Factors affecting the cognitive profile of 11-year-old children born very preterm

Nyman, Anna; Korhonen, Tapani; Munck, Petriina; Parkkola, Riitta; Lehtonen, Liisa; Haataja, Leena

doi:10.1038/pr.2017.64

Cited by 21 publications

(52 citation statements)

References 41 publications

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“…Gender differences in classroom-behaviour may be explained with increased biological vulnerabilities for inattention and hyperactivity-impulsivity symptoms in boys (28) and with environmental factors related to socialisation processes of gender (29). Preterm birth also increases the risk for these symptoms (18,30). However, significant differences between very preterm and control boys were not found.…”

Section: Discussionmentioning

confidence: 93%

“…In this study, we showed that educational abilities in very preterm children with a full‐scale IQ ≥ 70 were age appropriate. This is interesting, as we know that their cognitive scores were lower compared to the norm population , so one could argue that they performed better than cognitive test scores would lead us to expect. Their better educational abilities could be the result of several mechanisms.…”

Section: Discussionmentioning

confidence: 97%

“…Yet a comprehensive picture of the educational abilities of very preterm children with and without severe cognitive impairment and NSI, as well as the support services they receive, is lacking. Furthermore, educational outcome of preterm boys is reported comparable to girls but they have been suggested to perform worse than girls in cognitive domains requiring attentional skills .…”

Section: Introductionmentioning

confidence: 99%

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School performance is age appropriate with support services in very preterm children at 11 years of age

et al. 2019

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Aim This Finnish regional birth‐cohort study compared the school performance of very preterm and full‐term children when they reached 11 years of age. Methods Teachers rated the educational abilities of 123 preterm children and 133 full‐term controls at the age of 11 years as well as the support services they received. The children were all born in the Turku University Hospital between 2001 and 2005. In the preterm group, neurosensory impairments were confirmed at two years of corrected age, and full‐scale intelligence quotient (IQ) was assessed at 11 years of age using the Wechsler Intelligence Scale, Fourth Edition. Results Educational abilities, including academic skills and classroom functioning, did not differ between the two groups after excluding the children with a full‐scale IQ < 70. However, 40% of the preterm group and 26% of the controls had received at least one support service (p <0.02). The 13 preterm children with a full‐scale IQ <70 and the 10 with neurosensory impairment received more support services. Boys in both groups displayed more classroom‐functioning problems than girls. Conclusion A full‐scale IQ ≥ 70 and age‐appropriate educational abilities do not exclude a significant need for support services in very preterm children at the age of 11 years.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

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School performance is age appropriate with support services in very preterm children at 11 years of age

et al. 2019

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“…[1][2][3][4][5][6] However, the rate of non-CP motor impairments such as developmental coordination disorder (DCD) has not decreased, 7 and children born preterm are still at increased risk for cognitive impairment compared with term peers. [8][9][10][11] DCD is defined as motor problems interfering with academic achievement or activities of daily living which cannot be explained by medical, neurological or cognitive impairment. 12 The aetiology of DCD is multifactorial, and neuroimaging studies have shown alterations in the brain development and functioning in children with DCD.…”

Section: Introductionmentioning

confidence: 99%

Preterm children’s developmental coordination disorder, cognition and quality of life: a prospective cohort study

Uusitalo

Haataja

Nyman

et al. 2020

bmjpo

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ObjectiveTo evaluate the rate of developmental coordination disorder (DCD) and its correlation to cognition and self-experienced health-related quality of life (HRQoL) in children born very preterm.DesignProspective follow-up study.SettingRegional population of children born very preterm in Turku University Hospital, Finland, in 2001–2006.PatientsA total of 170 children born very preterm were followed up until 11 years of age.Main outcome measuresMotor and cognitive outcomes were evaluated using the Movement Assessment Battery for Children - Second Edition (Movement ABC-2) and the Wechsler Intelligence Scale for Children - Fourth Edition, respectively, and HRQoL using the 17-Dimensional Illustrated Questionnaire (17D). The Touwen neurological examination was performed to exclude other neurological conditions affecting the motor outcome.ResultsEighteen children born very preterm (17 boys) (11.3%) had DCD, defined as Movement ABC-2 total test score ≤5th percentile. A positive correlation between motor and cognitive outcome (r=0.22, p=0.006) was found. Children born very preterm with DCD had lower cognitive scores than those without DCD (Full-Scale IQ mean 76.8 vs 91.6, p=0.001). Moreover, children born very preterm with DCD reported lower HRQoL than children born very preterm without motor impairment (17D mean 0.93 vs 0.96, p=0.03). However, HRQoL was higher in this group of children born very preterm compared with population-based normative test results (p<0.001).ConclusionsDCD was still common at 11 years of age in children born very preterm in 2000s. DCD associated with adverse cognitive development and lower self-experienced HRQoL. However, this group of children born very preterm reported better HRQoL in comparison with Finnish norms.

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“…Gestational age (GA) is associated to cognitive development in such a way that the lower the GA, the worse the cognitive performance of preschool and school age PT children [4][5][6]. Differences between full-term and preterm children are particularly high between extremely preterm (EPT) or very preterm (VPT) and full-term (FT) children [3,[7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23]. There is no unanimity, however, among the studies carried out with EPT or VPT children, and heterogeneity of effect size across studies is important [21].…”

Section: Introductionmentioning

confidence: 99%

A Follow-Up Study of Cognitive Development in Low Risk Preterm Children

Pereira

Fernández

Taibo

et al. 2020

IJERPH

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The results of a longitudinal study on the cognitive development of one group of full-term and three groups of low risk preterm children with different gestational ages (GA) are presented. The 181 participants were divided into four GA groups of similar size. The aims were: 1) To check if there are differences in cognitive development (measured through the Batelle scale) among the GA groups. 2) To establish the predictive factors of cognitive development at 22 and 60 months of age, taking into account biomedical, environmental and individual factors. The results of the repeated measures ANOVA performed at 22 and 60 months of age indicated that the cognitive trajectories of the four GA groups were similar. Linear regression analyses showed that the effect of the different predictors changed in relation to the time of measurement of cognitive development. Biological factors and the quality of home environment had a moderate effect on the cognitive development at 22 months of age. Cognitive results obtained at 22 months of age, and, to a lesser extent, working memory had the greatest effect on cognitive development at 60 months. GA does not predict cognitive development. Preterm children do not show cognitive delay if they are healthy.

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Factors affecting the cognitive profile of 11-year-old children born very preterm

Cited by 21 publications

References 41 publications

School performance is age appropriate with support services in very preterm children at 11 years of age

School performance is age appropriate with support services in very preterm children at 11 years of age

Preterm children’s developmental coordination disorder, cognition and quality of life: a prospective cohort study

A Follow-Up Study of Cognitive Development in Low Risk Preterm Children

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