Low birth weight and intelligence in adolescence and early adulthood: a meta-analysis
C E Kormos1, A J Wilkinson2, C J Davey2
1Department of Psychology, University of Victoria, Victoria, Canada V8W 3P5.
Insights
Low birth weight (LBW) is linked to lower intelligence quotient (IQ) in adolescence and adulthood. This association weakens with age, though potential biases warrant cautious interpretation of findings.
Area of Science:
- Neuroscience
- Developmental Psychology
- Public Health
Background:
- Low birth weight (LBW; <2500 g) is associated with adverse intelligence quotient (IQ) outcomes in childhood.
- The persistence of this association into late adolescence and early adulthood requires systematic evaluation.
- The influence of age at IQ assessment on the effect size of LBW on IQ is not well understood.
Purpose of the Study:
- To systematically evaluate if the association between LBW and IQ persists into late adolescence and early adulthood.
- To assess the influence of age of IQ assessment on the effect size of LBW on IQ.
Main Methods:
- A random-effects meta-analysis of 15 studies assessed IQ in individuals aged 13+ with LBW versus normal birth weight (NBW; ≥2500 g).
- Publication bias was assessed using Rosenthal's fail-safe N and Duval and Tweedie's Trim and Fill.
- Meta-regression was used to evaluate the effect of age at IQ assessment, incorporating data from a previous meta-analysis on children.
Main Results:
- NBW individuals scored 7.63 IQ points higher than LBW individuals (CI = 5.95-9.31).
- After adjusting for publication bias, NBW samples showed 4.98 IQ points higher than LBW samples (CI = 3.20-6.77).
- Age at IQ assessment significantly moderated the LBW-IQ association, with effect size decreasing from childhood to young adulthood.
Conclusions:
- Cognitive impairments associated with LBW persist into adolescence and early adulthood.
- The impact of LBW on IQ diminishes from childhood into young adulthood.
- Conclusions should be interpreted cautiously due to unmeasured variables and potential publication bias.
Background:
Research has demonstrated an association between low birth weight (LBW; <2500 g) and adverse intelligence quotient (IQ) outcomes in childhood and early adolescence. We systematically evaluated whether this association persists into late adolescence and early adulthood and also assessed the influence of age of IQ assessment on effect size.
Methods:
During Stage 1 (meta-analysis of data on adolescents/adults), we searched for relevant articles in PsychINFO, PubMed, Ovid, CINAHL, ProQuest and ERIC until February 2011 (no lower limit). Studies which assessed full-scale IQ among LBW individuals (<2500 g), aged 13 years and older, with a normal birth weight (NBW; ≥2500 g) comparison group were eligible. A random-effects meta-analysis provided a pooled estimate of the difference in IQ scores between LBW and NBW individuals. Publication bias was assessed using Rosenthal's classic fail-safe N and Duval and Tweedie's Trim and Fill. During Stage 2, we added data from the Kerr-Wilson et al. meta-analysis (which included data from children; in Meta-analysis of the association between preterm delivery and intelligence. Journal Public Health 2011;33:1-8) to our sample from Stage 1 and conducted a meta-regression to evaluate the effect of age of IQ assessment.
Results:
Using a total of 15 studies in Stage 1, it was demonstrated that NBW individuals scored an average of 7.63 IQ points higher than LBW individuals, CI = 5.95-9.31. After adjusting for publication bias, NBW samples demonstrated an IQ of 4.98 points higher than LBW samples, CI = 3.20-6.77. Furthermore, age at IQ assessment was a significant moderator of the association between birth weight and IQ, in that the effect size decreased from childhood into young adulthood.
Conclusions:
Cognitive impairments associated with LBW persist into adolescence and early adulthood; however, the influence of LBW on IQ decreases from childhood to young adulthood. These conclusions must be interpreted with caution due to unmeasured variables and possible influence from publication bias.
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