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Updated: Jul 25, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
[Mental retardation in children. Prevalence and etiology]
P Strømme1, O H Skjeldal, J Knudtzon
1Senter for mental retardasjon, Rikshospitalet, Oslo.
Insights
Mental retardation, defined by IQ below 70, affects 6.7-11.9 per thousand children in Nordic countries. Identifying etiological factors is crucial, with Down syndrome and Fragile X syndrome being common causes.
Area of Science:
- Pediatrics
- Genetics
- Epidemiology
Background:
- Mental retardation (IQ < 70) prevalence varies in Nordic countries (6.7-11.9 per 1000 children).
- Etiological factors are identified in 80% of severe (IQ < 50) and 50% of mild (IQ 50-70) cases.
- Down syndrome, Fragile X syndrome, and Rett's syndrome are significant causes, particularly in specific demographics.
Purpose of the Study:
- To review the prevalence and etiological factors of mental retardation.
- To highlight the importance of identifying specific causes like chromosomal disorders and metabolic diseases.
- To emphasize the need for updated epidemiological research on the heterogeneous causes of mental retardation.
Main Methods:
- Literature review of epidemiological studies on mental retardation.
- Analysis of etiological factors based on severity (IQ levels).
- Identification of common genetic and syndromic causes.
Main Results:
- Prevalence rates for mental retardation in Nordic children are established.
- Significant percentages of identified etiological factors are reported for severe and mild cases.
- Down syndrome, Fragile X syndrome, and Rett's syndrome are confirmed as leading causes.
Conclusions:
- Understanding the prevalence and causes of mental retardation is essential for targeted interventions.
- Advances in genetics and diagnostics necessitate updated epidemiological data.
- Further research is required to fully elucidate the diverse etiology of mental retardation.
Abstract:
The prevalence of mental retardation defined as IQ less than 70 has been estimated as ranging between 6.7-11.9 per thousand children in the Nordic countries. Etiological factors can be found in 80% of patients with severe mental retardation (IQ less than 50) and in 50% with mild mental retardation (IQ 50-70). Down's syndrome is the most common specific cause of mental retardation, followed by the Fragile X syndrome, which mainly affects boys. Since the middle of the 1980s Rett's syndrome has been recognized as the most frequent cause of progressive mental retardation in girls. Recent advances in the field of chromosomal disorders, metabolic diseases and clinical syndromes imply a need for new epidemiological research aimed at obtaining an updated picture of the heterogenous causes of mental retardation.
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