Department of Psychiatry, University of North Carolina, Chapel Hill, NC 27599-7160, USA.
Department of Human Development and Family Studies, Quantitative Developmental Systems Methodology, Pennsylvania State University, University Park, PA 16802, USA.
Cereb Cortex. 2017 Dec 1;27(12):5616-5625. doi: 10.1093/cercor/bhw331.
Individual differences in neuroanatomy are associated with intellectual ability and psychiatric risk. Factors responsible for this variability remain poorly understood. We tested whether 17 major demographic and obstetric variables were associated with individual differences in brain volumes in 756 neonates assessed with MRI. Gestational age at MRI, sex, gestational age at birth, and birthweight were the most significant predictors, explaining 31% to 59% of variance. Unexpectedly, earlier born babies had larger brains than later born babies after adjusting for other predictors. Our results suggest earlier born children experience accelerated brain growth, either as a consequence of the richer sensory environment they experience outside the womb or in response to other factors associated with delivery. In the full sample, maternal and paternal education, maternal ethnicity, maternal smoking, and maternal psychiatric history showed marginal associations with brain volumes, whereas maternal age, paternal age, paternal ethnicity, paternal psychiatric history, and income did not. Effects of parental education and maternal ethnicity are partially mediated by differences in birthweight. Remaining effects may reflect differences in genetic variation or cultural capital. In particular late initiation of prenatal care could negatively impact brain development. Findings could inform public health policy aimed at optimizing child development.
个体神经解剖结构的差异与智力和精神疾病风险有关。造成这种差异的因素仍知之甚少。我们通过 MRI 评估了 756 名新生儿,测试了 17 种主要的人口统计学和产科变量是否与大脑体积的个体差异有关。MRI 时的胎龄、性别、出生胎龄和出生体重是最重要的预测因素,解释了 31%至 59%的变异。出乎意料的是,在调整了其他预测因素后,早出生的婴儿大脑比晚出生的婴儿大。我们的研究结果表明,早出生的孩子经历了加速的大脑生长,这可能是由于他们在子宫外经历了更丰富的感官环境,也可能是由于与分娩相关的其他因素。在全样本中,母亲和父亲的教育程度、母亲的种族、母亲吸烟和母亲的精神病史与大脑体积呈边缘关联,而母亲年龄、父亲年龄、父亲的种族、父亲的精神病史和收入则没有。父母教育和母亲种族的影响部分通过出生体重的差异来介导。其余的影响可能反映了遗传变异或文化资本的差异。特别是产前保健的开始时间较晚可能会对大脑发育产生负面影响。这些发现可以为旨在优化儿童发育的公共卫生政策提供信息。
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