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  Prenatal and postnatal droughts interact in shaping cognitive development

Pradella, F., Gabrysch, S., van Ewijk, R. (2026): Prenatal and postnatal droughts interact in shaping cognitive development. - Communications Medicine, 6, 233.
https://doi.org/10.1038/s43856-026-01578-7

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 Creators:
Pradella, Fabienne1, Author
Gabrysch, Sabine2, Author                 
van Ewijk, Reyn1, Author
Affiliations:
1External Organizations, ou_persistent22              
2Potsdam Institute for Climate Impact Research, ou_persistent13              

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 Abstract: Background
Developmental plasticity refers to biological adaptations, most often prenatally, to environmental cues. These can help organisms adapt to similar postnatal environments, with health benefits if prenatal and postnatal conditions match. While associations between various prenatal exposures and adverse offspring health have been documented, the interaction between prenatal and postnatal conditions remains less understood. We address this gap by examining whether pre- and postnatal drought exposures interact in their impact on cognitive performance, as early-life nutrition is a critical factor for cognitive development.

Methods
Standardized math and reading scores from 11–16 year-olds in rural India (N = 2,032,917) from the 2007–2018 Annual Status of Education Report (a cross-sectional cognitive assessment household survey) were combined with University of Delaware Terrestrial Precipitation data. Given the high reliance on rainfed agriculture in the setting, rainfall levels below the 20th percentile of the district-specific long-term mean served as a proxy for nutritional adversities in a quasi-experimental study setup.

Results
We show that early-life droughts adversely impact cognitive function. We find positive interaction terms between prenatal and postnatal drought exposures, suggesting that children already exposed to droughts prenatally are better equipped for postnatal droughts.

Conclusions
The findings of this study align with the predictions around phenotypic plasticity, i.e., that prenatal conditions prepare organisms for similar postnatal challenges. However, given the increasing unpredictability of the climate, such alignments cannot be planned or anticipated, implying frequent mismatches between prenatal and postnatal conditions.

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Language(s): eng - English
 Dates: 2025-08-082026-03-272026-04-202026-04-20
 Publication Status: Finally published
 Pages: 9
 Publishing info: -
 Table of Contents: -
 Rev. Type: Peer
 Identifiers: DOI: 10.1038/s43856-026-01578-7
MDB-ID: No data to archive
Organisational keyword: RD2 - Climate Resilience
PIKDOMAIN: RD2 - Climate Resilience
Working Group: Climate Change and Health
Research topic keyword: Health
Research topic keyword: Weather
Research topic keyword: Extremes
Research topic keyword: Food & Agriculture
Regional keyword: Asia
Model / method: Quantitative Methods
Model / method: Econometrics
OATYPE: Gold Open Access
 Degree: -

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Title: Communications Medicine
Source Genre: Journal, oa
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Pages: - Volume / Issue: 6 Sequence Number: 233 Start / End Page: - Identifier: CoNE: https://publications.pik-potsdam.de/cone/journals/resource/2730-664X
Publisher: Nature