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Childhood intelligence and midlife inflammatory and hemostatic biomarkers: the National Child Development Study
Catherine M Calvin1, G David Batty, Gordon D O Lowe
1Department of Psychology, Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Glasgow, Scotland.
Insights
Higher childhood intelligence is linked to lower levels of inflammation and blood clotting biomarkers in adulthood. These associations may be explained by health behaviors and highlight bidirectional links in cardiovascular health.
Area of Science:
- Biomarkers
- Cognitive Science
- Public Health
Background:
- Childhood intelligence is a robust predictor of adult health outcomes.
- Inflammatory and hemostatic biomarkers are implicated in cardiovascular disease (CVD) risk.
- Lifecourse approaches are crucial for understanding chronic disease development.
Purpose of the Study:
- To investigate the association between childhood intelligence and midlife inflammatory and hemostatic biomarkers.
- To explore the roles of early life factors, midlife cardiovascular disease (CVD) risk factors, and health behaviors in these associations.
Main Methods:
- Prospective cohort study of 9,377 UK individuals born in March 1958.
- Analysis of plasma biomarkers (CRP, D-dimer, fibrinogen, t-PA, VWF) at age 45.
- Linear regression models adjusted for socioeconomic status, CVD risk factors, and childhood intelligence to assess cognition-biomarker associations and reverse causation.
Main Results:
- Higher childhood intelligence scores were significantly associated with lower levels of all measured inflammatory and hemostatic biomarkers in middle age.
- Early life factors explained 24%-44% of these associations.
- Adjustment for adult CVD risk factors largely attenuated the effects (82%-100%), and childhood intelligence accounted for 50%-100% of the inverse association between midlife biomarker levels and cognition.
Conclusions:
- Childhood intelligence predicts midlife inflammatory and hemostatic biomarker profiles.
- Health behaviors appear to largely mediate these associations.
- Bidirectional relationships between cognition, inflammation, and hemostasis are important in lifecourse models of CVD-related health.
Objective:
In a prospective cohort study the authors examined associations between childhood intelligence at age 11 and inflammatory and hemostatic biomarkers in middle age.
Method:
Participants were 9,377 men and women born in the United Kingdom in March 1958, and whose blood plasma samples at age 45 years were analyzed for levels of C-reactive protein (CRP), D-dimer, fibrinogen, tissue plasminogen activator (t-PA) antigen, and von Willebrand factor (VWF). Sex-adjusted linear regression models tested cognition-blood biomarker associations, with and without adjustment for potential confounding by parental socioeconomic status and potential mediation by cardiovascular disease (CVD) risk factors at midlife. Cognitive tests taken at age 50 enabled the inflammation-cognition association to be tested for reverse causation, by adjusting for age 11 intelligence.
Results:
Higher childhood intelligence test scores were significantly associated (p < .001) with lower adult levels of CRP (beta coefficient = -0.068), t-PA antigen (β = -0.014), D-dimer (β = -0.011), fibrinogen (β = -0.011), and VWF antigen (β = -0.008). Early life factors including parental socioeconomic status accounted for 24%-44% of these associations, whereas further adjustment for adult CVD risk factors largely attenuated the effects (82%-100%). The significant inverse associations between age 45 biomarker levels and age 50 cognition could be accounted for to a substantial degree by childhood intelligence (50%-100% attenuation).
Conclusions:
Childhood intelligence is predictive of inflammatory and hemostatic biomarker status at middle age, which may be largely explained by health behaviors. This highlights the need to consider possible bidirectional associations between cognition and inflammation (and hemostasis) in lifecourse models of CVD-related health.
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