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Published on: March 25, 2016
Maternal infections during pregnancy and child cognitive outcomes
Janell Kwok1, Hildigunnur Anna Hall2, Aja Louise Murray2
1Department of Psychology, University of Edinburgh, 7 George Square, EH8 9JZ, Edinburgh, UK. jkwok@ed.ac.uk.
Insights
Maternal infections during the third trimester of pregnancy were linked to lower cognitive scores in children. These effects on verbal and performance IQ became more apparent as children aged.
Area of Science:
- Neuroscience
- Developmental Psychology
- Epidemiology
Background:
- Maternal prenatal infections are associated with child neurodevelopment.
- The impact of infections during specific gestational periods on cognitive outcomes is not well understood.
Purpose of the Study:
- To investigate associations between maternal infections in each trimester of pregnancy and children's developmental and intelligence quotients.
- Utilizing the ALSPAC birth cohort to examine these relationships.
Main Methods:
- Included infection data from mothers and cognition data from 7,410 children.
- Employed regression analysis to assess links between trimester-specific maternal infections and child cognition at ages 18 months, 4 years, and 8 years.
Main Results:
- Third-trimester infections correlated with decreased verbal IQ at age 4.
- Significant associations were found with decreased verbal IQ, performance IQ, and total IQ at age 8.
Conclusions:
- Maternal third-trimester infections may have a delayed impact on cognitive development, particularly evident with increasing cognitive load.
- Performance IQ appears more susceptible to trimester-specific maternal infection exposure than verbal IQ.
Background:
Maternal prenatal infections have been linked to children's neurodevelopment and cognitive outcomes. It remains unclear, however, whether infections occurring during specific vulnerable gestational periods can affect children's cognitive outcomes. The study aimed to examine maternal infections in each trimester of pregnancy and associations with children's developmental and intelligence quotients. The ALSPAC birth cohort was used to investigate associations between maternal infections in pregnancy and child cognitive outcomes.
Methods:
Infection data from mothers and cognition data from children were included with the final study sample size comprising 7,410 mother-child participants. Regression analysis was used to examine links between maternal infections occurring at each trimester of pregnancy and children's cognition at 18 months, 4 years, and 8 years.
Results:
Infections in the third trimester were significantly associated with decreased verbal IQ at age 4 (p < .05, adjusted R2 = 0.004); decreased verbal IQ (p < .01, adjusted R2 = 0.001), performance IQ (p < .01, adjusted R2 = 0.0008), and total IQ at age 8 (p < .01, adjusted R2 = 0.001).
Conclusion:
Results suggest that maternal infections in the third trimester could have a latent effect on cognitive development, only emerging when cognitive load increases over time, though magnitude of effect appears to be small. Performance IQ may be more vulnerable to trimester-specific exposure to maternal infection as compared to verbal IQ. Future research could include examining potential mediating mechanisms on childhood cognition, such as possible moderating effects of early childhood environmental factors, and if effects persist in future cognitive outcomes.
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