Related Experiment Video
Updated: Jun 22, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
The influence of birth size on intelligence in healthy children
Birit F P Broekman1, Yiong-Huak Chan, Yap-Seng Chong
1Department of Psychological Medicine, National University of Singapore/National University Health System, Singapore 119074, Singapore.
Insights
Birth size within the normal range, including length, weight, and head circumference, is linked to higher childhood IQ scores in Asian children. These findings suggest early growth influences cognitive potential.
Area of Science:
- Pediatric Health
- Developmental Psychology
- Human Genetics
Background:
- Birth parameters are theorized to impact intelligence (IQ).
- Research on normal birth size ranges and IQ is limited.
- Understanding early growth influences on cognitive development is crucial.
Purpose of the Study:
- To investigate the association between birth length, birth weight, head circumference, and gestational age within the normal range and childhood IQ in Asian children.
Main Methods:
- A cohort of 1979 Asian children (aged 7-9) in Singapore was followed from 1999.
- Birth parameters were recorded by health professionals.
- Childhood IQ was assessed using Raven's Standard Progressive Matrices (ages 8-12).
Main Results:
- A mean IQ score of 114.2 was observed.
- Each 1-cm increase in birth length correlated with a 0.49-point IQ increase (P < .001).
- Each 1-kg increase in birth weight correlated with a 2.19-point IQ increase (P = .007).
- Each 1-cm increase in head circumference correlated with a 0.62-point IQ increase (P = .003).
- Associations remained significant after excluding premature or extremely sized infants.
Conclusions:
- Longer birth length, higher birth weight, and larger head circumference within the normal range are associated with higher IQ in Asian children.
- Antenatal growth factors, even within normative ranges, may influence cognitive potential.
- Findings have implications for early intervention and preventative strategies targeting cognitive development.
Objective:
Birth parameters have been hypothesized to have an influence on IQ. However, studies within the range of normal birth size have been sparse. With this study we examined the associations between birth length, birth weight, head circumference, and gestational age within the normal birth size range in relation to childhood IQ in Asian children.
Methods:
A cohort of 1979 of 2913 Asian children aged 7 to 9 years, recruited from 3 schools in Singapore, were followed yearly from 1999 onward. Birth parameters were recorded by health personnel. Childhood IQ was measured with the Raven's Standard Progressive Matrices at ages 8 to 12.
Results:
The mean IQ score across the sample (n = 1645) was 114.2. After controlling for multiple confounders for every 1-cm increment in birth length, 1 kg in birth weight, or 1 cm in head circumference, there was a corresponding increase in IQ of 0.49 points (P for trend < .001), 2.19 points (P for trend = .007) and .62 points (P for trend = .003), respectively. These associations persisted even after exclusion of premature children and children with extreme weights and head circumferences.
Conclusions:
Longer birth length, higher birth weight, or larger head circumferences within the normal birth size range are associated with higher IQ scores in Asian children. Our results suggest that antenatal factors reflected in altered rates of growth but within the normative range of pregnancy experiences play a role in generating cognitive potential. This has implications for targeting early intervention and preventative programs.
Related Concept Videos
Biological Influences on Intelligence
Environmental Influences on Intelligence
Nature and Nurture
Binet's Contribution to Measures of Intelligence
Heritability
Adler's Individual Psychology
