chronic fatigue or ME/CFS and the other did not. Researchers found that fatigued twins had significantly worse quality of life and daily functioning than their healthy siblings, particularly in physical activities. The more severe the fatigue definition used, the greater the functional impairment observed.