Small-for-Gestational-Age and Vocabulary and Achievement Test Scores at Age 9 Among Children Born at Term in a

Nancy E Reichman1,2,3, Hope Corman4,5, Kelly Noonan6

  • 1Division of Population Health, Quality, and Implementation Science, Department of Pediatrics, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ, USA. reichmne@rwjms.rutgers.edu.

PubMed

Insights

Children born small-for-gestational-age (SGA) at term may face cognitive challenges. Early interventions are recommended for these children to improve school performance.

Area of Science:

  • Pediatric Health
  • Developmental Psychology
  • Public Health

Background:

  • Children born small-for-gestational-age (SGA) exhibit increased risk for cognitive impairment, even at term gestation.
  • This study investigates the link between sex-specific SGA and cognitive outcomes in 9-year-old children.

Purpose of the Study:

  • To examine the association between small-for-gestational-age (SGA) status and cognitive test performance in term-born children.
  • To provide evidence from a contemporary, high-risk US population sample.

Main Methods:

  • Secondary data analysis of 2144 term-born children from a US birth cohort study (1998-2000).
  • Oversampling of non-marital births to include socioeconomically disadvantaged and minority populations.
  • Vocabulary and achievement tests administered at age 9; regression models used to assess SGA associations.

Main Results:

  • Sex-specific SGA was linked to 2-5 point lower test scores and increased odds of scores below 85 (more than 1 SD below the mean).
  • Adjusted models showed SGA associated with lower scores on Woodcock-Johnson Applied Problems (OR 2.257) and Passage Comprehension (OR 1.554) tests.

Conclusions:

  • Findings confirm previous research on SGA and cognitive outcomes in term-born children.
  • This study adds evidence from a contemporary, high-risk US population.
  • Recommends early intervention for term-born SGA children to enhance cognitive function in school.
Abstract

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