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Cognitive development of children in poverty with failure to thrive: a prospective study through age 6

Laura M Mackner1, Maureen M Black, Raymond H Starr

  • 1Psychology Department, University of Maryland, Baltimore County, USA. MacknerL@chi.osu.edu

Insights

Children in poverty, with or without failure to thrive (FTT), showed cognitive declines. However, cognitive scores normalized by age 6, highlighting the importance of a child-centered home environment for cognitive development.

Area of Science:

  • Child Development
  • Pediatric Health
  • Cognitive Science

Background:

  • Investigated cognitive development in low-income children from infancy to age 6.
  • Compared children with normal growth to those with a history of failure to thrive (FTT).

Purpose of the Study:

  • To prospectively examine cognitive development trajectories.
  • To identify factors influencing cognitive outcomes in vulnerable children.

Main Methods:

  • Longitudinal study of 226 low-income infants.
  • Included 128 children with FTT and 98 with normal growth.
  • Utilized hierarchical linear modeling to analyze data.

Main Results:

  • Both groups showed initial cognitive declines (1.0-1.5 SD below norm).
  • Children with FTT had lower scores until age 4, then recovered.
  • No significant differences in cognitive scores by age 5-6 based on growth history.
  • Child-centered home environment and smaller family size correlated with better cognitive performance.

Conclusions:

  • Cognitive scores normalized by age 6 regardless of growth history.
  • Low cognitive scores in both groups underscore the need for supportive home environments.
  • Promoting child-centered home environments is crucial for cognitive development in at-risk children.
Abstract

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