Visual pathways functioning in healthy pre-term adolescents: Sex but not gestational age effect.

IF 3.1 3区 医学 Q1 PEDIATRICS
Matilde Taddei, Francesca Tinelli, Flavia Faccio, Daria Riva, Sara Bulgheroni
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Abstract

Background: Visuo-spatial and visuo-perceptual functioning is widely studied in preterm child and is strongly sex-specific. However, little to no data is available regarding male-female differences in preterm children and adolescents and about the interaction effect between sex and preterm birth.

Methods: We studied 30 adolescents born preterm with normal cognitive and clinical neurological outcomes and 34 age-matched controls to investigate the interaction between levels of prematurity and sex in predicting the outcome of visual pathways functioning and to explore the relation between psychophysiological perceptive processing and neuropsychological performance.

Results: In the presence of prematurity, a greater female vulnerability in central visuo-cognitive processing (Form Coherence Task), but not in neuropsychological accuracy (Street Completion Test and Visual Object and Space Perception battery), seems to be more evident. Moreover, the psychophysical threshold is correlated to neuropsychological accuracy only in preterm females and not in males.

Conclusion: These results support the idea that the male vulnerability in cognitive functioning described in prematurity-related developmental conditions is negligible during school age in children-adolescents with normal cognitive and clinical neurological outcomes.

Impact: Visuo-perceptual functioning is widely studied in prematurity. However, few data are available about the interaction effect between sex and preterm birth in predicting visuo-perceptual functioning. We evidenced that in females born preterm with preserved cognitive abilities, the efficiency of the psychophysical visuo-perceptual threshold is reduced, but not related to the neuropsychological performance. Females may implement compensation strategies to achieve good performance regardless of the perceptual threshold. The present study addresses an important gap in literature, suggesting possible sex-specific outcomes in visuo-perceptual ability among preterm children and adolescents with normal intelligence and neurological outcomes.

健康早产青少年的视觉通路功能:性别而非胎龄的影响
背景:早产儿的视觉空间和视觉感知功能被广泛研究,而且具有很强的性别特异性。然而,关于早产儿和青少年的男女差异以及性别与早产之间的交互影响,目前几乎没有任何数据:我们研究了 30 名认知和临床神经系统结果正常的早产青少年和 34 名年龄匹配的对照组青少年,以调查早产程度和性别在预测视觉通路功能结果方面的相互作用,并探讨心理生理感知处理和神经心理学表现之间的关系:结果:在早产儿中,女性在中枢视觉认知处理(形式一致性任务)方面的脆弱性似乎更为明显,但在神经心理学准确性(街道完成测试和视觉物体与空间感知电池)方面的脆弱性并不明显。此外,只有早产女性的心理物理阈值与神经心理学准确性相关,而男性则不相关:这些结果支持这样一种观点,即在认知和临床神经系统结果正常的儿童-青少年学龄期,早产儿相关发育状况中描述的男性在认知功能方面的脆弱性是可以忽略不计的:早产儿的视知觉功能被广泛研究。然而,有关性别与早产在预测视知觉功能方面的交互作用的数据却很少。我们发现,早产女性在认知能力保留的情况下,心理物理视知觉阈值的效率会降低,但与神经心理学表现无关。无论感知阈值如何,女性都可能采取补偿策略以获得良好的表现。本研究填补了文献中的一个重要空白,表明在智力和神经系统结果正常的早产儿和青少年中,视知觉能力可能存在性别特异性。
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来源期刊
Pediatric Research
Pediatric Research 医学-小儿科
CiteScore
6.80
自引率
5.60%
发文量
473
审稿时长
3-8 weeks
期刊介绍: Pediatric Research publishes original papers, invited reviews, and commentaries on the etiologies of children''s diseases and disorders of development, extending from molecular biology to epidemiology. Use of model organisms and in vitro techniques relevant to developmental biology and medicine are acceptable, as are translational human studies
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