Language development in preschool children born after asymmetrical intrauterine growth retardation
Andrea Simić Klarić1, Zdravko Kolundžić, Slavka Galić
1General County Hospital, Požega, Osječka 106, Croatia. andrea.simic-klaric@po.t-com.hr
Insights
Children with intrauterine growth retardation (IUGR) show impaired language development. Slow postnatal head growth and neonatal complications are linked to poorer language outcomes in preschool years.
Area of Science:
- Developmental psychology
- Pediatric neurology
- Speech and language pathology
Background:
- Intrauterine growth retardation (IUGR) can lead to subtle neurodevelopmental issues, particularly affecting motor skills, language, speech, and cognition.
- Preschool children born with asymmetrical IUGR are at risk for developmental challenges.
Purpose of the Study:
- To assess language development in preschool children with asymmetrical intrauterine growth retardation (IUGR).
- To investigate the impact of postnatal head growth on the language outcomes of children with IUGR.
Main Methods:
- Study included 50 preschool children born with IUGR (birth weight <10th percentile) and 50 matched controls.
- Language development assessed using Reynell Developmental Language Scale, Naming test, and Mottier test.
- Analyzed correlations between relative head growth and language outcomes, considering neonatal complications.
Main Results:
- Children with IUGR exhibited significant deficits in language comprehension, expressive language, naming, and non-word repetition compared to controls.
- Positive correlations were observed between relative head growth and language outcomes.
- Neonatal complications were associated with lower language comprehension and expressive language scores.
Conclusions:
- Intrauterine growth retardation (IUGR) negatively impacts preschool language development.
- Slower postnatal head growth correlates with poorer language outcomes in children with IUGR.
- Neonatal complications further exacerbate language deficits in this population.
Background:
After intrauterine growth retardation, many minor neurodevelopmental disorders may occur, especially in the motor skills domain, language and speech development, and cognitive functions.
Aim:
The assessment of language development and impact of postnatal head growth in preschool children born with asymmetrical intrauterine growth retardation.
Methods:
Examinees were born at term with birth weight below the 10th percentile for gestational age, parity and gender. Mean age at the time of study was six years and four months. The control group was matched according to chronological and gestational age, gender and maternal education with mean age six years and five months. There were 50 children with intrauterine growth retardation and 50 controls, 28 girls and 22 boys in each group. For the assessment of language development Reynell Developmental Language Scale, the Naming test and Mottier test were performed.
Results:
There were statistically significant differences (p < 0.05) in language comprehension, total expressive language (vocabulary, structure, content), naming skills and non-words repetition. Statistically significant positive correlations were found between relative growth of the head [(Actual head circumference - head circumference at birth)/(Body weight - birth weight)] and language outcome. Children with neonatal complications had lower results (p < 0.05) in language comprehension and total expressive language.
Conclusion:
Intrauterine growth retardation has a negative impact on language development which is evident in preschool years. Slow postnatal head growth is correlated with poorer language outcome. Neonatal complications were negatively correlated with language comprehension and total expressive language.
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