Brain Iron Mediates the Relationship Between Cognition and Neighborhood Socioeconomic Status in Youth

Non-heme brain iron is a critical metabolic cofactor essential for healthy brain development.1 Iron deficiency is the most common nutritional disorder in the world, with greater prevalence of non-heme iron deficiency among individuals of lower socioeconomic status (SES). However, it remains unknown how brain iron accumulation during development may impact cognition. Brain iron can be measured in vivo using R2* weighted magnetic resonance imaging (MRI); prior work has established that higher R2* is associated with higher iron content.2,3 We hypothesized that more iron in the basal ganglia (BG) regions of the caudate, putamen, and pallidum would be associated with improved cognitive performance and potentially mediate the known relationship between neighborhood-level socioeconomic status (SES) and cognition.4