Is obesity a risk factor for impaired cognition in young adults with low birth weight?
M Lundgren1, E Morgården, J Gustafsson
1Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Insights
Overweight and obesity are linked to lower intellectual performance in young men. Individuals with low birth weight who are overweight or obese face the highest risk of subnormal cognitive function.
Area of Science:
- Public Health
- Neuroscience
- Human Physiology
Background:
- Overweight and obesity are established risk factors for cardiovascular disease.
- Associations exist between body mass index (BMI) and cognitive abilities.
- Low birth weight is linked to adult metabolic disease, especially in obese individuals.
Purpose of the Study:
- To investigate the impact of overweight and obesity on intellectual performance in young adults.
- To specifically examine if low birth weight modifies the relationship between weight status and cognitive function.
Main Methods:
- Utilized data from the Swedish Medical Birth Register for 620,834 males born between 1973 and 1988.
- Matched birth records with intellectual performance and body mass index (BMI) data at conscription.
- Analyzed the association between BMI, birth weight, and intellectual performance outcomes.
Main Results:
- Higher BMI was associated with an increased risk of low intellectual performance.
- Subjects with low birth weight and overweight or obesity exhibited the highest risk (ORs 1.98 and 2.59, respectively).
- High birth weight combined with high adult BMI did not confer additional risk for subnormal performance.
Conclusions:
- Overweight and obesity are linked to an increased risk of subnormal intellectual performance in young adult males.
- Low birth weight combined with adolescent overweight/obesity presents a particular risk for subnormal cognitive function.
- While high birth weight increases obesity risk, high adult BMI alone does not further elevate the risk for subnormal performance.
Background:
Overweight and obesity are risk factors for cardiovascular disease. There is also an association between body mass index (BMI) and cognitive ability. Since low birth weight is associated with adult metabolic disease, particularly in obese subjects, the question emerges whether obesity has an additional negative effect on cognitive function in subjects with low birth weight.
Objectives:
The aim was to analyse whether overweight or obesity influence intellectual performance in young adults with particular focus on those with a low birth weight.
Methods:
Data were collected from the Swedish Medical Birth Register on 620,834 males born between 1973 and 1988 and matched to results on intellectual performance and BMI at conscription.
Results:
The risk for low intellectual performance was higher for those with high BMI compared to those with normal. The highest risk was found among subjects with low birth weight and overweight or obesity in young adulthood (odds ratios, 1.98 [1.73-2.22] and 2.59 [2.00-3.34], respectively). However, subjects with further high birth weight and a high BMI at conscription had no further increased risk.
Conclusions:
Overweight and obesity are associated with an increased risk of subnormal intellectual performance in young adult males. Subjects with low birth weight and adolescent overweight/obesity are at particular risk of subnormal performance. A high birth weight increases the risk for obesity, but a high adult BMI does not further increase the risk for subnormal performance.
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