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, London, United Kingdom.
Insights
Early infant growth significantly impacts brain network development and predicts cognitive flexibility in preschoolers. This highlights the critical need for early life interventions in adversity-affected regions.
Area of Science:
- Neuroscience
- Developmental Biology
- Global Health
Background:
- Functional brain network organization (functional connectivity/FC) is crucial for healthy neurodevelopment.
- Early life adversity, such as undernutrition, disrupts neurodevelopment and leads to poorer long-term outcomes.
- Understanding the impact of early growth on brain development is vital for identifying effective interventions.
Purpose of the Study:
- To longitudinally assess the impact of early growth trajectories on functional connectivity (FC) development.
- To investigate the relationship between early developmental FC and later cognitive flexibility.
- To examine brain development patterns in a rural Gambian population from infancy to preschool age.
Main Methods:
- Longitudinal assessment of functional connectivity (FC) in infants aged 5-24 months.
- Assessment of cognitive flexibility in children aged 3-5 years.
- Analysis of early physical growth trajectories and their correlation with brain development.
Main Results:
- Early physical growth before 5 months of age was associated with optimal developmental trajectories of functional connectivity (FC).
- Optimal FC development predicted better cognitive flexibility at preschool age.
- The Gambian sample showed age-related decreases in long-range interhemispheric FC, differing from other populations.
Conclusions:
- Poor early infant growth has measurable effects on brain development and subsequent cognitive outcomes.
- Early life interventions targeting growth are crucial for improving brain development and cognitive function in vulnerable populations.
- Findings underscore the need for global early life interventions in settings of adversity.
Abstract:
Functional brain network organisation, measured by functional connectivity (FC), reflects key neurodevelopmental processes for healthy development. Early exposure to adversity, for example undernutrition, affects neurodevelopment, observable via disrupted FC, and leads to poorer outcomes from preschool age onwards. We assessed longitudinally the impact of early growth trajectories on developmental FC in a rural Gambian population from age 5-24 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 possible subsequent impact on pre-school age cognitive development, underscoring the need for early life interventions throughout global settings of adversity.
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