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The Association of Intrapair Birth-Weight Differences With Internalizing and Externalizing Behavior Problems
Elena C Tore1, Evangelia E Antoniou1, Keith Reed2
1Department of Complex Genetics,Care and Public Health Research Institute (School CAPHRI),Maastricht University,Maastricht,the Netherlands.
Insights
Larger birth weight differences in identical twins correlate with increased behavioral problems, suggesting prenatal environmental factors impact child development. Smaller twins face higher risks for later behavioral issues.
Area of Science:
- Developmental Psychology
- Behavioral Genetics
- Public Health
Background:
- Problem behaviors in children are a significant public health concern.
- Twin studies indicate both genetic and environmental influences on behavior.
- Analyzing birth weight differences can isolate non-shared prenatal environmental effects.
Purpose of the Study:
- To investigate the association between birth weight discordance and behavioral differences in twins.
- To identify specific prenatal environmental contributions to child behavior problems.
Main Methods:
- Utilized data from the Twins and Multiple Births Association Heritability Study.
- Included 960 twins (480 pairs) aged 18 months to 5 years.
- Employed multiple linear regressions to analyze birth weight difference against Child Behavior Checklist (CBCL) scores.
Main Results:
- A significant association was found between birth weight difference and total problems, internalizing problems, and emotional reactivity in monozygotic (MZ) twins.
- No significant results were observed in dizygotic (DZ) twins or combined groups.
- Increased birth weight difference correlated with greater behavioral differences, with smaller twins at higher risk.
Conclusions:
- Suggests a causal link between birth weight and behavioral development.
- Highlights the role of non-shared prenatal environmental factors in shaping behavior.
- Identifies smaller birth weight as a risk factor for behavior problems.
Abstract:
Problem behaviors are of increasing public health concern. Twin studies have revealed substantial genetic and environmental influences on children's behavior, and examining birth-weight difference could allow the identification of the specific contribution of multiple non-shared prenatal environmental factors. The Twins and Multiple Births Association Heritability Study, a UK, volunteer-based study, recruited mothers of twins aged 18 months to 5 years; 960 twins (480 pairs) were included in the analysis. Twins' mothers answered questions relative to their pregnancy and their twins' characteristics, and completed the Child Behavior Checklist (CBCL) 1½-5. The association between the absolute birth-weight difference and each CBCL scale's score difference was analyzed by means of multiple linear regressions. Expected mean CBCL score differences were calculated. In monozygotic (MZ) twins, statistically and clinically significant associations were found between intrapair birth-weight difference and difference in total problems, internalizing problems, and emotional reactiveness. No significant results were observed neither in dizygotic (DZ) twins when analyzed as a separate group nor in MZ and DZ twins combined. The results of the present study suggest that with increasing the absolute birth-weight difference, the intrapair difference in total problems, internalizing behaviors and emotionality increases, with smaller twins being at major risk for later behavior problems. Moreover, these results suggest a causal association between birth weight and behavior development.
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