The latest findings from the international INTERGROWTH-21st Project, that has monitored healthy, urban children from educated families across four continents from early pregnancy to 2 years of age, show that human neurodevelopment is not influenced by the colour of an individual’s skin.

The INTERGROWTH-21st Project, funded by the Bill & Melinda Gates Foundation and led by the University of Oxford’s Nuffield Department of Women’s & Reproductive Health, has already shown that healthy, well-nourished women, free of disease, living in a clean environment and receiving good antenatal care have children with similar skeletal growth patterns inside the womb, at birth and up to the age of 2.  This research has produced a unique set of international standards for monitoring growth, which perfectly match the existing WHO Child Growth Standards that are being used in virtually every country in the world.

Now, the international consortium of INTERGROWTH-21st researchers has found that attainment in early childhood of neurodevelopmental milestones (relating to cognition, language ability and motor skills) is, like physical growth, very similar among children across diverse geographical and cultural settings, provided that their health and nutritional status are adequate.  The findings are unique because neurodevelopmental markers of early childhood have not been studied in this way before.

The researchers assessed 1,307 healthy 2-year-old children of urban, well-nourished, educated mothers enrolled in early pregnancy in Brazil, India, Italy, Kenya and the UK, using a specially developed psychometric tool, standard visual tests and WHO motor milestones.  In 14 of the 16 measures, the percentage of total variance that could be attributed to differences between populations ranged from 1.3% (cognitive score) to 9.2% (behaviour score). This means that, across a comprehensive set of indicators of physical and early child neurodevelopment, less that 10% of the variability was based on the child’s genes (nature); the rest is environment (nurture). 

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