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Altered brain function, structure, and developmental trajectory in children born late preterm.

Jane E Brumbaugh1, Amy L Conrad1, Jessica K Lee2

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Summary
This summary is machine-generated.

Late preterm birth (34-36 weeks gestation) is linked to cognitive and behavioral difficulties in children up to age 13. Brain imaging reveals structural differences, suggesting long-term effects beyond infancy.

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Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Pediatrics

Background:

  • Late preterm birth (34-36 weeks gestation) is a common obstetric event.
  • This condition poses potential risks for altered neurodevelopment in children.

Purpose of the Study:

  • To investigate the long-term cognitive, behavioral, and neuroanatomical outcomes in children born late preterm compared to those born full-term.
  • To identify specific differences in brain structure and cognitive function associated with late preterm birth.

Main Methods:

  • An observational cohort study comparing children aged 6-13 years, divided into late preterm (n=52) and full-term (n=74) groups.
  • Cognitive assessments, behavioral evaluations, and magnetic resonance imaging (MRI) of the brain were conducted for all participants.

Main Results:

  • Late preterm children exhibited slower processing speed, poorer visual-spatial perception, and memory deficits.
  • Parents reported increased behavioral difficulties in late preterm children; however, no differences in overall cognitive ability or academic achievement were found.
  • Brain imaging showed reduced total brain tissue and increased cerebrospinal fluid in late preterm children, with specific differences in the cerebrum and thalamus. Full-term children showed age-related decreases in cortical tissue volume and thickness.

Conclusions:

  • Late preterm birth is associated with lasting effects on cognitive function, behavior, and brain structure.
  • These findings highlight the importance of monitoring neurodevelopmental trajectories in children born late preterm.
  • The study suggests that the impact of late preterm birth extends well beyond early childhood.