Abstract
Objective:
To examine the relation of childhood intelligence (IQ) test results with obesity in middle age and weight gain across the life course.
Methods:
We analysed data from the National Child Development (1958) Study, a prospective cohort study of 17 414 births to parents residing in Great Britain in the late 1950s. Childhood IQ was measured at age 11 years and body mass index (BMI), an indicator of adiposity, was assessed at 16, 23, 33 and 42 years of age. Logistic regression (in which BMI was categorised into obese and non-obese) and structural equation growth curve models (in which BMI was retained as a continuous variable) were used to estimate the relation between childhood IQ and adult obesity, and childhood IQ and weight gain, respectively.
Results:
In unadjusted analyses, lower childhood IQ scores were associated with an increased prevalence of adult obesity at age 42 years. This relation was somewhat stronger in women (ORper SD decrease in IQ score [95% CI]: 1.38 [1.26, 1.50]) than men (1.26 [1.15, 1.38]). This association remains statistically significant after adjusting for childhood characteristics, including socio-economic factors, but was heavily attenuated following control for adult characteristics, particularly education (women: 1.11 [0.99, 1.25]; men: 1.10 [0.98, 1.23]). When weight gain between age 16 and 42 years was the outcome of interest, structural equation modelling revealed that education and dietary characteristics in adult life mediated the association with childhood IQ.
Conclusions:
A lower IQ score in childhood is associated with obesity and weight gain in adulthood. In the present study, this relation appears to be largely mediated via educational attainment and the adoption of healthy diets in later life.
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References
Batty GD, Mortensen E, Nybo Andersen A-M, Osler M . Childhood intelligence in relation to adult coronary heart disease and stroke risk: evidence from a Danish birth cohort study. Paediatr Perinat Epidemiol 2005; 19: 452–459.
Hart CL, Taylor MD, Davey Smith G, Whalley LJ, Starr JM, Hole DJ et al. Childhood IQ and cardiovascular disease in adulthood: prospective observational study linking the Scottish Mental Survey 1932 and the Midspan studies. Soc Sci Med 2004; 59: 2131–2138.
Hart CL, Taylor MD, Davey Smith G, Whalley LJ, Starr JM, Hole DJ et al. Childhood IQ, social class, deprivation, and their relationships with mortality and morbidity risk in later life: prospective observational study linking the Scottish Mental Survey 1932 and the Midspan studies. Psychosom Med 2003; 65: 877–883.
Whalley LJ, Deary IJ . Longitudinal cohort study of childhood IQ and survival up to age 76. BMJ 2001; 322: 819.
Deary IJ, Whiteman MC, Starr JM, Whalley LJ, Fox HC . The impact of childhood intelligence on later life: following up the Scottish mental surveys of 1932 and 1947. J Pers Soc Psychol 2004; 86: 130–147.
Snowdon DA, Greiner L, Kemper S, Nanayakkara N, Mortimer J . Linguistic ability in early life and longevity: findings from the Nun Study. In: Robine J-M, Forette B, Franceschi C, Allard M (eds). The Paradoxes of Longevity. Springer: New York, 1999, pp 103–113.
Osler M, Andersen AM, Due P, Lund R, Damsgaard MT, Holstein BE . Socioeconomic position in early life, birth weight, childhood cognitive function, and adult mortality. A longitudinal study of Danish men born in 1953. J Epidemiol Commun Health 2003; 57: 681–686.
Kuh D, Richards M, Hardy R, Butterworth S, Wadsworth ME . Childhood cognitive ability and deaths up until middle age: a post-war birth cohort study. Int J Epidemiol 2004; 33: 408–413.
Batty GD, Deary IJ . Early life intelligence and adult health. BMJ 2004; 329: 585–586.
Batty GD, Whalley LJ, Starr JM, Deary IJ . Relation of education and occupation-based socioeconomic status to incident Alzheimer's disease (letter). Am J Epidemiol 2004; 160: 404–405.
Osler M, Batty GD . Commentary: influence of early life intelligence test performance on later health: do lower scoring children become less healthy adults? Int J Epidemiol 2004; 33: 414–415.
Batty GD, Deary IJ . Education and mortality: the role of intelligence (letter). Lancet 2005; 365: 1765–1766.
Deary I, Batty G . Cognitive epidemiology: a glossary of terms. J Epidemiol Commun Health 2005, in press.
Vineis P, Alavanja M, Buffler P, Fontham E, Franceschi S, Gao YT et al. Tobacco and cancer: recent epidemiological evidence. J Natl Cancer Inst 2004; 96: 99–106.
Batty GD, Shipley MJ, Jarrett RJ, Breeze E, Marmot MG, Smith GD . Obesity and overweight in relation to organ-specific cancer mortality in London (UK): findings from the original Whitehall study. Int J Obes (Lond) 2005; 29: 1267–1274.
