Structural network topology and cognitive control in very preterm born young adults
Merle J Marek1, Dieter Wolke2, Christian Sorg3
1Psychological Methods and Statistics, Department of Psychology, Carl von Ossietzky Universität Oldenburg, Germany.
Insights
Individuals born very preterm (<32 weeks gestation) show lasting deficits in cognitive control and reduced brain network integration into adulthood. These findings highlight the need for continued support for very preterm individuals.
Area of Science:
- Neuroscience
- Developmental Psychology
- Medical Imaging
Background:
- Very preterm (VPT) birth (<32 weeks gestation) poses risks for long-term neurodevelopmental outcomes.
- Cognitive control and brain network topology are crucial for adaptive functioning.
- Longitudinal studies are essential to understand the lasting impacts of VPT birth.
Purpose of the Study:
- To investigate the long-term effects of VPT birth on cognitive control and structural brain network topology at 26 years of age.
- To examine brain-behavior associations between cognitive control and brain network characteristics in VPT and full-term (FT) individuals.
- To identify potential targets for intervention to mitigate neurodevelopmental impacts of preterm birth.
Main Methods:
- Utilized data from the Bavarian Longitudinal Study (BLS) including 61 VPT and 79 FT individuals.
- Assessed cognitive control using multi-group confirmatory factor analysis.
- Analyzed structural brain network topology via diffusion-weighted MRI, tractography, and graph-theoretic analysis.
Main Results:
- Full-term individuals scored significantly higher in cognitive control speed compared to the very preterm group (0.742 SD difference, p=0.001).
- The very preterm group exhibited reduced structural network integration, evidenced by lower global efficiency and average degree.
- No significant group differences were found in network segregation (clustering coefficient).
Conclusions:
- Very preterm birth is associated with persistent cognitive control deficits and impaired structural brain network integration in adulthood.
- Structural brain network characteristics were not significantly linked to cognitive control abilities in this cohort.
- Findings emphasize the necessity of ongoing support and interventions for individuals born very preterm to address lasting neurodevelopmental consequences.
Abstract:
This study investigates the long-term effects of very preterm (VPT) birth (<32 weeks of gestation) on cognitive control and structural brain network topology. Data were obtained from 61 very VPT and 79 full term (FT) individuals aged 26 years, who participated in the prospective Bavarian Longitudinal Study since birth (BLS, https://www.bayerische-entwicklungsstudie.de). Cognitive control ability was estimated through a multi-group confirmatory factor analysis, while the structural topology of the cognitive control brain network was analysed through diffusion-weighted magnetic resonance imaging, tractography, and graph-theoretic analysis. Brain-behaviour associations were further examined using structural equation modelling. Consistent with expectations, we observed significant group differences in cognitive control, especially in a latent speed of cognitive control factor, with FT individuals scoring 0.742 standard deviations higher than the VPT group (p = 0.001). This was statistically confirmed by a model comparison in the multi-group framework. Additionally, the VPT group exhibited lower structural network integration, as indicated by reduced global efficiency and average degree of the cognitive control brain network. Contrary to our hypothesis, we found no group differences in network segregation (average clustering coefficient), and structural network characteristics were not significantly associated with latent cognitive control. These findings indicate cognitive control deficits and reduced structural brain network integration in adulthood for VPT individuals and underscores the need for ongoing support and intervention to mitigate the lasting neurodevelopmental impacts of preterm birth.
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