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Updated: Feb 25, 2026

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Published on: January 27, 2019
Infant Gut Microbiome Associated With Cognitive Development
Alexander L Carlson1, Kai Xia2, M Andrea Azcarate-Peril3
1Neuroscience Curriculum, University of North Carolina, Chapel Hill, North Carolina.
Insights
Gut bacteria composition in infants is linked to cognitive development. This study found differences in cognitive scores based on gut microbial groups and diversity at one year of age.
Area of Science:
- Microbiome research
- Neurodevelopmental science
- Pediatric health
Background:
- Rodent studies show gut microbes impact neurodevelopment, affecting behavior and cognition.
- Early life is critical for gut colonization and brain development in humans.
- The relationship between infant gut microbiota and neurodevelopment is not well understood.
Purpose of the Study:
- To investigate the association between infant gut microbial composition at age 1 and cognitive outcomes.
- To explore the link between gut microbiota and brain volumes in infants.
Main Methods:
- Collected fecal samples from 89 typically developing 1-year-olds.
- Utilized 16S ribosomal RNA amplicon sequencing to analyze bacterial taxa.
- Assessed cognitive outcomes with the Mullen Scales of Early Learning and brain volumes with MRI at ages 1 and 2.
Main Results:
- Identified 3 distinct infant gut bacterial composition groups.
- Cognitive scores at age 2 varied significantly across these bacterial groups.
- Higher gut microbial diversity correlated with lower scores in overall cognition, visual reception, and expressive language at age 2.
- Brain imaging revealed minimal impact of the gut microbiome on regional brain volumes.
Conclusions:
- This study is the first to show a connection between gut microbiota and cognition in human infants.
- Findings are crucial for translating animal research findings to clinical applications in pediatrics.
Background:
Studies in rodents provide compelling evidence that microorganisms inhabiting the gut influence neurodevelopment. In particular, experimental manipulations that alter intestinal microbiota impact exploratory and communicative behaviors and cognitive performance. In humans, the first years of life are a dynamic time in gut colonization and brain development, but little is known about the relationship between these two processes.
Methods:
We tested whether microbial composition at 1 year of age is associated with cognitive outcomes using the Mullen Scales of Early Learning and with global and regional brain volumes using structural magnetic resonance imaging at 1 and 2 years of age. Fecal samples were collected from 89 typically developing 1-year-olds. 16S ribosomal RNA amplicon sequencing was used for identification and relative quantification of bacterial taxa.
Results:
Cluster analysis identified 3 groups of infants defined by their bacterial composition. Mullen scores at 2 years of age differed significantly between clusters. In addition, higher alpha diversity was associated with lower scores on the overall composite score, visual reception scale, and expressive language scale at 2 years of age. Exploratory analyses of neuroimaging data suggest the gut microbiome has minimal effects on regional brain volumes at 1 and 2 years of age.
Conclusions:
This is the first study to demonstrate associations between the gut microbiota and cognition in human infants. As such, it represents an essential first step in translating animal data into the clinic.
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