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The Long-term Consequences of Intrauterine Growth Retardation on Cognitive and Academic Ability

 Andrea L. S. Downie, Virginia Frisk and Lorna Jakobson
  
 

Abstract:
Abstract: Intrauterine growth retardation (IUGR) has a significant impact on academic and cognitive functioning during the pre-school and early elementary school years. To what extent IUGR affects academic and cognitive ability beyond these years is unknown. The present study evaluated the relationship between in-utero stunting of head growth and cognitive and academic ability in the late elementary and adolescent years. Twenty-three children who were born small-for-gestational age (SGA) were divided into two groups based upon head circumference at birth (1. Poor head growth:< 3rd percentile for gestational age, n = 12, and 2.Good head growth:>3rd percentile for gestational age, n = 11). The groups were matched to one another, and to 15 full-term children with respect to age at testing and sociodemographic variables. Multivariate analyses of variance indicated that SGA children with good head growth in-utero performed as well as full-term children on tests of academic achievement and verbal intelligence. In contrast, SGA children with poor head growth in-utero obtained significantly lower scores than full-term children on all measures except reading ability. These findings suggest that poor brain development in-utero, rather than SGA status per se, has a long-lasting impact on the development of cognitive and academic abilities.

 
 


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