Cited by 1,106Birth, Development, and HealthEarly Childhood Education and DevelopmentHealth disparities and outcomes

Early Childhood Investments Substantially Boost Adult Health

Open access
Campbell, Frances, Conti, Gabriella, Heckman, James J., Moon, Seong Hyeok, Pinto, Rodrigo, Pungello, Elizabeth, Pan, Yi·2014·Science

Abstract

Look After the Child: Investing in children has been demonstrated to improve their lives, both during the school-age years and afterward, as assessed by outcomes such as employment and income; furthermore, these investments often help those in the most need. Campbell et al. (p. 1478 ) report that these investments can also lead to improved adult health. Results from a randomized and intensive intervention that involved 122 children in four cohorts recruited in the 1970s suggest that full-day child care for the first 5 years of life has produced adults in their 30s with better metabolic and cardiovascular health measures.

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Crossref · 10.1126/science.1248429

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106 of 106 references verified0 citation errors · 0 not checkable

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  • In their mid-30s, Abecedarian intervention participants had lower BMI and fewer cardiovascular and metabolic risk factors.

    “By their mid-30’s, individuals in the intervention group had a lower body mass index and fewer risk factors for cardiovascular and metabolic disease.(15)”
  • In the Abecedarian project, by mid-30s, children who received the intervention had lower levels of multiple risk factors of cardiovascular and metabolic disease, with effects stronger for males than females.

    “By their mid-30s, the children who received the intervention had lower levels of multiple risk factors of cardiovascular and metabolic disease with the effects being stronger for males than for females [17].”
  • In the Abecedarian project, none of the males in the treatment group, compared to one in four in the control group, met criteria for metabolic syndrome.

    “none of the males in the treatment group, compared to one in four in the control group, met criteria for metabolic syndrome.”
  • In the Abecedarian project, males in the treatment group had a systolic blood pressure of 126 mm Hg compared to 143 mm Hg in the control group.

    “males in the treatment group had a systolic blood pressure of 126 millimeters of mercury (mm, Hg) compared to 143 mm Hg in the control group.”
  • In the Abecedarian project, both males and females in the treatment group had significantly lower scores on the Framingham Risk score for coronary heart disease.

    “both males and females in the treatment group had significantly lower scores on the Framingham Risk score for coronary heart disease.”

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Research works printed but not linked: 2

  1. [42]Levy H Meltzer D MacLaughlin CG Health Policy and the Uninsured 2004 Washington, DC Urban Institute Press 179 204
  2. [66]The licensed practical nurse visited the classroom daily to review the health status of the children and receive reports from the parents (64).

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Authors
Campbell, F., Conti, G., Heckman, J. J., Moon, S. H., Pinto, R., Pungello, E., & Pan, Y.
Affiliations
  • University of North Carolina at Chapel Hill (US)
  • University College London (GB)
  • University College Dublin (IE)
  • University of Chicago (US)
Corresponding author
Heckman, James J.
Venue
Science
Published
2014-03-28
Volume
343
Issue
6178
Pages
1478-1485
ISSN
  • 0036-8075 (ISSN-L)
  • 1095-9203
OpenAlex
W2148685658
Cited by
1,106
References
106
Citations by year
2026: 32 · 2025: 87 · 2024: 84 · 2023: 88 · 2022: 92 · 2021: 118 · 2020: 98 · 2019: 104 · 2018: 85 · 2017: 81 · 2016: 103 · 2015: 90 · 2014: 39 · 2013: 1 · 2012: 1
FWCI
98.04
Type
journal article
Language
en
Open access
Locations
  • Science (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • UCL Discovery (University College London) (submittedVersion)
Funders
  • Northern Ireland Chest Heart and Stroke
  • National Institutes of Health (5rc1md004344-02)
  • Economic and Social Research Council (ES/H021221/1)
  • National Institute on Minority Health and Health Disparities (RC1 MD004344, 5RC1MD004344)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (R37HD065072, 1R01HD54702, R01HD054702)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
  • Social Sciences › Education › Early Childhood Education and Development
  • Social Sciences › Health › Health disparities and outcomes
Keywords
early childhood intervention, Abecedarian Project, adult health, cardiovascular risk factors, metabolic syndrome, systolic blood pressure, disadvantaged children, early-life interventions, long-term health effects, multiple comparisons
MeSH terms
Adult, Blood Preservation, Cardiovascular Diseases, Child, Diet, Female, Health, Humans, Cholesterol, HDL, Male, Biomarkers, Body Mass Index, Metabolic Syndrome, Early Medical Intervention

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