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Motor skills as early indicators for cognitive development in preterm infants with very low birth weight
Yen Ting Chen1, Sot-Fu Lei2, Chia-Hua Tang2
1Department of Pediatrics, MacKay Children's Hospital, Taipei, Taiwan.
Insights
Motor development in preterm infants is a key predictor of later cognitive function. Early motor assessments at six months can guide timely interventions for very low birth weight babies.
Area of Science:
- Neuroscience
- Developmental Pediatrics
- Neonatology
Background:
- Very low birth weight (VLBW) preterm infants exhibit poorer long-term neurodevelopmental outcomes compared to full-term infants.
- Identifying early predictors of cognitive development is crucial for timely intervention strategies in VLBW populations.
Purpose of the Study:
- To identify early neurodevelopmental factors that predict future cognitive outcomes in VLBW preterm infants.
- To establish indicators for early intervention programs aimed at improving neurodevelopmental trajectories.
Main Methods:
- A longitudinal cohort study of 146 VLBW infants (birth weight <1500 g) assessed from 2011-2020.
- Neurodevelopmental assessments using Bayley-III and Wechsler scales at 6, 12, 24, and 60 months.
- Correlation and regression analyses explored relationships between early development, neonatal factors, and 5-year cognitive outcomes (Full-Scale Intelligence Quotient - FSIQ).
Main Results:
- Motor outcome at 6 months was the earliest significant predictor of 5-year cognitive development (p < 0.01, r = 0.242).
- The correlation between motor and cognitive function strengthened with age (12 months: p < 0.001, r = 0.409; 24 months: p < 0.001, r = 0.472).
- Neonatal complications and 6-month Bayley motor scores predicted 26% of the variance in 5-year FSIQ.
Conclusions:
- Motor function is the earliest and most persistent predictor of cognitive outcomes in VLBW infants.
- Prioritizing motor development interventions from as early as six months of age is recommended.
- Early motor assessments can significantly advance the timing and effectiveness of intervention programs for VLBW children.
Background:
Preterm babies born with very low birth weight (VLBW, birth weight <1500 g) have inferior long-term neurodevelopmental outcomes to term babies. This study aimed to identify early predictive neurodevelopmental factors for future cognitive outcomes that could serve as indicators for early intervention strategies.
Methods:
This longitudinal cohort study enrolled 146 VLBW preterm infants, identified between 2011 and 2020. Each child underwent four neurodevelopmental assessments (at ages 6,12, 24, and 60 months) using the Bayley-III and Wechsler Preschool and Primary Scale of Intelligence-IV examinations. Correlation and linear regression analyses were performed to determine the correlation between early neurodevelopmental status and late cognitive outcomes. We concurrently considered neonatal medical complications and socioeconomic variables as risk factors to develop a prediction model of cognitive outcomes at five years old.
Results:
A total of 146 VLBW children, born with a mean weight of 1090.4 ± 229.6 g and a mean gestational age of 28.2 ± 2.0 weeks, were evaluated. At 6 months of age, motor outcome was the only factor that exhibited a significant correlation with cognitive development at 5 years of age (p < 0.01, r = 0.242). The strength of the correlation between motor and cognitive function increased with age, reaching greater significance at 12 and 24 months (p < 0.001, r = 0.409 and 0.472, respectively). The linear regression model demonstrated that neonatal medical conditions and Bayley motor score at six months old predicted 26% of the variance in the Full-Scale Intelligence Quotient (FSIQ) at five years old.
Conclusion:
The results of the present study show that motor function was the earliest and persistent predictor of FSIQ. This underscores the importance of prioritizing motor development in interventions as early as six months of age, which could substantially advance the timing of early intervention programs.
