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Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
Published on: June 20, 2020
Cognitive assessment in preterms by Bayley-III: development in the first year and associated factors
Suelen Rosa de Oliveira1, Ana Carolina Cabral de Paula Machado1, Lívia de Castro Magalhães1
1Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brasil.
Insights
Preterm infants show lower cognitive scores but demonstrate significant recovery by 12 months. Early interventions are crucial for improving cognitive development in premature babies.
Area of Science:
- Neonatal development
- Pediatric neurology
Background:
- Preterm birth poses risks to infant cognitive development.
- Understanding cognitive trajectories is vital for early intervention.
Purpose of the Study:
- To assess cognitive development in preterm infants at 6 and 12 months corrected age.
- To explore links between cognitive outcomes and perinatal/socioeconomic factors.
Main Methods:
- Bayley-III scale used to evaluate cognitive development in 40 infants (20 preterm, 20 full-term).
- Spearman correlation and stepwise multiple linear regression analyzed cognitive scores and associated factors.
Main Results:
- Preterm infants had lower Bayley-III cognitive scores at 6 and 12 months compared to full-term infants.
- Birth weight and head circumference correlated with cognitive performance in full-term infants.
- Necrotizing enterocolitis was inversely associated with cognitive score in preterm infants at 12 months.
Conclusions:
- Preterm infants exhibit cognitive recovery capacity within the first year of life.
- Early interventions are essential for optimizing cognitive outcomes in preterm infants.
Objective:
To analyze the cognitive development of preterm infants at six and 12 months of corrected age and the associations with perinatal and socioeconomic factors.
Methods:
Cognitive development of 40 infants (20 preterm and 20 full-term) at six and 12 months of age was evaluated using the Bayley-III scale. Correlations between cognitive outcome and associated factors were assessed using Spearman correlation. Stepwise multiple linear regression analysis with covariance was applied to identify changes on cognitive score between six and 12 months.
Results:
Bayley-III cognitive score in preterm group was significantly lower than in full-term group at both six and 12 months of age. Birth weight correlated with cognitive performance at six months and head circumference at birth at 12 months, in full-terms infants. The occurrence of necrotizing enterocolitis was inversely associated with cognitive score in preterms at 12 months. An increase in cognitive score was observed between six and 12 months in both groups, but the gain was more pronounced in preterms.
Conclusions:
These findings suggest some cognitive recovery capacity in the first year despite the restrictions imposed by premature birth and emphasize the importance of early interventions in this population.
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