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母亲接受高等教育与早产后脑小脑发育改善有关。

Maternal Postsecondary Education Associated With Improved Cerebellar Growth After Preterm Birth.

作者信息

Stiver Mikaela L, Kamino Daphne, Guo Ting, Thompson Angela, Duerden Emma G, Taylor Margot J, Tam Emily W Y

机构信息

Division of Neurology, Hospital for Sick Children, Toronto, Ontario, Canada Department of Psychology and Collaborative Neuroscience Program, University of Guelph, Guelph, Ontario, Canada.

Division of Neurology, Hospital for Sick Children, Toronto, Ontario, Canada.

出版信息

J Child Neurol. 2015 Oct;30(12):1633-9. doi: 10.1177/0883073815576790. Epub 2015 Mar 27.

Abstract

The preterm cerebellum is vulnerable to impaired development impacting long-term outcome. Preterm newborns (<32 weeks) underwent serial magnetic resonance imaging (MRI) scans. The association between parental education and cerebellar volume at each time point was assessed, adjusting for age at scan. In 26 infants, cerebellar volumes at term (P = .001), but not birth (P = .4), were associated with 2-year volumes. For 1 cm(3) smaller cerebellar volume (4% total volume) at term, the cerebellum was 3.18 cm(3) smaller (3% total volume) by 2 years. Maternal postsecondary education was not associated with cerebellar volume at term (P = .16). Maternal postsecondary education was a significant confounder in the relationship between term and 2-year cerebellar volumes (P = .016), with higher education associated with improved volumes by 2 years. Although preterm birth has been found to be associated with smaller cerebellar volumes at term, maternal postsecondary education is associated with improved growth detectable by 2 years.

摘要

早产的小脑易受发育受损影响,进而影响长期预后。对早产新生儿(<32周)进行了系列磁共振成像(MRI)扫描。评估了每次扫描时父母教育程度与小脑体积之间的关联,并对扫描时的年龄进行了校正。在26名婴儿中,足月时的小脑体积(P = .001)而非出生时的小脑体积(P = .4)与2岁时的小脑体积相关。足月时小脑体积每小1立方厘米(占总体积的4%),到2岁时小脑体积会小3.18立方厘米(占总体积的3%)。母亲接受高等教育与足月时的小脑体积无关(P = .16)。母亲接受高等教育是足月时与2岁时小脑体积之间关系的一个显著混杂因素(P = .016),高等教育与2岁时小脑体积的改善相关。尽管已发现早产与足月时小脑体积较小有关,但母亲接受高等教育与2岁时可检测到的生长改善有关。

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