Reaction times, learning, and executive functioning in adults born preterm

Julia Suikkanen1,2, Satu Miettola3, Kati Heinonen4

  • 1Department of Public Health Solutions, National Institute for Health and Welfare, Helsinki and Oulu, Finland. julia.suikkanen@helsinki.fi.

Pediatric Research
|March 21, 2020
PubMed

Insights

Adults born preterm generally show similar cognitive abilities to full-term peers. However, those born very preterm or small for gestational age (SGA) may experience lasting cognitive challenges into adulthood.

Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Public Health

Background:

  • Preterm birth is a significant risk factor for brain development.
  • Cognitive outcomes in adults born preterm vary depending on gestational age and birth weight.
  • Understanding long-term cognitive function in preterm populations is crucial for targeted interventions.

Purpose of the Study:

  • To compare cognitive functioning in adults born at different ranges of prematurity (early, late) and with varying birth weights (appropriate for gestational age, small for gestational age [SGA]) against full-term controls.
  • To identify specific subgroups of preterm-born individuals who may experience persistent cognitive deficits into adulthood.

Main Methods:

  • Utilized data from the ESTER Preterm Birth Study, including 133 early preterm, 241 late preterm, and 348 full-term participants without severe disabilities.
  • Administered the Cogstate® test battery to assess various cognitive domains including learning, memory, executive function, attention, and emotional cognition.
  • Employed linear regression models, adjusting for prenatal and postnatal factors and socioeconomic status, to analyze cognitive performance differences.

Main Results:

  • Overall, early preterm, late preterm, and full-term participants demonstrated comparable cognitive abilities across most subtests.
  • A notable exception was the Groton Maze Learning Test, where early preterm participants showed weaker spatial memory efficiency (0.6 fewer moves/10s).
  • Late preterm and SGA participants exhibited significantly weaker spatial memory efficiency compared to full-term controls (1.3 fewer moves/10s).

Conclusions:

  • Adults born across the spectrum of prematurity, on average, do not exhibit major cognitive deficits.
  • Cognitive impairments in adulthood appear primarily associated with being born very preterm or preterm with SGA.
  • These findings suggest that while preterm birth poses risks, many individuals can achieve comparable cognitive function to term-born peers, particularly with supportive environments.
Abstract

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