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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Perinatal influences on academic achievement and the developing brain: a scoping systematic review
Deborah Schneider1,2, Florence Bouhali3, Caroline G Richter4
1Department of Psychological Sciences, University of Connecticut, Storrs, CT, United States.
Insights
Neuroimaging reveals how prematurity and prenatal alcohol exposure impact brain development and academic achievement. Early life factors significantly influence cognitive skills and learning outcomes in children.
Area of Science:
- Neuroscience
- Developmental Psychology
- Educational Psychology
Background:
- Developmental programming and neurodevelopment are critical for academic achievement.
- Understanding the impact of early life factors like prematurity and prenatal exposures is essential for identifying at-risk children.
Purpose of the Study:
- To systematically review and synthesize research on neuroimaging and achievement assessments.
- To examine the relationships between developmental programming, neurodevelopment, and academic achievement in reading and mathematics.
Main Methods:
- PRISMA-compliant systematic review of 47 studies.
- Inclusion of studies using neuroimaging (e.g., MRI) and academic assessments.
- Focus on research examining prematurity and prenatal alcohol exposure.
Main Results:
- Prematurity and prenatal alcohol exposure are linked to altered neurodevelopmental processes.
- White matter integrity and volume are consistently associated with cognitive and academic performance.
- Neuroimaging revealed differences in brain activation and structure in affected children, impacting executive functioning, attention, and academic skills.
Conclusions:
- Prematurity and prenatal alcohol exposure significantly affect neurodevelopment and academic achievement.
- Neuroimaging provides valuable insights into the mechanisms underlying these effects.
- Further research is recommended to address limitations and refine interventions.
Introduction And Methods:
In this PRISMA-compliant systematic review, we identify and synthesize the findings of research in which neuroimaging and assessments of achievement have been used to examine the relationships among aspects of developmental programming, neurodevelopment, and achievement in reading and mathematics.
Results:
Forty-seven studies met inclusion criteria. The majority examined the impact of prematurity (n = 32) and prenatal alcohol exposure (n = 13). Several prematurity studies reported a positive correlation between white-matter integrity of callosal fibers and executive functioning and/or achievement, and white matter properties were consistently associated with cognitive and academic performance in preterm and full-term children. Volumetric studies reported positive associations between academic and cognitive abilities and white and gray matter volume in regions such as the insula, putamen, and prefrontal lobes. Functional MRI studies demonstrated increased right-hemispheric language processing among preterm children. Altered activation of the frontoparietal network related to numerical abilities was also reported. Prenatal alcohol exposure studies reported alterations in white matter microstructure linked to deficits in cognitive functioning and academic achievement, including mathematics, reading, and vocabulary skills. Volumetric studies reported reductions in cerebral, cerebellar, and subcortical gray matter volumes associated with decreased scores on measures of executive functioning, attention, working memory, and academic performance. Functional MRI studies demonstrated broad, diffuse activation, reduced activation in canonical regions, and increased activation in non-canonical regions during numeric tasks.
Discussion:
A preponderance of studies linked prematurity and prenatal alcohol exposure to altered neurodevelopmental processes and suboptimal academic achievement. Limitations and recommendations for future research are discussed.
Systematic Review Registration:
Identifier: DOI 10.17605/OSF.IO/ZAN67.
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