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Face recognition impairment in small for gestational age and preterm children
T Perez-Roche1, I Altemir2, G Giménez2
1Instituto de Investigación Sanitaria de Aragón (ISS Aragón), Avenida San Juan Bosco 13, 50009 Zaragoza, Spain; Ophthalmology Department, Hospital Universitario Miguel Servet, Paseo Isabel la Católica 1-3, 50009 Zaragoza, Spain.
Insights
Children born small for gestational age have poorer face recognition abilities. This impacts social development, highlighting the need for early assessment in at-risk infants.
Area of Science:
- Developmental Pediatrics
- Neuroscience
- Ophthalmology
Background:
- Premature birth and low birth weight increase risks for visual perceptual impairments.
- Face recognition is crucial for social development but understudied in these infants.
Purpose of the Study:
- To investigate how prematurity and low birth weight affect children's face recognition skills.
Main Methods:
- A prospective cohort study evaluated 77 children, comparing premature and term birth groups.
- Children were assessed for ophthalmologic health and face recognition using the Test of Memory and Learning's Facial Memory subtest.
- Small for gestational age status was defined as birth weight below the 10th centile.
Main Results:
- Premature infants showed worse immediate face recognition than term infants.
- After adjusting for birth weight, prematurity itself was not linked to poorer outcomes.
- Low birth weight children had significantly worse immediate face recognition and face memory compared to appropriate birth weight peers.
Conclusions:
- Being born small for gestational age is a significant risk factor for suboptimal face recognition.
- These deficits occur even in children without major neurodevelopmental issues, emphasizing the importance of monitoring visual-social skills.
Background:
Infants born prematurely or with low birth weight are at increased risk of visual perceptual impairment. Face recognition is a high-order visual ability important for social development, which has been rarely assessed in premature or low birth weight children.
Aims:
To evaluate the influence of prematurity and low birth weight on face recognition skills.
Methods:
Seventy-seven children were evaluated as part of a prospective cohort study. They were divided into premature and term birth cohorts. Children with a birth weight below the 10th centile were considered small for gestational age. All children underwent a full ophthalmologic assessment and evaluation of face recognition skills using the Facial Memory subtest from the Test of Memory and Learning.
Results:
Premature infants scored worse on immediate face recognition compared to term infants. However, after adjusting for birth weight, prematurity was not associated with worse outcomes. Independent of gestational age, outcomes of low birth weight children were worse than those of appropriate birth weight children, for immediate face recognition (odds ratio [OR], 5.14; 95% confidence interval [CI], 1.32-21.74) and for face memory (OR, 4.48; 95% CI, 1.14-16.95).
Conclusions:
Being born small for gestational age is associated with suboptimal face recognition skills, even in children without major neurodevelopmental problems.
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