Poverty from fetal life onward and child brain morphology

Abstract Poverty is a risk factor for impaired child development, an association possibly mediated by brain morphology. Previous studies lacked prospective poverty assessments during pregnancy and did not stratify by majority/minority status. We investigated the association of household poverty from...

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Main Authors: Yuna Koyama, Andrea P. Cortes Hidalgo, Rebecca E. Lacey, Tonya White, Pauline W. Jansen, Takeo Fujiwara, Henning Tiemeier
Format: Article
Language:English
Published: Nature Portfolio 2023-01-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-28120-2
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author Yuna Koyama
Andrea P. Cortes Hidalgo
Rebecca E. Lacey
Tonya White
Pauline W. Jansen
Takeo Fujiwara
Henning Tiemeier
author_facet Yuna Koyama
Andrea P. Cortes Hidalgo
Rebecca E. Lacey
Tonya White
Pauline W. Jansen
Takeo Fujiwara
Henning Tiemeier
author_sort Yuna Koyama
collection DOAJ
description Abstract Poverty is a risk factor for impaired child development, an association possibly mediated by brain morphology. Previous studies lacked prospective poverty assessments during pregnancy and did not stratify by majority/minority status. We investigated the association of household poverty from fetal life forward with brain morphological differences at age 10 years, in 2166 mother–child dyads. Overall, the results showed no associations between any poverty exposure early in life and brain volumes. However, there was the evidence of timing effects: children exposed to poverty in utero had smaller amygdala volumes (B =  − 0.18, 95%CI − 0.30; − 0.07, p FDR-adjusted = 0.009). There were also differences in associations by majority/minority status (cerebral white matter: p for interaction = 0.04). Dutch children exposed to childhood poverty showed smaller cerebral white matter volumes than their control (B =  − 0.26, 95%CI − 0.45; − 0.06, p FDR-adjusted = 0.035). This association was not observed in the minority population (B =  − 0.05, 95%CI − 0.23; 0.12, p FDR-adjusted = 0.542). The smaller cerebral white matter volume mediated the association between childhood poverty and poorer school performance in Dutch children. Our findings point to the importance of poverty exposure in the fetal period and suggest different mechanisms and vulnerabilities across majority/minority groups.
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spelling doaj.art-ba495509ee27456a81a8dacb8ec91f132023-01-29T12:09:27ZengNature PortfolioScientific Reports2045-23222023-01-0113111310.1038/s41598-023-28120-2Poverty from fetal life onward and child brain morphologyYuna Koyama0Andrea P. Cortes Hidalgo1Rebecca E. Lacey2Tonya White3Pauline W. Jansen4Takeo Fujiwara5Henning Tiemeier6Department of Global Health Promotion, Tokyo Medical and Dental University (TMDU)Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC University Medical Center RotterdamDepartment of Epidemiology and Public Health, University College LondonDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus MC University Medical Center RotterdamDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus MC University Medical Center RotterdamDepartment of Global Health Promotion, Tokyo Medical and Dental University (TMDU)Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC University Medical Center RotterdamAbstract Poverty is a risk factor for impaired child development, an association possibly mediated by brain morphology. Previous studies lacked prospective poverty assessments during pregnancy and did not stratify by majority/minority status. We investigated the association of household poverty from fetal life forward with brain morphological differences at age 10 years, in 2166 mother–child dyads. Overall, the results showed no associations between any poverty exposure early in life and brain volumes. However, there was the evidence of timing effects: children exposed to poverty in utero had smaller amygdala volumes (B =  − 0.18, 95%CI − 0.30; − 0.07, p FDR-adjusted = 0.009). There were also differences in associations by majority/minority status (cerebral white matter: p for interaction = 0.04). Dutch children exposed to childhood poverty showed smaller cerebral white matter volumes than their control (B =  − 0.26, 95%CI − 0.45; − 0.06, p FDR-adjusted = 0.035). This association was not observed in the minority population (B =  − 0.05, 95%CI − 0.23; 0.12, p FDR-adjusted = 0.542). The smaller cerebral white matter volume mediated the association between childhood poverty and poorer school performance in Dutch children. Our findings point to the importance of poverty exposure in the fetal period and suggest different mechanisms and vulnerabilities across majority/minority groups.https://doi.org/10.1038/s41598-023-28120-2
spellingShingle Yuna Koyama
Andrea P. Cortes Hidalgo
Rebecca E. Lacey
Tonya White
Pauline W. Jansen
Takeo Fujiwara
Henning Tiemeier
Poverty from fetal life onward and child brain morphology
Scientific Reports
title Poverty from fetal life onward and child brain morphology
title_full Poverty from fetal life onward and child brain morphology
title_fullStr Poverty from fetal life onward and child brain morphology
title_full_unstemmed Poverty from fetal life onward and child brain morphology
title_short Poverty from fetal life onward and child brain morphology
title_sort poverty from fetal life onward and child brain morphology
url https://doi.org/10.1038/s41598-023-28120-2
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