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International Journal of Epidemiology 2001;30:72-74
© International Epidemiological Association 2001

Special Theme: Fetal Origins of Health and Disease

Commentary: Early growth and cognitive development

Jan HP van der Meulen

London School of Hygiene and Tropical Medicine, Department of Public Health and Policy, Health Services Research Unit, Keppel Street, London WC1E 7HT, UK. E-mail: Jan.vanderMeulen@lshtm.ac.uk

British adults who were born small for gestational age (birthweight below the fifth percentile for age at birth) in 1970 have academic difficulties that persist into adolescence. As young adults their professional and economic attainment was found to be lower than that of those born at normal birthweight.1 These results were obtained in the largest study to date on the long-term educational and social implications of impaired fetal growth. About 14 000 infants born in one week in the UK were included and more than 50% of them were followed-up for 26 years. Despite the observed differences in academic and professional achievement, the adults who were small at birth were as . . . [Full Text of this Article]

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