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Influence of body mobility on attention networks in school-aged prematurely born children: A controlled trial
Joëlle Rosenbaum1, Hadrien Ceyte1,2, Isabelle Hamon1,3
1Développement, Adaptation et Handicap Laboratory (DevAH), Université de Lorraine, Nancy, France.
Insights
School-aged children born prematurely (PC) struggle with attention when standing still, unlike term-born children (TC). This suggests postural control challenges impact executive functions in PC children.
Area of Science:
- Developmental neuroscience
- Cognitive psychology
- Pediatric neurology
Background:
- School-aged prematurely born children (PC) exhibit higher risks of academic difficulties, often linked to attention deficits.
- Children's attentional performance may be modulated by body posture and spontaneous movements.
- Understanding these influences is crucial for developing targeted interventions for PC children.
Purpose of the Study:
- To investigate the impact of varying body mobility conditions on attention functions in school-aged PC versus term-born children (TC).
- Specifically, to assess alertness, orienting, and executive control under imposed fixed postures (sitting, standing) and a free-to-move condition.
Main Methods:
- Twenty-one PC and 21 TC children participated in the study (ClinicalTrials.gov - NCT03125447).
- Children performed the Attention Network Test for Children (ANT-C) in three distinct body mobility conditions.
- Median reaction times were analyzed to calculate performance in alertness, orienting, and executive control across conditions.
Main Results:
- Prematurely born children (PC) showed significantly slower responses during executive tasks in a standing-still posture compared to a sitting-still posture when distracting information was present.
- Term-born children (TC) did not exhibit this difference in response times between postures.
- No significant differences in alertness or orienting were found between PC and TC children across any body mobility condition.
Conclusions:
- The findings suggest that PC children expend more executive resources to maintain a stable standing posture, which consequently impairs their performance on executive tasks.
- These results may indicate less developed postural control and motor inhibition in prematurely born children.
- Further research into motor-cognitive interactions is warranted for this population.
Abstract:
School-aged prematurely born children (PC) have a higher risk of academic difficulties, which may be partly explained by attention difficulties. It has been suggested that children's attentional performance might be influenced by their body posture and spontaneous body motion. The aim of this study (ClinicalTrials.gov - NCT03125447) was to test the influence of three body mobility conditions on the three functions of attention (alertness, orienting, and executive control) among school-aged PC vs. term-born children (TC). Notably, 21 PC and 21 TC performed the Attention Network Test for Children in three body mobility conditions, namely, sitting and standing imposed fixed postures and a free-to-move condition. The children's median reaction times were compared between trials (1) with and without alerting cues, (2) with valid and invalid orienting cues, and (3) with and without distracting information, to calculate the performance of alertness, orienting, and executive control, respectively. Results showed that with distracting information, PC exhibited significantly slower responses in the standing-still posture than in the sitting-still posture (1,077 ± 240 vs. 1,175 ± 273 ms, p < 0.05), but not TC. No difference was observed with the free-to-move condition. PC and TC did not significantly differ in alertness or orienting, regardless of body mobility condition. These data suggest that PC must use executive resources to stand still and maintain position, which impairs their performance during executive tasks. We speculate that these results may be related to less developed postural control and motor inhibition in PC.

