Tiny babies go on to flunk exams

Key points
- Babies who are tiny at birth are less likely to do well in their GCSEs as teenagers, researchers have found.
- The normal birth weight group achieved significantly better grades for mathematics and statistics and higher grades in general science, English and English Literature.
- Professor Pharoah said the reason why low birth weight should be linked to poor academic achievement was unclear.
- Researchers studied the exam results of 334 16-year-olds who sat GCSE exams in Merseyside, north west England.
Babies who are tiny at birth are less likely to do well in their GCSEs as teenagers, researchers have found.
Researchers studied the exam results of 334 16-year-olds who sat GCSE exams in Merseyside, north west England.
They gave a numerical score to each GCSE grade, starting with eight for A* to one for a G grade.
Half the children in the study had weighed 1,500 grams (3.3lbs) or less at birth, compared to a normal birth weight of between 2,500 (5.5lbs) and 3,500 grams (7.7lbs).
The researchers also looked at the results of formal intelligence (IQ) tests, which the children had taken at the age of eight.
And they assessed various influential factors, such as social class, employment and housing status, parental education and income, and number of children in the family.
The results showed that the normal birth weight group scored an average of 36.78 points in their exams.
But the children who had been underweight babies scored an average of just 32.33.
In terms of exam grades, the normal birth weight group scored almost half a grade higher for each subject.
Maths and English
The normal birth weight group achieved significantly better grades for mathematics and statistics and higher grades in general science, English and English Literature.
Both groups achieved similar results for geography and history.
The national average for children achieving five or more subjects at grade C or above in 1997 was 45%.
The normal birth weight group achieved 44%, but the low birth weight group achieved just over 38%.
Children who scored more highly on the IQ test at the age of eight, achieved significantly better GCSE results.
The researchers, led by Professor Peter Pharoah, of the Foundation for the Study of Infant Deaths at the University of Liverpool, say their work suggests that very low birth weight clearly affects subsequent intellectual and academic performance.
They believe this effect may be more important than the social environment or the quality of school education.
Unclear explanation
Professor Pharoah said the reason why low birth weight should be linked to poor academic achievement was unclear.
It was possible that in some cases children did not receive proper nutrition while in the womb, while in other cases premature birth may have disrupted brain development.
Medical science could take good care of premature babies, he said, but it was very difficult to replicate the type of nutrition provided by a mother in utero.
Written and revised by
Gerald Hurowitz, M.D.
Our doctors write and review articles for accuracy and keep them up to date.
health.am provides general information, not medical advice. Always consult a qualified health professional about your own health.
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