Does using SNAP harm cognitive health? Why we should care about better analytical methods

Matthew C Lohman, Anwar T Merchant and Catherine Y Chi

The Supplemental Nutrition Assistance Program (SNAP) is an initiative that provides food benefits to low-income Americans to help them afford groceries. Claims that use of SNAP contributes to bad health outcomes appear often in research and the media. Some studies have found that people who use SNAP have worse diet quality, higher bodyweight and poorer cognitive performance than those who don’t. Such findings are sometimes used, implicitly or explicitly, to justify more restrictive eligibility rules, work requirements or other policies that could reduce access to the program.

But a closer look at the evidence suggests we should be more cautious in how we interpret it. Our recent study in the International Journal of Epidemiology found that, by using methods designed to deal with hidden bias, apparent relationships between SNAP use and negative outcomes like cognitive decline largely disappear.

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Is rapid growth after birth linked to improved intelligence in children who had poor fetal growth?

Yi Ying Ong, Nicholas Beng Hui Ng and Yung Seng Lee

Imagine two babies born at full term. Baby A had a normal growth rate in the womb but is born naturally small, while Baby B is born small after their growth in the womb slowed down. Baby B’s “fetal growth deceleration” may have been caused by placental issues or other conditions limiting the baby’s nutrient and oxygen supply, potentially affecting their brain development. Research studies have often lumped Baby A and Baby B together under the categories of “low birthweight” or “small for gestational age”, but these conditions are different from slowed fetal growth. As such, it remains unclear how fetal growth deceleration affects children’s cognitive abilities. 

Now, let’s look at what happens after birth — some believe that if Baby B’s growth catches up, it might compensate for the earlier growth problems and support better brain development. But is this true?

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What the current economic recession means for long-term health outcomes

Kristina Thompson

We are in the midst of a global recession as a result of the COVID-19 pandemic and attendant lockdown measures. Both the pandemic and the lockdown have each, on their own, worsened health outcomes. This fact has been relatively well covered by the media. What is missing from this discussion is that the resulting recession, forecast to be the largest in generations, will itself, in all likelihood, worsen health outcomes among the broader population.

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