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”.

Exposure

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.”
Number of Children and Cognitive Aging in Older Americans: The Role of Socioeconomic Status and Gender DifferencesGSA 2025 abstract2025doi:10.1093/geroni/igaf122.2566

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?

3

Studies 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

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3 studies
  1. 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

    Associations between the Number of Children, Depressive Symptoms, and Cognition in Middle-Aged and Older Adults: Evidence from the China Health and Retirement Longitudinal Study

    Healthcare (Basel, Switzerland)

  2. 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

    Number of children and mid- to later-life cognitive function and cognitive impairment in rural South Africa: Evidence from “Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa” (HAALSI)

    medRxivPreprint

  3. 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

    Number of children and cognitive function among Chinese menopausal women: The mediating role of depressive symptoms and social participation

    Journal of affective disorders

Longevity

no changein humans1

1 study
  1. 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
  1. 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

    Children and Rural-Urban Inequality of Health Among Elderly in China: "Convergence Phenomenon" of the Number of Children and "Action Mechanism" of the Quality of Children

    Research SquarePreprint

What is Number of children linked with?

7

Studies 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
  1. 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

    Number of Children and Cognitive Aging in Older Americans: The Role of Socioeconomic Status and Gender Differences

    GSA 2025 abstract

  2. 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
  1. 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

    Associations between the Number of Children, Depressive Symptoms, and Cognition in Middle-Aged and Older Adults: Evidence from the China Health and Retirement Longitudinal Study

    Healthcare (Basel, Switzerland)

More on Depressive symptoms

Heart disease and stroke

upin humans1OR 2.12

1 study
  1. 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

    Association between number of children and incident heart disease and stroke in parents - results from the Survey of Health, Ageing and Retirement in Europe (SHARE)

    BMC public health

More on Heart disease and stroke

Cognitive impairment

downin humans1

1 study
  1. 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

    Number of children and mid- to later-life cognitive function and cognitive impairment in rural South Africa: Evidence from “Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa” (HAALSI)

    medRxivPreprint

More on Cognitive impairment

Frailty

upin humans1

1 study
  1. 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
  1. 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

    Associations between vigorous physical activity, social ties, social support, and self-reported health among older adults in Accra, Ghana

    PLOS global public health

Mortality

upin humans1

1 study
  1. 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

Latest

Nov 2025: 0Dec 2025: 1Jan 2026: 0Feb 2026: 0Mar 2026: 0Apr 2026: 0May 2026: 0Jun 2026: 0Jul 2026: 0Aug 2026: 0Sep 2026: 0Oct 2026: 01 paper in 12 months