Early executive function differences in infants born moderate-to-late preterm

Amanda S Hodel1, Kate L Senich1, Claire Jokinen1

  • 1Institute of Child Development, University of Minnesota, 51 East River Road, Minneapolis, MN 55455, USA.

Insights

Infants born moderate-to-late preterm show subtle cognitive differences by 9 months, impacting memory and early executive function skills. Lower gestational age correlates with poorer performance, suggesting long-term developmental implications.

Area of Science:

  • Developmental Neuroscience
  • Cognitive Psychology
  • Neonatal Research

Background:

  • Individuals born very preterm (<32 weeks gestation) exhibit altered prefrontal cortex development and executive function (EF) skills.
  • Moderate-to-late preterm (PT; 32-36 weeks gestation) infants show fewer EF discrepancies, but early cognitive precursors are not well understood.

Purpose of the Study:

  • To investigate whether precursor skills to executive function, including complex attention, memory, and inhibition, are altered in moderate-to-late preterm infants at 9 months corrected age.
  • To determine if subtle cognitive differences emerge in infancy, potentially influencing later executive function development.

Main Methods:

  • Assessed 9-month-old healthy infants born moderate-to-late preterm and full-term peers.
  • Utilized habituation procedures to evaluate memory.
  • Administered early executive function tasks assessing complex attention, memory, and inhibition.

Main Results:

  • Moderate-to-late preterm infants demonstrated poorer memory performance post-habituation compared to full-term infants.
  • Lower gestational age was significantly associated with poorer performance on five out of six early executive function tasks.
  • Despite normal Bayley scores and no group differences in processing speed, subtle cognitive alterations were observed.

Conclusions:

  • Moderate-to-late preterm infants exhibit subtle alterations in cognitive skills, particularly memory and inhibition, by 9 months corrected age.
  • These early cognitive differences, linked to gestational age, may predispose individuals to long-term executive function challenges.
  • Findings highlight the importance of early detection and intervention for cognitive development in preterm infants.

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