Batty G, Shipley M, Breeze E, Jarrett RJ, Marmot M, Davey-Smith G . Obesity and overweight in relation to coronary heart disease and stroke in men with existing ischaemia: evidence from the original Whitehall study. Heart 2005, in press.
Calle EE, Rodriguez C, Walker-Thurmond K, Thun MJ . Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults. N Engl J Med 2003; 348: 1625–1638.
Calle EE, Thun MJ, Petrelli JM, Rodriguez C, Heath Jr CW . Body-mass index and mortality in a prospective cohort of U.S. adults. N Engl J Med 1999; 341: 1097–1105.
Martin LT, Fitzmaurice GM, Kindlon DJ, Buka SL . Cognitive performance in childhood and early adult illness: a prospective cohort study. J Epidemiol Commun Health 2004; 58: 674–679.
Kubicka L, Matejcek Z, Dytrych Z, Roth Z . IQ and personality traits assessed in childhood as predictors of drinking and smoking behaviour in middle-aged adults: a 24-year follow-up study. Addiction 2001; 96: 1615–1628.
Taylor MD, Hart CL, Davey Smith G, Starr JM, Hole DJ, Whalley LJ et al. Childhood mental ability and smoking cessation in adulthood: prospective observational study linking the Scottish Mental Survey 1932 and the Midspan studies. J Epidemiol Commun Health 2003; 57: 464–465.
Neisser U, Boodoo G, Bouchard Jr T, Boykin AW, Brody N, Ceci SJ et al. Intelligence: knowns and unknowns. Am Psychol 1996; 51: 77–101.
Sorensen TI, Sonne-Holm S . Intelligence test performance in obesity in relation to educational attainment and parental social class. J Biosoc Sci 1985; 17: 379–387.
Teasdale TW, Sorensen TI, Stunkard AJ . Intelligence and educational level in relation to body mass index of adult males. Hum Biol 1992; 64: 99–106.
Li X . A study of intelligence and personality in children with simple obesity. Int J Obes Relat Metab Disord 1995; 19: 355–357.
Halkjaer J, Holst C, Sorensen TI . Intelligence test score and educational level in relation to BMI changes and obesity. Obes Res 2003; 11: 1238–1245.
Sorensen TI, Sonne-Holm S, Christensen U . Cognitive deficiency in obesity independent of social origin. Lancet 1983; 1: 1105–1106.
Butler N, Bonham D . Perinatal Mortality. Livingstone: Edinburgh, 1963.
Ferri E, Bynner J, Wadsworth M . Changing Britain, Changing Lives. Institute of Education: London, 2003.
Douglas J . The Home and The School. MacGibbon & Kee: London, 1964.
Leask SJ, Crow TJ . Word acquisition reflects lateralization of hand skill. Trends Cogn Sci 2001; 5: 513–516.
Jefferis BJ, Power C, Hertzman C . Birth weight, childhood socioeconomic environment, and cognitive development in the 1958 British birth cohort study. BMJ 2002; 325: 305.
Shenkin SD, Starr JM, Deary IJ . Birth weight and cognitive ability in childhood: a systematic review. Psychol Bull 2004; 130: 989–1013.
Parsons TJ, Power C, Logan S, Summerbell CD . Childhood predictors of adult obesity: a sytematic review. Int J Obes Relat Metab Disord 1999; 23 (Suppl. 8): S1–S107.
General Register Office. Census 1951. Classification of Occupations. HMSO: London, 1956.
General Register Office. Classification of Occupations 1960. HMSO: London, 1966.
Niedhammer I, Bugel I, Bonenfant S, Goldberg M, Leclerc A . Validity of self-reported weight and height in the French GAZEL cohort. Int J Obes Relat Metab Disord 2000; 24: 1111–1118.
World Health Organisation. Physical status: the use and interpretation of anthropometry: report of a WHO expert committee. WHO Technichal Report Series WHO: Geneva, 1995.
OPCS. Standard Occupational Classification, Vol. 3. HMSO: London, 1991.
Hu L, Bentler P . Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equation Model 1999; 6: 1–55.
Little R, Rubin D . Statistical Analysis with Missing Data. Wiley: Hoboken, NJ, 2002.
Hawkes D, Plewis I . Modelling attrition in the National Child Development Study. Presented at the Royal Statistical Society conference on Statistical Methods for Attrition and Non-response in Social Surveys (http://www.ccsr.ac.uk/methods/events/attrition/documents/ANR16.pdf – accessed April2005). 2004.
Calle EE, Rodriguez C, Walker-Thurmond K, Thun MJ . Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults. N Engl J Med 2003; 348: 1625–1638.
Whitlock G, Lewington S, Ni Mhurchu C . Coronary heart disease and body mass index: a systematic review of the evidence from larger prospective cohort studies. Semin Vasc Med (Class Emerging Risk Factors Cardiovasc Dis, Part 2) 2002; 4: 369–381.
