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Published on: December 26, 2013
Gender distinctive impacts of prematurity and small for gestational age (SGA) on age-6 attention problems
James Hall1,2, Julia Jaekel1,3, Dieter Wolke1,4
1Department of Psychology, University of Warwick, UK.
Insights
Predictors of attention problems are clarified: prematurity and small for gestational age (SGA) increase risk. These factors impact boys and girls differently, influencing attention development through distinct pathways.
Area of Science:
- Developmental Psychology
- Pediatrics
- Neuroscience
Background:
- Predictors of attention problems require further clarification.
- Distinguishing between prematurity and small for gestational age (SGA) is crucial for understanding attention deficits.
Purpose of the Study:
- To investigate the distinct roles of prematurity and SGA in predicting attention problems in children.
- To explore gender differences in the pathways leading to attention problems.
- To examine indirect perinatal effects on attention at age 6.
Main Methods:
- A longitudinal study of 1437 children from birth to 6 years of age.
- Analysis of gender differences and indirect perinatal effects (head circumference, cognition at 20 months) on attention problems at age 6.
Main Results:
- Increased risk for attention problems was observed in boys, preterm infants, and SGA children.
- Indirect perinatal effects on attention problems varied between genders.
- SGA was associated with reduced brain volume, while prematurity was linked to altered brain function.
Conclusions:
- The pathways to attention problems differ for SGA and preterm children.
- Prematurity and cognitive dysfunction are stronger predictors of attention problems in females.
- Understanding these distinct pathways is vital for targeted interventions.
Background:
Predictors of attention problems remain uncertain. Here we distinguish prematurity from small (birth weight) for gestational age (SGA).
Method:
A total of 1437 children were studied between 0 and 6 years. Gender differences and indirect perinatal effects (via 20-month head circumference and cognition) were considered for age 6 attention problems.
Results:
Boys, preterms, and SGA children were all at increased risk for attention problems. Indirect perinatal effects differed between boys and girls.
Conclusions:
The routes leading to attention problems seem to differ for SGA and preterm children. SGA appears to reduce brain volume while prematurity alters brain function. Although less frequent, female attention problems are more strongly predicted by prematurity and cognitive dysfunction.
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