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Early Childhood Investments Substantially Boost Adult Health
Open accessAbstract
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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“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)”
From Evaluating strategies for reducing health disparities by addressing the social determinants of health. (2016) · cites this paper as [15]
In the citing paper
“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].”
From Reducing Racial Inequities in Health: Using What We Already Know to Take Action (2019) · cites this paper as [17]
In the citing paper
“none of the males in the treatment group, compared to one in four in the control group, met criteria for metabolic syndrome.”
From Reducing Racial Inequities in Health: Using What We Already Know to Take Action (2019) · cites this paper as [17]
In the citing paper
“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.”
From Reducing Racial Inequities in Health: Using What We Already Know to Take Action (2019) · cites this paper as [17]
In the citing paper
“both males and females in the treatment group had significantly lower scores on the Framingham Risk score for coronary heart disease.”
From Reducing Racial Inequities in Health: Using What We Already Know to Take Action (2019) · cites this paper as [17]
In the citing paper
“By their mid-30 s, those exposed to the intervention, particularly males, had substantially more favorable cardiovascular risk profiles than those exposed to the control condition.”
From Education improves public health and promotes health equity (2015) · cites this paper as [42]
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Metadata
- 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
- PMC
- PMC4028126
- 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
- FWCI
- 98.04
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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