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Social Class, Birth Weight Tied To Later IQ
Excerpt By Suzanne Rostler, Reuters Health

NEW YORK (Reuters Health) - A child's social class and weight at birth are strong independent predictors of later intelligence, a new study reports.

The number of children a mother already had and birth to an unmarried mother were also found to influence a child's IQ at age 11, according to the report.

However, the IQ of an individual child cannot be predicted by birth weight or social class, cautioned Dr. Susan D. Shenkin, the study's lead author, in an interview with Reuters Health. She noted that ``geniuses'' throughout history, including Albert Einstein, were small babies.

``The recommendations to pregnant women to eat sensibly, stop smoking, breast-feed when possible, and spend time with their children as they grow remain unchanged,'' said Shenkin from the University of Edinburgh, Scotland.

The researchers reviewed the birth records of 449 people born in two hospitals in 1921 and examined scores from intelligence tests given at age 11. Test scores increased in tandem with birth weight, which was estimated to account for nearly 4% of the variance in IQ. Social class, which was not directly associated with birth weight, accounted for nearly 7% of the variation in test scores, the investigators report in the September issue of the Archives of Disease in Childhood.

But it is not clear how birth weight and social class affect a child's later intelligence, Shenkin and colleagues point out. According to one theory, poor nutrition deprives a developing fetus of certain nutrients during key stages of development, which can result in low birth weight and changes in organs such as the brain.

Nutrients including long-chain polyunsaturated fatty acids, iron, iodine and zinc and hormones such as insulin-like growth factor are important for normal growth, Shenkin told Reuters Health.

``Birth weight is not in itself a direct influence on later intelligence but rather a marker of influences such as poor nutrition or hormonal stress on the developing child,'' she said. ``These influences may have a long-term and permanent effect on the development of the brain.''

The social class of the parents is linked to the nutrient content of the child's diet, breast-feeding (which is less common among lower income groups), and opportunities for learning. Higher social class is also linked to higher intelligence among parents, which in turn has been shown to influence the IQ of their children.

The study authors acknowledge that their findings, based on data from the 1920s, may not apply to today's children, since the importance of early life influences may have changed. What's more, healthcare today is significantly different than healthcare during the period studied.

But the results support those of more recent studies linking birth weight and social class with intelligence. A report released in the past month found that a child's weight at birth--even within the normal range--was directly related to IQ at the age of 7 years. Numerous other studies have shown that children and adults weighing less than 5.5 pounds at birth fare worse on intelligence tests than those who were heavier newborns.

``The fundamental question all these studies endeavour to answer is whether the cerebral impairment is prenatal or postnatal in timing and whether environmental factors, of which social class is a surrogate measure, have an important influence,'' Professor P.O.D. Pharaoh from the Department of Public Health in Liverpool, UK, writes in an editorial.

``Possible preventive and remedial measures will be dependent on the answers to these questions,'' the editorialist concludes.

SOURCE: Archives of Disease in Childhood 2001;85:189-197.

Reference Source 89

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