Title
A longitudinal cohort study of soil-transmitted helminth infections during the second year of life and associations with reduced long-term cognitive and verbal abilities
Date Issued
27 July 2018
Access level
open access
Resource Type
journal article
Author(s)
Publisher(s)
Public Library of Science
Abstract
Background: Soil-transmitted helminth (STH) infection leads to malnutrition and anemia, and has been linked to impaired child development. Previous research on this topic is limited and mostly conducted in school-age children. The goal of this study was to determine the effect of the number of detected STH infections between one and two years of age on subsequent cognitive and verbal abilities, in a cohort of preschool children. Methodology/Principal findings: A longitudinal cohort study was conducted in 880 children in Iquitos, Peru between September 2011 and July 2016. Children were recruited at one year of age and followed up at 18 months and then annually between two and five years of age. STH infection was measured with the Kato-Katz technique or the direct smear technique. Child development was measured with the Bayley Scales of Infant and Toddler Development-III at the one to three-year visits and with the Wechsler Preschool and Primary Scale of Intelligence-III at the four and five-year visits. Hierarchical multivariable linear regression models were used to account for the repeated outcome measures for each child and Bayesian latent class analysis was used to adjust for STH misclassification. Children found infected with any STH infection between one and two years of age had lower cognitive scores between two and five years of age (between group score differences (95% credible intervals) for infected once, and infected two or three times, compared to never infected: -4.31 (-10.64, -0.14) and -3.70 (-10.11, -0.11), respectively). Similar results were found for Ascaris infection and for verbal scores. Conclusions/Significance: An association was found between having been infected with Ascaris or any STH between one and two years of age and lower cognitive and verbal abilities later in childhood. These results suggest that targeting children for STH control as of one year of age is particularly important.
Volume
12
Issue
7
Language
English
OCDE Knowledge area
Enfermedades infecciosas
Scopus EID
2-s2.0-85051286476
PubMed ID
Source
PLoS Neglected Tropical Diseases
ISSN of the container
19352727
Sponsor(s)
Research reported in this publication was supported by the National Institute of Allergy and Infectious Diseases of the National Institutes of Health under Award Number P50AI098574. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. This study was also supported by the Thrasher Research Fund (02832-2 to TWG; www.thrasherresearch.org) and the Canadian Institutes for Health Research (MOP-110969 to TWG, CGV-140015 to BB; www.cihr-irsc.gc.ca). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. The authors would like to acknowledge Serene A. Joseph who initiated the study in 2011 as a PhD candidate at McGill University. She oversaw all aspects of data collection between the one and two years of age study visits. We would also like to acknowledge Lidsky Pezo (Research coordinator, Asociación Civil Selva Amazónica, between 2011–2013) and Madeleinne Montoya (Research coordinator, Asociación Civil Selva Amazónica, between 2013–2016) who acted as local coordinators for the data collection and all of the local research assistants who collected the data for this study over the years.
Sources of information:
Directorio de Producción Científica
Scopus