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Published on: August 7, 2017
Association between childhood infection, serum inflammatory markers and intelligence: findings from a
N Mackinnon1, S Zammit2, G Lewis3
1Department of Psychiatry,University of Cambridge,Cambridge,UK.
Insights
Childhood infections did not directly impact later intelligence or inflammatory markers. However, higher C-reactive protein (CRP) levels, a marker of inflammation, were linked to lower intelligence quotient (IQ).
Area of Science:
- Neuroscience
- Immunology
- Developmental Biology
Background:
- A proposed link exists between infection, inflammation, neurodevelopment, and adult diseases.
- Childhood is a critical period for immune and nervous system development.
Purpose of the Study:
- To investigate the association between childhood infection burden and subsequent systemic inflammatory markers.
- To examine the relationship between childhood infection burden and general intelligence (IQ).
- To explore the connection between inflammatory markers and IQ.
Main Methods:
- Utilized data from the Avon Longitudinal Study of Parents and Children, a prospective birth cohort.
- Assessed childhood infection exposure between 1.5 and 7.5 years old.
- Measured serum interleukin-6 and C-reactive protein (CRP) levels at age 9, and IQ at age 8.
Main Results:
- High infection burden was associated with higher CRP levels, but this was explained by body mass index, maternal occupation, and atopic disorders.
- Elevated CRP levels were significantly associated with lower IQ (adjusted β = -0.79).
- No strong evidence indicated a direct association between childhood infection and subsequent IQ.
Conclusions:
- Childhood infections do not appear to have an independent, lasting effect on later circulating inflammatory marker levels.
- Elevated inflammatory markers in childhood may negatively impact intellectual development and function.
- Further research is needed to fully understand the complex interplay between infection, inflammation, and neurodevelopment.
Abstract:
A link between infection, inflammation, neurodevelopment and adult illnesses has been proposed. The objective of this study was to examine the association between infection burden during childhood - a critical period of development for the immune and nervous systems - and subsequent systemic inflammatory markers and general intelligence. In the Avon Longitudinal Study of Parents and Children, a prospective birth cohort in England, we examined the association of exposure to infections during childhood, assessed at seven follow-ups between age 1·5 and 7·5 years, with subsequent: (1) serum interleukin 6 and C-reactive protein (CRP) levels at age 9; (2) intelligence quotient (IQ) at age 8. We also examined the relationship between inflammatory markers and IQ. Very high infection burden (90+ percentile) was associated with higher CRP levels, but this relationship was explained by body mass index (adjusted odds ratio (OR) 1·19; 95% confidence interval (CI) 0·95-1·50), maternal occupation (adjusted OR 1·23; 95% CI 0·98-1·55) and atopic disorders (adjusted OR 1·24; 95% CI 0·98-1·55). Higher CRP levels were associated with lower IQ; adjusted β = -0·79 (95% CI -1·31 to -0·27); P = 0·003. There was no strong evidence for an association between infection and IQ. The findings indicate that childhood infections do not have an independent, lasting effect on circulating inflammatory marker levels subsequently in childhood; however, elevated inflammatory markers may be harmful for intellectual development/function.
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