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[Intelligence level and structure in school age children with fetal growth restriction]
Jian Ma1, Hong-Wei Ma, Xiao-Bo Tian
1Department of Pediatrics, Shengjing Hospital, China Medical University, Shenyang 110004, China.
Insights
Children with fetal growth restriction (FGR) have normal overall intelligence but show structural imbalances. Performance IQ and specific cognitive functions are lower, suggesting right hemisphere involvement.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Context:
- Fetal growth restriction (FGR) impacts neurodevelopment.
- Understanding cognitive profiles in FGR is crucial for early intervention.
Purpose:
- To assess intelligence level and structure in school-aged children with FGR.
- To identify specific cognitive deficits in FGR.
Summary:
- Intelligence levels were evaluated using the Wechsler Children Scales of Intelligence (C-WISC) in 54 FGR children and 84 controls.
- FGR children exhibited normal full-scale IQ but significantly lower performance IQ, particularly in picture arrangement and decipher subtests.
- Cognitive deficits were noted in perception/organization and memory/attention factors compared to controls.
Impact:
- Findings indicate normal overall intelligence in FGR children but highlight significant imbalances in cognitive structure.
- Deficits in performance abilities linked to the right cerebral hemisphere suggest targeted interventions.
- Early performance training from infancy is recommended for children with FGR to address cognitive disparities.
Objective:
To study the intelligence level and structure in school age children with fetal growth restriction (FGR).
Methods:
The intelligence levels were tested by the Wechsler Children Scales of Intelligence (C-WISC) in 54 children with FGR and in 84 normal children.
Results:
The full intelligence quotient (FIQ), verbal IQ (VIQ) and performance IQ (PIQ) in the FGR group were 105.9+/-10.3, 112.4+/-11.2 and 97.1+/-10.6 respectively, and they all were in a normal range. But the PIQ was significantly lower than that in the control group (104.8+/-10.5; p<0.001), and the picture arrangement and the decipher subtest scores were significantly lower than those in the control group (p<0.01). The scores of perception/organization and memory/attention factors in the FGR group were 99.8+/-11.1 and 116.3+/-14.4, respectively, which were inferior to those in the control group (104.6+/-11.5 and 113.4+/-14.5 respectively; p<0.05).
Conclusions:
The total intelligence level of children with FGR is normal, but there are imbalances in the intelligence structure and dysfunctions in performance ability related to right cerebral hemisphere. Performance trainings should be done from the infancy in children with FGR.
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