Number of children
Number of children has been studied in 12 papers since 2022: 12 observational studies in people; 1 in the past year. The newest paper, Dec 31, 2025: “Number of Children and Cognitive Aging in Older Americans: The Role of Socioeconomic Status and Gender Differences”.
12 papers study it13 findingsUpdated
“In the unadjusted model, having three or more children was associated with a significant decline in cognitive functioning (β = -0.462, p < 0.001) compared to those with no children.”
1 of its findings points the other way.
- 10 independent labs in 8 countries
- 1 finding against
- Funders: National Institute on Aging and others
- Humans12
What did studies of Number of children find?
3Studies of Number of children measured 3 outcomes; the most studied are cognitive function (3 studies), longevity (1) and rural-urban health inequality (1).
Cognitive function
downin humans2upin humans1
3 studies
Cognitive function
downin humans2upin humans1
Number of children impairs cognitive function in humans (β = -0.023, p < 0.05).
“This association remained significant even after adjusting for covariates in groups with three (β = -0.023, p < 0.05) and four or more children (β = -0.043, p < 0.001).”
Humansthree children
Healthcare (Basel, Switzerland)
Number of children improves cognitive function in humans (β 0.29, 95% CI 0.13–0.45).
“men with any number of children and women with 5+ children had higher cognitive function compared to those without children (β[95% CI]: Men: 1-2: 0.29[0.13 – 0.45]”
Humansmalesn = 5,059
medRxivPreprint
Number of children impairs cognitive function in humans (β = -0.547, 95% CI: -0.677, -0.416).
“The cognitive function score decreased significantly with increasing numbers of children [β = -0.547, 95 % confidence interval (CI): -0.677, -0.416].”
Humansfemalesn = 4,803
Journal of affective disorders
Longevity
no changein humans1
1 study
Longevity
no changein humans1
Number of children has no effect on longevity in humans.
“for those with fewer than five children, their longevity was not associated with having more children.”
Humansparents in Chinafewer than five children
Number of children, Parental Longevity and Health in later life
Research SquarePreprint
Rural-urban health inequality
downin humans1
1 study
Rural-urban health inequality
downin humans1
Number of children decreases rural-urban health inequality in humans.
“the degree of health inequality between urban and rural elderly decreases with the increase of the number of children.”
Humansn = 9,745
Research SquarePreprint
What is Number of children linked with?
7Studies link Number of children with 7 measures, most often cognitive function (2 studies), depressive symptoms (1) and heart disease and stroke (1).
Cognitive function
downin humans2
2 studies
Cognitive function
downin humans2
Number of children is associated with cognitive function in humans (β = -0.462, p < 0.001).
“In the unadjusted model, having three or more children was associated with a significant decline in cognitive functioning (β = -0.462, p < 0.001) compared to those with no children.”
Humansunadjusted model
GSA 2025 abstract
Number of children is associated with cognitive function in humans (episodic memory: B = -.17, p < .001; mental status: B = -.25, p < .001).
“Parents with multiple children had poorer baseline cognitive functions (episodic memory: B = -.17, p < .001; mental status: B = -.25, p < .001)”
Humans7 yearsn = 6,723
Only child or multiple children? The number of children and cognition in older Chinese parents
Australasian journal on ageing
Depressive symptoms
upin humans1
1 study
Depressive symptoms
upin humans1
Number of children raises the risk of depressive symptoms in humans (all p < 0.01).
“Conversely, the positive association between the number of children and depression also persisted after adjusting for covariates, although it weakened as the number of children increased (all p < 0.01).”
Humans
Healthcare (Basel, Switzerland)
Heart disease and stroke
upin humans1OR 2.12
1 study
Heart disease and stroke
upin humans1OR 2.12
Number of children raises the risk of heart disease and stroke in humans (OR = 2.12 [95% CI: 1.51 to 2.98]).
“Women with seven or more children had the highest OR for the association between the number of children and incident HDS (OR = 2.12 [95% CI: 1.51 to 2.98])”
Humansseven or more children vs 1-2 childrenfemalesn = 23,995
BMC public health
Cognitive impairment
downin humans1
1 study
Cognitive impairment
downin humans1
Number of children lowers the risk of cognitive impairment in humans (PR 0.48, 95% CI 0.31–0.75).
“for men and women, groups with any number of children showed a lower prevalence of cognitive impairment than the group with 0 children (PR[95% CI] Men: 1-2: 0.48[0.31 – 0.75]”
Humansmalesn = 5,059
medRxivPreprint
Frailty
upin humans1
1 study
Frailty
upin humans1
Number of children is associated with frailty in humans (r: 0.435, P = 0.001).
“A weak, positive correlation was found between the total number of children and FI in female participants (r: 0.435; P = 0.001; P< 0.01)”
Humansfemalesn = 98
Relationship of the Number of Children and Child Sex with Frailty among Older Turkish Parents
Research SquarePreprint
Vigorous physical activity for at least 30 minutes daily
upin humans1
1 study
Vigorous physical activity for at least 30 minutes daily
upin humans1
Number of children is associated with vigorous physical activity for at least 30 minutes daily in humans (AOR 3.169; p = .002).
“older adults who had above 5 children were 3 times (AOR = 3.169; p = .002) more likely to participate in VPA”
Humanscommunity-dwelling older adults in Accra, Ghanamore than 5 children versus no childrenn = 686
PLOS global public health
Mortality
upin humans1
1 study
Mortality
upin humans1
Number of children is associated with mortality in humans.
“having five or more children significantly increased the risk of death for both rural male older adults and urban older adults”
Humansrural male older adults and urban older adults in Chinafive or more childrenmale in rural participants; unspecified in urban participantss
Number of children, Parental Longevity and Health in later life
Research SquarePreprint