Inhibition abilities and functional brain connectivity in school-aged term-born and preterm-born children

Vera Disselhoff1,2, Andras Jakab3,4,5, Beatrice Latal2,5,6

  • 1Department of Neonatology and Pediatric Intensive Care, University Children's Hospital Zurich, Zurich, Switzerland.

Pediatric Research
|June 19, 2024
PubMed

Insights

Children born preterm show altered brain connectivity, impacting inhibition. However, resting-state functional connectivity alone doesn't fully explain these inhibition difficulties in preterm-born children.

Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Medical Imaging

Background:

  • Inhibition is crucial for self-regulation, behavior, and academic success.
  • Children born preterm often exhibit impaired inhibition abilities.
  • Resting-state functional brain connectivity's role in post-preterm birth inhibition is under-explored.

Purpose of the Study:

  • To investigate the contribution of resting-state functional brain connectivity (FC) to inhibition in children born preterm.
  • To compare functional brain connectivity networks between preterm and term-born children.
  • To explore associations between functional connectivity networks (FCNs) and inhibition abilities.

Main Methods:

  • Forty-four preterm and 59 term-born children (8-13 years) underwent two inhibition tasks and resting-state functional MRI (rsfMRI).
  • Network-based statistics (NBS) were used to compare FC networks between groups.
  • Multivariate linear regression models examined associations between FCNs and inhibition, considering birth status interactions.

Main Results:

  • Preterm children exhibited weaker FC in motor, supplementary motor, frontal, precuneus, and insula regions compared to term-born peers.
  • Connections involving the cerebellum, frontal, and occipital lobes, as well as long-range connections, positively correlated with inhibition performance, irrespective of birth status.
  • While network-level FC alterations were observed in preterm individuals, they did not specifically account for inhibition deficits.

Conclusions:

  • Preterm birth leads to lasting network-level alterations in functional brain connectivity.
  • These observed functional connectivity network alterations do not solely explain the inhibition problems in children born very preterm.
  • Further research using different imaging techniques may be necessary to fully elucidate the neural mechanisms of inhibition in school-aged children born very preterm.
Abstract