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胎龄和出生体重对健康 9 岁儿童脑容量的影响。

Effects of gestational age and birth weight on brain volumes in healthy 9 year-old children.

机构信息

Department of Biological Psychology, VU University Amsterdam, Amsterdam, the Netherlands; Rudolf Magnus Institute of Neuroscience, Department of Psychiatry, University Medical Center Utrecht, Utrecht, the Netherlands.

Rudolf Magnus Institute of Neuroscience, Department of Psychiatry, University Medical Center Utrecht, Utrecht, the Netherlands.

出版信息

J Pediatr. 2010 Jun;156(6):896-901. doi: 10.1016/j.jpeds.2009.12.052. Epub 2010 Mar 15.


DOI:10.1016/j.jpeds.2009.12.052
PMID:20227719
Abstract

OBJECTIVE: To assess the effects of gestational age and birth weight on brain volumes in a population-based sample of normal developing children at the age of 9 years. STUDY DESIGN: A total of 192 children from twin births were included in the analyses. Data on gestational age and birth weight were reported shortly after birth. Total brain, cerebellum, cerebrum, gray and white matter, and lateral ventricle volumes were assessed with structural magnetic resonance imaging. The Wechsler Intelligence Scale for Children-III was administered to assess general cognitive abilities. Structural equation modeling was used to analyze the effects of gestational age and birth weight on brain volumes. RESULTS: Shorter gestational age was associated with a relatively smaller cerebellar volume (P = .002). This effect was independent of IQ scores. Lower birth weight was associated with lower IQ score (P = .03). Birth weight was not associated with brain volumes. CONCLUSION: The effect of gestational age on cerebellar volume is not limited to children with very premature birth or very low birth weight, but is also present in children born >32 weeks of gestation and with birth weight >1500 g.

摘要

目的:在一项基于人群的正常发育儿童样本中,评估胎龄和出生体重对 9 岁儿童脑容量的影响。

研究设计:本研究共纳入 192 名双胎出生的儿童。胎龄和出生体重数据在出生后不久报告。采用结构磁共振成像评估总脑、小脑、大脑、灰质和白质以及侧脑室容积。采用韦氏儿童智力量表-III 评估一般认知能力。采用结构方程模型分析胎龄和出生体重对脑容量的影响。

结果:胎龄较短与小脑体积相对较小相关(P =.002)。这种影响独立于智商评分。较低的出生体重与较低的智商评分相关(P =.03)。出生体重与脑容量无关。

结论:胎龄对小脑体积的影响不仅局限于极早产或极低出生体重的儿童,也存在于胎龄 >32 周和出生体重 >1500 g 的儿童中。

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Effects of gestational age and birth weight on brain volumes in healthy 9 year-old children.

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