Artículo de publicación ISIBackground: Head circumference (HC), the anthropometric
index of both brain development and nutritional background,
has been described to be significantly associated
with scholastic achievement (SA). The aim of this study was to
determine the impact of nutritional background and current
nutritional status parameters on SA in the Education Quality
Measurement System (SIMCE) tests.
Methods: A representative sample of 33 schools was randomly
chosen in the Metropolitan Region of Chile. The sample
consisted of 1,353 school-aged children of both sexes, from
the fifth grade of elementary school and from the first grade
of high school who in 2009 took the SIMCE tests. Nutritional
status was assessed through anthropometric parameters. Brain
development was measured through the HC expressed as
HC-for-age Z-score (Z-HC).
Results: Students with Z-HC < −2 SD and >2 SD obtained
low and high SA, respectively, both in the language and the
mathematics tests (P < 0.001). In general, in both grades, those
students with Z-HC ≥0 SD increase more than double the
probability to obtain language and mathematics SA scores ≥
the median (P < 0.0001).
Conclusion: We confirm the hypothesis that HC is the most
relevant physical index associated with SA; therefore, children
with the lowest scoresThis study was supported in part by Grant 1100431 from the National Fund
for Scientific and Technologic Development (FONDECYT), Santiago, Chile