What does a correlation coefficient of +0.8 imply about the association between birth weight and cognitive development?

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Interpretation of a Correlation Coefficient of +0.8 Between Birth Weight and Cognitive Development

A correlation coefficient of +0.8 indicates a strong positive linear relationship, meaning that as birth weight increases, cognitive development commonly increases as well—the answer is C.

Understanding the Correlation Coefficient

The correlation coefficient (r = +0.8) is a statistical measure that quantifies the strength and direction of a linear relationship between two continuous variables 1. The value ranges from -1 to +1, where:

  • Positive values indicate that both variables move in the same direction 1
  • Values closer to +1 represent stronger linear relationships 1
  • A coefficient of +0.8 is considered a strong positive correlation 1

Clinical Context: Birth Weight and Cognitive Outcomes

The strong positive correlation observed in this research question aligns with established clinical evidence:

  • Poor intrauterine growth (reflected by lower birth weight) predicts lower IQ and communication skills in children 2
  • Lower birth weight associates with worse developmental test scores, with effects compounded by growth failure in infancy and toddlerhood 2
  • The mechanism involves reduced cerebral oxygen delivery and consumption during fetal development, with cerebral oxygen consumption directly correlated with fetal brain volume 2

Interpreting the Specific Options

Option A (Inverse relation) is incorrect because the positive sign (+0.8) indicates variables move together, not in opposite directions 1.

Option B (slight increase) underestimates the relationship strength. A correlation of +0.8 represents a strong association, not a weak or slight one 1.

Option C (commonly increase) correctly captures that this strong positive correlation means higher birth weights are commonly associated with better cognitive development 2, 1.

Important Caveats

  • Correlation does not equal causation: While r = +0.8 shows a strong association, it does not prove that birth weight directly causes cognitive development changes 1
  • Linear assumption: The Pearson correlation coefficient assumes a linear relationship between variables 1
  • Range sensitivity: The correlation coefficient can be affected by the range of observations in the sample 3
  • Confounding factors: Multiple variables influence both birth weight and cognitive development, including maternal nutrition, prenatal care, socioeconomic status, and genetic factors 4, 2

References

Guideline

Birth Weight and Cognitive Development

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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