Diaz VA, Mainous III AG, Everett CJ . The association between weight fluctuation and mortality: results from a population-based cohort study. J Commun Health 2005; 30: 153–165.
Maru S, van der Schouw YT, Gimbrere CH, Grobbee DE, Peeters PH . Body mass index and short-term weight change in relation to mortality in Dutch women after age 50 y. Am J Clin Nutr 2004; 80: 231–236.
Jeffreys M, McCarron P, Gunnell D, McEwen J, Smith GD . Body mass index in early and mid-adulthood, and subsequent mortality: a historical cohort study. Int J Obes Relat Metab Disord 2003; 27: 1391–1397.
O'Toole B, Stankov L . Ultimate validity of psychological tests. Pers Indiv Differ 1992; 13: 699–716.
Sacker A, Schoon I, Bartley M . Social inequality in educational achievement and psychosocial adjustment throughout childhood: magnitude and mechanisms. Soc Sci Med 2002; 55: 863–880.
Deary IJ, Taylor MD, Hart C, Wilson V, Davey Smith G, Blane D et al. Intergenerational social mobility and mid-life status attainment: influences of childhood intelligence, childhood social factors, and education. Intelligence 2005; 33: 455–472.
Cavelaars AEJ, Kunst AE, Mackenbach JP . Socio-economic differences in risk factors for morbidity and mortality in the European Community. An International comparison. J Health Psychol 1997; 2: 353–372.
Lawlor DA, Batty GD, Morton SMB, Deary IJ, MacIntyre S, Leon DA . Early life predictors of childhood intelligence: evidence from the Aberdeen Children of the 1950s cohort study. J Epidemiol Commun Health 2005; 59: 656–663.
Lawlor DA, Najman JM, Batty GD, O'Callaghan MJ, William GM, Bor W . Early life predictors of childhood intelligence: findings from the Mater University study of pregnancy and its outcomes. Paediatr Perinat Epidemiol 2006; 20: 148–162.
Neiss M, Rowe DC . Parental education and child's verbal IQ in adoptive and biological families in the National Longitudinal Study of Adolescent Health. Behav Genet 2000; 30: 487–495.
Mackintosh N . IQ and Human Intelligence. Oxford University Press: Oxford, 1998.
Batty GD, Deary IJ . Education and mortality: the role of intelligence (letter). J Epidemiol Commun Health 2005; 59: 809–810.
Lawlor D, Batty GD, Morton S, MacIntyre S, Leon D . Childhood socio-economic position, educational attainment and adult cardiovascular risk factors: the Children of the 1950s cohort study. Am J Public Health 2005; 95: 628–632.
Wadsworth ME, Butterworth SL, Hardy RJ, Kuh DJ, Richards M, Langenberg C et al. The life course prospective design: an example of benefits and problems associated with study longevity. Soc Sci Med 2003; 57: 2193–2205.
Van Lenthe FJ, Boreham CA, Twisk JW, Savage MJ, Murray L, Davey Smith G . What determines drop out in prospective studies of coronary heart disease risk factors between youth and young adulthood: the Young Hearts Study. J Epidemiol Commun Health 2001; 55: 681–682.
Sonne-Holm S, Sorensen TI, Jensen G, Schnohr P . Influence of fatness, intelligence, education and sociodemographic factors on response rate in a health survey. J Epidemiol Commun Health 1989; 43: 369–374.
Flynn J . Searching for justice: the discovery of IQ gains over time. Am Psychol 1999; 54: 5–20.
Acknowledgements
The data reported herein were made available through the ESRC Data Archive. Data collection was funded by the Economic and Social Research Council; the Department of Health; the Department of Social Security; the Department of Employment; the Training Agency; the Department of Education and Science; the Department of the Environment; the Transport and Road Research Laboratory; Health and Safety Executive; the National Institute for Child Health and Development, US; the Department for Education and Employment; the Manpower Services Commission; and the National Birthday Trust Fund. The data were collected by the Social and Community Planning Research, NOP Market Research Limited and Research Surveys of Great Britain. The original data producers were the National Birthday Trust Fund, National Children's Bureau and City University Social Statistics Research Unit. The agencies responsible for funding the data collection or its archiving bear no responsibility for the analyses or interpretations presented here.
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Appendices
Appendix A1
Inter-variable correlations are given in Table A1.
Appendix B1
Estimates and goodness of fit for the growth model of weight gain (measured by BMI at ages 16–42 years) for men and women are given in Table B1.
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Chandola, T., Deary, I., Blane, D. et al. Childhood IQ in relation to obesity and weight gain in adult life: the National Child Development (1958) Study. Int J Obes 30, 1422–1432 (2006). https://doi.org/10.1038/sj.ijo.0803279
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DOI: https://doi.org/10.1038/sj.ijo.0803279
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