BMJ 1997;315:401-403 (16 August)
Papers
Birth weight and cognitive function in young adult life: historical cohort study
Henrik Toft Sørensen,
associate professor,a
Svend Sabroe,
associate
professor,b
Jørn Olsen,
professor,b
Kenneth J Rothman,
professor,c
Matthew W Gillman,
associate
professor,d
Peer Fischer,
consultant ea Department of Internal Medicine V, Aarhus University Hospital, 8000 Aarhus C, Denmark,
b Danish Epidemiology Science Centre, Department of Epidemiology and Social Medicine, University of Aarhus, 8000 Aarhus C, Denmark,
c Department of Epidemiology and Preventive Medicine, Boston University School of Medicine, Boston, MA 02118, USA,
d Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA,
e Conscription Administration, County of North Jutland, 9000 Aalborg, Denmark
Correspondence to: Dr Toft Sørensen HTS@soci.aau.dk
Objective: To examine the relation between birth
weight and cognitive function in young adult life.
Design: Retrospective cohort study based on birth
registry data and cognitive function measured during evaluation for military service.
Subjects: 4300 Danish conscripts born between
1973
and 1975.
Main outcome measures: Mean score in the Boerge
Prien test of cognitive function; score is the number of correct answers to 78 questions and
correlates
with full scale intelligence quotient (IQ).
Results: Mean score in the Boerge Prien test
increased
from 39.9 at a birth weight of
2500 g to 44.6 at a birth weight of 4200 g even after
adjustment
for gestational age and length at birth, maternal age and parity, and other variables. Above a birth
weight of 4200 g the test score decreased slightly.
Conclusion: Birth weight is associated with
cognitive
performance in young adult life. Interference with fetal growth may influence adult cognitive
performance.
|
Key messages
- Low birth weight and proportionate smallness at birth have been associated with poorer
cognitive function in early childhood
- Only a few studies have examined whether this association persists into adult life
- This study found that the mean cognitive test score in 4300 Danish conscripts increased
up
to a birth weight of 4200 g after adjustment for confounders; there was a slight decrease above
a
birth weight of 4200 g
- Fetal growth seems to influence adult cognitive performance
- If fetal growth has an impact on mental development it has important consequences from
the
perspective of maternal care
|

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