Growth in early infancy drives optimal brain functional connectivity which predicts cognitive flexibility in later
Chiara Bulgarelli1,2, Anna Blasi2, Samantha McCann3,4
1Centre for Brain and Cognitive Development, Birkbeck, University of London, UK.
Insights
Early infant growth significantly impacts brain network development and predicts cognitive flexibility in preschoolers. This highlights the critical need for early interventions in adversity-affected regions.
Area of Science:
- Neuroscience
- Developmental Psychology
- Global Health
Background:
- Functional brain network organization, measured by functional connectivity (FC), is crucial for healthy neurodevelopment.
- Early adversity, such as undernutrition, disrupts neurodevelopment and FC, leading to poorer long-term outcomes.
Purpose of the Study:
- To longitudinally assess the impact of early growth trajectories on developmental FC in a rural Gambian population (5-24 months).
- To examine the relationship between early growth-driven FC trajectories and cognitive flexibility at preschool age (3-5 years).
Main Methods:
- Longitudinal assessment of functional connectivity (FC) from 5 to 24 months of age.
- Assessment of cognitive flexibility at 3-5 years in a rural Gambian cohort.
- Analysis of early physical growth trajectories (before 5 months) and their association with FC development.
Main Results:
- Early physical growth before 5 months was associated with optimal developmental trajectories of functional connectivity (FC).
- These optimal FC trajectories predicted better cognitive flexibility at preschool age.
- The Gambian sample showed decreasing long-range interhemispheric FC with age, differing from other populations.
Conclusions:
- Early infant growth profoundly influences brain development and subsequent cognitive outcomes.
- Disrupted early growth negatively impacts brain network organization and preschool cognitive abilities.
- Interventions targeting early life growth are essential in global settings facing adversity.
Abstract:
Functional brain network organization, measured by functional connectivity (FC), reflects key neurodevelopmental processes for healthy development. Early exposure to adversity, e.g. undernutrition, affects neurodevelopment, observable via disrupted FC, and leads to poorer outcomes from preschool age onward. We assessed longitudinally the impact of early growth trajectories on developmental FC in a rural Gambian population from age 5 to 24 months. To investigate how these early trajectories relate to later childhood outcomes, we assessed cognitive flexibility at 3-5 years. We observed that early physical growth before the fifth month of life drove optimal developmental trajectories of FC that in turn predicted cognitive flexibility at pre-school age. In contrast to previously studied developmental populations, this Gambian sample exhibited long-range interhemispheric FC that decreased with age. Our results highlight the measurable effects that poor growth in early infancy has on brain development and the subsequent impact on pre-school age cognitive development, underscoring the need for early life interventions throughout global settings of adversity.
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