Cognitive development in children with chronic protein energy malnutrition

Bhoomika R Kar1, Shobini L Rao, B A Chandramouli

  • 1Centre for Behavioural and Cognitive Sciences, Psychology Building, University of Allahabad, Allahabad, 211001, U,P,, India. bhoomika2000@yahoo.com.

Insights

Chronic protein energy malnutrition (PEM) in children impairs cognitive development, slowing age-related improvements in higher cognitive functions like memory and attention. This can lead to lasting cognitive deficits.

Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Pediatrics

Background:

  • Malnutrition, particularly protein-energy malnutrition (PEM), is linked to brain pathology and cognitive deficits in children.
  • Chronic PEM leading to stunting may impede the development of higher cognitive processes in children over 5 years old.

Purpose of the Study:

  • To investigate the impact of stunted growth on the developmental trajectory of cognitive processes in children.
  • To assess cognitive functions in malnourished versus adequately nourished children using neuropsychological measures.

Main Methods:

  • Examined 20 malnourished and 20 adequately nourished children aged 5-10 years.
  • Utilized the NIMHANS neuropsychological battery to assess motor speed, attention, visuospatial ability, executive functions, comprehension, learning, and memory.

Main Results:

  • Malnourished children showed poorer performance in attention, working memory, learning, memory, and visuospatial ability compared to nourished peers.
  • Age-related cognitive improvement was absent in malnourished children for design fluency, working memory, visual construction, and learning/memory.
  • Despite deficits, malnourished children showed age-related gains in attention, visual perception, and verbal comprehension.

Conclusions:

  • Chronic stunting from PEM selectively affects higher cognitive process development, rather than causing generalized impairment.
  • Stunting can decelerate age-related cognitive improvements and potentially lead to long-term cognitive deficits in children.
Abstract

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