Preterm Birth and Dyscalculia
Preterm Birth and Dyscalculia
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DOI：
10.1016/j.jpeds.2014.01.069
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发表时间：
2014-06-01
影响因子：
5.1
通讯作者：
Wolke, Dieter
中科院分区：
文献类型：
--
作者：
Jaekel, Julia;Wolke, Dieter
目的评估是否早产儿计算障碍的风险增加，降低胎龄（GA），是否小于胎龄儿出生与dyscalculia.Study设计-共922名儿童范围从23至41周的GA进行了研究，作为一个前瞻性的地理定义的纵向调查的一部分，新生儿高危儿童在南德国。在8岁时，儿童的认知和数学能力进行了测量与考夫曼儿童评估电池和标准化的数学测试。计算障碍的诊断进行了评估与离散为基础的残差的线性回归预测儿童的数学成绩的智商和固定的截止分数。我们调查了每个GA组的一般认知功能障碍，一般数学功能障碍，计算障碍的OR值，通过使用二元Logistic regressions.Results一般认知和数学功能障碍的风险增加与较低的GA。相比之下，早产儿没有在统计调整后的儿童性别，家庭社会经济地位，和小于胎龄birth.Conclusion一般的认知和数学障碍的风险增加，较低的GA，但早产儿计算障碍的风险增加。
Objective To evaluate whether the risk for dyscalculia in preterm children increases the lower the gestational age (GA) and whether small-for-gestational age birth is associated with dyscalculia.Study design A total of 922 children ranging from 23 to 41 weeks' GA were studied as part of a prospective geographically defined longitudinal investigation of neonatal at-risk children in South Germany. At 8 years of age, children's cognitive and mathematic abilities were measured with the Kaufman Assessment Battery for Children and with a standardized mathematics test. Dyscalculia diagnoses were evaluated with discrepancy-based residuals of a linear regression predicting children's math scores by IQ and with fixed cut-off scores. We investigated each GA group's ORs for general cognitive impairment, general mathematic impairment, and dyscalculia by using binary logistic regressions.Results The risk for general cognitive and mathematic impairment increased with lower GA. In contrast, preterm children were not at increased risk of dyscalculia after statistically adjusting for child sex, family socioeconomic status, and small-for-gestational age birth.Conclusion The risk of general cognitive and mathematic impairments increases with lower GA but preterm children are not at increased risk of dyscalculia.