Cognitive profile in young adults born preterm at very low birthweight

Gro C C Løhaugen1, Arne Gramstad, Kari Anne I Evensen

  • 1Department of Paediatrics and Rehabilitation, Sørlandet Hospital, Arendal, Norway. gro.c.lohaugen@ntnu.no

Insights

Very low birthweight (VLBW) individuals show lasting cognitive deficits, with over half scoring low on IQ tests. Comprehensive cognitive assessment is crucial for VLBW young adults to ensure appropriate support for academic and career success.

Area of Science:

  • Neuroscience
  • Developmental Pediatrics
  • Cognitive Psychology

Background:

  • Very low birthweight (VLBW; ≤ 1500g) can impact long-term neurodevelopment.
  • Cognitive outcomes in young adulthood for VLBW individuals require comprehensive evaluation.

Purpose of the Study:

  • To assess general cognitive ability at age 19 in individuals born with very low birthweight (VLBW) compared to term-born controls.
  • To identify specific cognitive domains affected by VLBW.

Main Methods:

  • A hospital-based follow-up study included 55 VLBW participants and 81 term-born comparison individuals.
  • Cognitive function was assessed using the Wechsler Adult Intelligence Scale III (WAIS-III) to measure general cognitive ability.

Main Results:

  • Over half (53%) of VLBW participants achieved low IQ scores, significantly more than controls (OR 6.4).
  • VLBW individuals scored lower across full-scale, verbal, and performance IQ measures, and all four WAIS-III indices.
  • Arithmetic and visual-perceptual tasks were particularly challenging for the VLBW group.

Conclusions:

  • Very low birthweight has a global and persistent impact on cognitive ability into young adulthood.
  • Full-scale IQ assessment is vital for identifying learning difficulties in VLBW young adults.
  • Early identification and support are recommended to enhance academic achievement and future employment opportunities for VLBW individuals.
Abstract

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