Intertwin birth weight differences and conduct problems in early childhood
David Mankuta1, Ira Goldner, Ariel Knafo
1Department of Obstetrics and Gynecology, Hadassah HebrewUniversity Hospital, Jerusalem, Israel.
Insights
Differences in twin birth weight may influence later conduct problems. Higher birth weight twins showed more behavioral issues in 41.1% of pairs, suggesting birth history impacts development.
Area of Science:
- Developmental Psychology
- Behavioral Genetics
- Pediatrics
Background:
- Birth weight discordance in twins is a known factor potentially influencing developmental trajectories.
- Understanding early life factors is crucial for identifying risks for behavioral issues.
Purpose of the Study:
- To investigate the association between birth weight differences in twins and subsequent conduct problems.
- To determine if birth weight discordance predicts behavioral differences in early childhood.
Main Methods:
- Retrospective cohort study utilizing maternal reports on twin behavior and birth weight.
- Analysis focused on same-sex twin pairs with a birth weight difference of 20% or more.
- Strengths and Difficulties Questionnaire used to assess conduct problems.
Main Results:
- Twins with higher birth weight exhibited more conduct problems in 41.1% of discordant pairs.
- Twins with lower birth weight showed more conduct problems in 20.5% of discordant pairs.
- This association appeared stronger in dizygotic twins compared to monozygotic twins.
Conclusions:
- Birth weight differences are linked to the development of conduct problems in early childhood.
- Further research is needed to elucidate the mechanisms underlying this relationship.
- Early birth history is an important consideration for child development outcomes.
Objective:
To examine whether twin birth weight differences relate to subsequent differences in conduct problems at 3 to 4 years of age.
Design:
Retrospective cohort study using mothers' reports on twins' behavior, birth weight, and zygosity. A partial sample participated in laboratory visits.
Setting:
Jerusalem, Israel.
Participants:
All ethnic Jewish families identified by the Israeli Ministry of the Interior as having twins born in 2004 and 2005 were sent mail surveys regarding children's development. Families of twins (n = 1319) answered the survey when the twins were 3 years old. Same-sex birth weight-discordant twin pairs (n = 112) were selected for the main analyses of the study.
Main Exposure:
A birth weight difference of 20.0% or more between the twins.
Main Outcome Measures:
Mothers' reports on twins' conduct problems using the Strengths and Difficulties Questionnaire and difference in conduct problems between the lower and higher birth weight twins in birth weight-discordant twin pairs.
Results:
In birth weight-discordant twin pairs, the twin with the higher birth weight was reported to have more conduct problems compared with the twin with the lower birth weight in 41.1% of twin pairs, whereas the twin with the lower birth weight was reported to have more conduct problems only in 20.5% of twin pairs. This effect tended to be stronger in dizygotic compared with monozygotic twins.
Conclusions:
The findings suggest an effect of birth weight differences on development of subsequent conduct problems. Further studies are needed to clarify the mediating factors of this effect. The results point to the importance of birth history for subsequent development.
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