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与自然受孕出生的青少年相比,体外受精出生的青少年的信息处理、注意力和视动功能。

Information processing, attention and visual-motor function of adolescents born after in vitro fertilization compared with spontaneous conception.

作者信息

Wagenaar K, van Weissenbruch M M, Knol D L, Cohen-Kettenis P T, Delemarre-van de Waal H A, Huisman J

机构信息

Department of Medical Psychology, VU University Medical Center, PO Box 7057, 1007 MB Amsterdam, The Netherlands.

出版信息

Hum Reprod. 2009 Apr;24(4):913-21. doi: 10.1093/humrep/den455. Epub 2008 Dec 17.

Abstract

BACKGROUND

Adverse conditions during prenatal life are associated with changes in physical and mental functioning in later life, as shown in children born preterm or small for gestational age. While recently in IVF children cardiometabolic differences have been demonstrated, there might also be risks for disturbance in cognitive functions. Therefore, this study examined information processing, attention and visual-motor function in pubertal IVF children compared with spontaneously conceived controls from subfertile parents. Results of these cognitive functions were then related to cardiometabolic measures to explore whether both can be explained by changes in fetal programming due to IVF.

METHODS

A total of 139 IVF and 143 control adolescents underwent various neuropsychological tests to measure information processing, attention and visual-motor function. The results were then related to data on blood pressure and glucose levels previously obtained from the same groups.

RESULTS

No differences between IVF and control adolescents were found in the various test results for information processing and attention. A slight difference was found between the groups for motor speed, but these scores were within the normal range for the test. No direct relation was found between cognitive measures and cardiometabolic outcome.

CONCLUSIONS

Comparison of IVF adolescents and controls revealed no disturbances in information processing, attention and visual-motor function. In addition, these cognitive functions were not directly related to cardiometabolic outcome. Therefore, these results do not support the hypothesis that cognition is influenced by IVF conception or an altered programming of metabolic systems due to IVF, and indicate that cognitive abilities in IVF children, as measured by the tasks assessed, appear to develop normally.

摘要

背景

产前不良状况与日后身体和心理功能的变化有关,这在早产或小于胎龄儿中有所体现。虽然最近已证实体外受精(IVF)出生的儿童存在心脏代谢差异,但认知功能紊乱可能也存在风险。因此,本研究比较了青春期IVF儿童与来自不育父母的自然受孕对照儿童的信息处理、注意力和视运动功能。然后将这些认知功能的结果与心脏代谢指标相关联,以探讨两者是否都可由IVF导致的胎儿编程变化来解释。

方法

总共139名IVF青少年和143名对照青少年接受了各种神经心理学测试,以测量信息处理、注意力和视运动功能。然后将结果与之前从同一组中获得的血压和血糖水平数据相关联。

结果

在信息处理和注意力的各项测试结果中,未发现IVF青少年与对照青少年之间存在差异。两组在运动速度方面存在轻微差异,但这些分数在测试的正常范围内。未发现认知指标与心脏代谢结果之间存在直接关联。

结论

对IVF青少年和对照青少年的比较显示,在信息处理、注意力和视运动功能方面没有紊乱。此外,这些认知功能与心脏代谢结果没有直接关系。因此,这些结果不支持认知受IVF受孕或IVF导致的代谢系统编程改变影响这一假设,并表明通过所评估任务测量的IVF儿童的认知能力似乎发育正常。

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