Table 3.
Relation between free choline concentrations and selected intelligence quotient (IQ) and subscale scores on the Wechsler Preschool and Primary Scale of Intelligence–Revised at age 5, adjusted1
| Full Scale IQ | Verbal IQ | Performance IQ | Block Design subtest | Information subtest | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Parameter estimate | P | Parameter estimate | P | Parameter estimate | P | Parameter estimate | P | Parameter estimate | P | |
| 16–18 wk gestation (n = 322) | ||||||||||
| Free choline (z score) | −0.12 | 0.85 | −0.42 | 0.50 | 0.42 | 0.54 | 0.19 | 0.17 | −0.16 | 0.25 |
| Maternal PPVT-R score | 0.16 | 0.0005 | 0.15 | 0.001 | 0.16 | 0.002 | 0.02 | 0.01 | 0.03 | 0.003 |
| HSQ score | 0.25 | 0.01 | 0.16 | 0.11 | 0.21 | 0.07 | 0.02 | 0.32 | 0.07 | 0.004 |
| Maternal education | 0.89 | 0.03 | 0.76 | 0.07 | 0.98 | 0.03 | 0.14 | 0.12 | 0.21 | 0.02 |
| Female (child) | 4.37 | 0.0005 | 5.20 | <0.0001 | 2.36 | 0.09 | 0.44 | 0.10 | 1.21 | <0.0001 |
| Black | −5.64 | 0.001 | −6.08 | 0.0005 | −4.09 | 0.04 | −0.05 | 0.89 | −1.14 | 0.003 |
| 24–26 wk gestation | ||||||||||
| Free choline (z score) | −0.27 | 0.66 | −0.30 | 0.62 | 0.18 | 0.79 | 0.20 | 0.15 | −0.15 | 0.26 |
| Maternal PPVT-R score | 0.19 | <0.0001 | 0.18 | <0.0001 | 0.19 | 0.0001 | 0.03 | 0.006 | 0.04 | <0.0001 |
| HSQ score | 0.27 | 0.007 | 0.17 | 0.08 | 0.26 | 0.03 | 0.03 | 0.11 | 0.06 | 0.004 |
| Female (child) | 3.38 | 0.006 | 4.61 | 0.0001 | 1.09 | 0.43 | 0.16 | 0.55 | 1.14 | <0.0001 |
| Black | −4.08 | 0.006 | −4.39 | 0.002 | −2.62 | 0.12 | 0.13 | 0.69 | −0.72 | 0.02 |
| 30–32 wk gestation | ||||||||||
| Free choline (z score) | −0.37 | 0.56 | −0.68 | 0.28 | 0.15 | 0.84 | 0.05 | 0.74 | −0.16 | 0.28 |
| Maternal PPVT-R score | 0.20 | <0.0001 | 0.18 | <0.0001 | 0.17 | 0.001 | 0.02 | 0.01 | 0.04 | <0.0001 |
| Maternal education | 0.90 | 0.02 | 0.65 | 0.10 | 0.03 | 0.03 | 0.14 | 0.10 | 0.20 | 0.03 |
| Female (child) | 3.44 | 0.005 | 4.73 | 0.0001 | 1.50 | 0.29 | 0.22 | 0.42 | 1.14 | <0.0001 |
| Black | −6.00 | 0.0002 | −5.62 | 0.0005 | −5.36 | 0.004 | −0.33 | 0.36 | −1.16 | 0.002 |
| 36–38 wk gestation | ||||||||||
| Free choline (z score) | −0.24 | 0.68 | −0.55 | 0.36 | 0.25 | 0.72 | 0.03 | 0.77 | −0.11 | 0.41 |
| Maternal PPVT-R score | 0.20 | <0.0001 | 0.19 | <0.0001 | 0.17 | 0.001 | 0.02 | 0.01 | 0.04 | <0.0001 |
| Maternal education | 0.90 | 0.02 | 0.65 | 0.10 | 1.04 | 0.02 | 0.14 | 0.10 | 0.20 | 0.03 |
| Female (child) | 3.44 | 0.005 | 4.73 | 0.0001 | 1.49 | 0.29 | 0.22 | 0.42 | 1.14 | <0.0001 |
| Black | −6.00 | 0.0002 | −5.62 | 0.0005 | −5.36 | 0.004 | −0.32 | 0.36 | −1.16 | 0.002 |
| Cord blood (n = 332) | ||||||||||
| Free choline (z score) | −0.09 | 0.68 | −0.20 | 0.36 | 0.09 | 0.72 | 0.01 | 0.77 | −0.04 | 0.41 |
| Maternal PPVT-R score | 0.20 | <0.0001 | 0.18 | <0.0001 | 0.05 | 0.001 | 0.02 | 0.01 | 0.04 | <0.0001 |
| Maternal education | 0.90 | 0.02 | 0.64 | 0.10 | 1.03 | 0.02 | 0.14 | 0.10 | 0.20 | 0.03 |
| Female (child) | 3.44 | 0.005 | 4.73 | 0.0001 | 1.49 | 0.29 | .21 | 0.42 | 1.14 | <0.0001 |
| Black | −6.00 | 0.0002 | −5.62 | 0.0005 | −5.36 | 0.004 | −0.32 | 0.36 | −1.16 | 0.002 |
PPVT-R, Peabody Picture Vocabulary Test–Revised; HSQ, Home Screening Questionnaire. For Full Scale IQ, analysis was by multivariate regression with backward elimination, forcing free choline to be retained in the model. All models initially included free choline, maternal PPVT-R raw score, HSQ score, poverty status, maternal race, education level, smoking, alcohol use, gestational age at delivery, and child sex. For subscale measures, covariates from the final model for Full Scale IQ were included.