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Published on: December 2, 2015
Cognitive performance in childhood and early adult illness: a prospective cohort study
Laurie T Martin1, Garrett M Fitzmaurice, Daniel J Kindlon
1Department of Epidemiology, Harvard School of Public Health, Boston, USA. lthayer@hsph.harvard.edu
Insights
Childhood cognitive performance predicts adult health. Higher IQ scores at age 7 were linked to a significantly lower risk of serious adult illness, independent of socioeconomic factors.
Area of Science:
- Developmental Psychology
- Public Health
- Epidemiology
Background:
- Childhood cognitive abilities are increasingly recognized for their long-term impact.
- Understanding early life determinants of adult health is crucial for preventative strategies.
Purpose of the Study:
- To investigate if childhood cognitive performance serves as an early indicator of adult illness.
- To assess the relationship between cognitive function in early childhood and long-term health outcomes.
Main Methods:
- A prospective cohort study followed 633 participants from birth to ages 30-39 in Providence, Rhode Island.
- Cognitive performance was assessed at age 7, and adult health status was monitored over 30 years.
Main Results:
- A one standard deviation increase in IQ score at age 7 (15 points) was associated with a significantly reduced risk of serious adult illness (OR = 0.65; 95% CI: 0.47 to 0.89).
- This association remained significant even after accounting for parental socioeconomic status and the participant's educational attainment.
Conclusions:
- General cognitive performance in childhood appears to be a significant predictor of adult health.
- Further research into the mechanisms linking cognitive function and health may reveal novel strategies for disease prevention and management.
Study Objective:
To evaluate whether cognitive performance in childhood is an early determinant of adult illness.
Design:
Prospective cohort study covering over 30 years.
Setting:
Providence, Rhode Island, USA.
Participants:
633 people ages 30-39 followed up since birth as part of the Providence cohort of the national collaborative perinatal project.
Main Results:
Higher cognitive performance at age 7 was related to a significantly reduced risk of serious illness in adulthood, OR = 0.65 (95%CI: 0.47 to 0.89) for a one standard deviation (15 point) increase in IQ score. This association was independent of both parental socioeconomic status and participant's attained level of education.
Conclusions:
General cognitive performance may be an important and informative early determinant of adult health. Further evaluation of this association and mechanisms linking cognitive performance and health may provide new and innovative strategies to improve disease management and reduce morbidity.
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