Back to Search
Start Over
Child Linear Growth During and After the First 1000 Days Is Positively Associated with Intellectual Functioning and Mental Health in School-Age Children in Vietnam
- Source :
- The Journal of Nutrition
- Publication Year :
- 2021
- Publisher :
- Oxford University Press, 2021.
-
Abstract
- Background Millions of children fail to meet their developmental potential and experience mental health concerns globally. Evidence is mixed on whether growth beyond the first 1000 d of life influences intellectual functioning and mental health in school-age children. Objectives We examined associations of childhood growth before and after the first 1000 d of life with child intellectual functioning and mental health at age 6-7 y. Methods We used data from a follow-up of a randomized controlled trial of preconception supplementation (PRECONCEPT study) in Vietnam. A total of 5011 women participated in the study and 1579 children were born during 2012-2014. At age 6-7 y, child intellectual functioning was assessed using the Wechsler Intelligence Scale for Children, and mental health concerns were measured using the Strengths and Difficulties Questionnaire. Multivariable linear models were used to examine the independent association of child size at age 2 y [height-for-age z-score (HAZ) and body-mass-index z-score (BMIZ)] and conditional measures of linear and ponderal growth between the ages of 2 and 7 y. Results HAZ at 2 y was positively associated with the Full-Scale Intelligence Quotient (β = 1.4; 95% CI: 0.5, 2.2 points) and its subdomains, namely Perceptual Reasoning Index, Working Memory Index, and Processing Speed Index (β = 1.0-1.4 points). Higher HAZ at 2 y was associated with lower overall mental health concerns (β = -0.24; 95% CI: -0.47, -0.01) and peer problems (β = -0.08; 95% CI: -0.17, -0.01). Faster height gain between 2 and 7 y was associated with higher total intellectual functioning (β = 0.9; 95% CI: 0.02, 1.8) and fewer emotional issues (β = -0.09; 95% CI: -0.18, -0.01). BMIZ at 2 y was not associated with intellectual functioning but was marginally associated with higher conduct and peer problems. Conditional weight gain between 2 and 7 y was not associated with child intellectual functioning or mental health in young school-age children. Conclusions Child linear growth both during and beyond the first 1000 d is positively associated with intellectual functioning and mental health during the early school-age years.
- Subjects :
- Medicine (miscellaneous)
law.invention
03 medical and health sciences
AcademicSubjects/MED00060
0302 clinical medicine
Borderline intellectual functioning
Randomized controlled trial
law
030225 pediatrics
medicine
Humans
030212 general & internal medicine
Child
Wechsler Intelligence Scale for Children
Nutrition and Dietetics
Schools
Intelligence quotient
intellectual functioning
Body Weight
PRECONCEPT
Cognition
Strengths and Difficulties Questionnaire
Mental health
Body Height
Community and International Nutrition
Mental Health
child growth
Vietnam
Child, Preschool
AcademicSubjects/SCI00960
Female
medicine.symptom
Psychology
Weight gain
Clinical psychology
Subjects
Details
- Language :
- English
- ISSN :
- 15416100 and 00223166
- Volume :
- 151
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- The Journal of Nutrition
- Accession number :
- edsair.doi.dedup.....a01fdfb5949902071be9e6d5ae769442