出生体重和胎龄会影响正常 6 岁男童纹状体的形态和运动反应。
Birth weight and gestation influence striatal morphology and motor response in normal six-year-old boys.
机构信息
Division of Bioengineering, National University of Singapore, Singapore, Singapore.
出版信息
Neuroimage. 2012 Jan 16;59(2):1065-70. doi: 10.1016/j.neuroimage.2011.09.032. Epub 2011 Sep 22.
The relation between fetal growth and attention deficit hyperactivity disorder (ADHD) cuts across the normal range of birth weights suggesting that subtle variations in fetal development may influence brain and cognitive function. We investigated the relation of ADHD-related endophenotypes, such as the striatum morphology, motor response and inhibition, with birth weight and gestational age in healthy children. 157 Six-year-old boys born at term (37 to 41 weeks) within the normal range for birth weight (2500 to 4630 g) underwent magnetic resonance imaging (MRI) and performed the stop signal task. Linear regression was used to examine effects of birth weight, gestational age, and their interaction on striatal volumes and shapes as well as motor response and inhibition. Interactive effects of birth weight and gestational age, even within the normal range, predicted caudate volumes and shapes. Boys with relatively low birth weight and shorter gestation had smaller caudate volumes, reflected by shape contraction in the middle body, and in addition performed worst in motor response, reflected by mean reaction time and its variability. Our results supported the idea that prenatal influences on neurocognitive and brain development are not limited to the extreme range, but occur across the entire population. Variations in brain structure and cognitive endophenotypes associated with childhood ADHD psychopathology are sensitive to subtle prenatal influences, which provides guidance for intervention research to improve mental health of children.
胎儿生长与注意力缺陷多动障碍(ADHD)之间的关系跨越了正常出生体重范围,这表明胎儿发育的细微差异可能会影响大脑和认知功能。我们研究了 ADHD 相关的表型,如纹状体形态、运动反应和抑制,与正常出生体重范围内(2500 至 4630 克)足月出生(37 至 41 周)的健康儿童的出生体重和胎龄之间的关系。157 名 6 岁男孩接受了磁共振成像(MRI)检查,并完成了停止信号任务。线性回归用于检查出生体重、胎龄及其相互作用对纹状体体积和形状以及运动反应和抑制的影响。即使在正常范围内,出生体重和胎龄的交互作用也预测了尾状核体积和形状。出生体重和胎龄相对较低的男孩尾状核体积较小,反映为中部形状收缩,此外,他们的运动反应表现最差,表现为平均反应时间及其变异性。我们的研究结果支持了这样一种观点,即产前对神经认知和大脑发育的影响不仅限于极端范围,而是发生在整个人群中。与儿童 ADHD 病理相关的大脑结构和认知表型的变化对细微的产前影响敏感,这为改善儿童心理健康的干预研究提供了指导。