Related Experiment Video
Updated: Feb 16, 2026

Scanning Skeletal Remains for Bone Mineral Density in Forensic Contexts
Published on: January 29, 2018
A gradient relationship between low birth weight and IQ: A meta-analysis
Huaiting Gu1,2, Lixia Wang3, Lingfei Liu1
1Department of Maternal and Child Health, and MOE (Ministry of Education) Key Laboratory of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Insights
Individuals with low birth weight (LBW) have lower intelligence quotient (IQ) scores than normal birth weight (NBW) individuals. This meta-analysis confirms a significant IQ difference, highlighting the impact of birth weight on cognitive development.
Area of Science:
- Developmental Psychology
- Pediatrics
- Genetics
Background:
- Previous research indicates a correlation between low birth weight (LBW) and reduced intelligence quotient (IQ) scores.
- Understanding this association is crucial for identifying potential developmental risks and interventions.
Purpose of the Study:
- To conduct a meta-analysis estimating the association between LBW and IQ scores.
- To quantify the IQ difference between normal birth weight (NBW) and LBW individuals across different birth weight categories.
Main Methods:
- Meta-analysis of 57 individual studies with 12,137 participants.
- Pooled weight mean difference (WMD) calculation for IQ scores.
- Analysis of IQ differences across extremely low birth weight (ELBW), very low birth weight (VLBW), and moderately low birth weight (MLBW) categories.
Main Results:
- A pooled WMD of 10 IQ points was found between NBW and LBW individuals.
- IQ differences were consistent across different age groups and showed no publication bias.
- Mean IQs were 104 for NBW, 99 for MLBW, 94 for VLBW, and 91 for ELBW individuals.
Conclusions:
- LBW is associated with significantly lower IQ scores compared to NBW.
- Social determinants of health accounted for 13% of the IQ discrepancy in a subset of studies.
- While population-level findings are clear, individual applicability requires consideration of genetic and environmental factors.
Abstract:
Multiple studies have reported that individuals with low birth weights (LBW, <2500 g) have a lower intelligence quotient (IQ) than those with normal birth weights (NBW, ≥2500 g). Based on 57 eligible individual studies including 12,137 participants, we performed a meta-analysis to estimate the association between low birth weight and individuals' IQ scores (IQs). The pooled weight mean difference (WMD) in IQs between NBW and LBW individuals was 10 (95% CI 9.26-11.68). The WMD was stable regardless of age. No publication bias was detected. The mean IQs of the extremely low birth weight (ELBW, <1000 g), very low birth weight (VLBW, 1000-1499 g), moderately low birth weight (MLBW, 1500-2499 g) and NBW individuals were 91, 94, 99 and 104, respectively. Additionally, the WMD in IQs with NBW were 14, 10 and 7 for ELBW, VLBW, and MLBW individuals, respectively. Two studies permitted estimates of the influence of social determinants of health to the discrepancy in IQs, which was 13%. Since IQ is inherited and influenced by environmental factors, parental IQs and other factors contribute to residual confounding of the results. As the conclusion was based on population studies, it may not be applicable to a single individual.
Related Concept Videos
Biological Influences on Intelligence
Environmental Influences on Intelligence
Regression Toward the Mean
Intellectual Disability
Measures of Intelligence
Validity refers to how well a test measures what it claims to measure. An intelligence test should accurately assess intelligence rather than another characteristic, like anxiety. Criterion validity is one way to evaluate this;...
z Scores and Area Under the Curve

