Neurodevelopmental pathways to preterm children's specific and general mathematic abilities

Neurodevelopmental pathways to preterm children's specific and general mathematic abilities
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DOI:
10.1016/j.earlhumdev.2014.07.015
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发表时间:
2014-10-01
影响因子:
2.5
通讯作者:
Wolke, Dieter
Wolke, Dieter
中科院分区:
医学4区
文献类型:
--
作者:
Jaekel, Julia;Bartmann, Peter;Wolke, Dieter

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背景资料:早产儿有问题的数学,但知识的预测,具体的数学能力在早产populations.Aims:本研究探讨了神经发育途径,儿童的一般和具体的数学能力在整个胎龄范围研究设计:前瞻性的地理定义的纵向调查在德国受试者:947名儿童在整个胎龄范围(23-41周)。结果测量。在8年,儿童的认知和数学能力进行了测量和残差的回归预测的数学成绩智商被用来确定具体的数学ability.Results:神经发育级联模型显示,早产对数学能力的不良影响是由新生儿的风险介导的。具体的数学能力是唯一的预测住院和ventilation.Conclusions的持续时间:延长新生儿的医疗,特别是机械通气可能会导致特定的损害数学任务。这些发现对新生儿呼吸支持模式、常规随访和干预计划以及早产后脑重组的研究具有重要意义。(C)由Elsevier爱尔兰Ltd.出版
Background: Preterm children have problems with mathematics but knowledge about the predictors of specific mathematic abilities in preterm populations is scarce.Aims: This study investigated neurodevelopmental pathways to children's general and specific mathematic abilities across the full gestational age range.Study design: Prospective geographically defined longitudinal investigation in Germany.Subjects: 947 children across the full gestational age range (23-41 weeks). Outcome measures. At 8 years, children's cognitive and mathematic abilities were measured and residuals of a regression predicting mathematic scores by IQ were used to identify specific mathematic abilities.Results: Neurodevelopmental cascade models revealed that adverse effects of preterm birth on mathematic abilities were mediated by neonatal risk. Specific mathematic abilities were uniquely predicted by the duration of hospitalization and ventilation.Conclusions: Prolonged neonatal medical treatment and, in particular, mechanical ventilation may lead to specific impairments in mathematic tasks. These findings have implications for the mode of respiratory support in neonates, routine follow-up and intervention planning as well as research about brain reorganization after preterm birth. (C) 2014 Published by Elsevier Ireland Ltd.