Gender distinctive impacts of prematurity and small for gestational age (SGA) on age-6 attention problems
Article first published online: 20 FEB 2012
© 2012 The Authors. Child and Adolescent Mental Health © 2012 Association for Child and Adolescent Mental Health
Child and Adolescent Mental Health
Volume 17, Issue 4, pages 238–245, November 2012
How to Cite
Hall, J., Jaekel, J. and Wolke, D. (2012), Gender distinctive impacts of prematurity and small for gestational age (SGA) on age-6 attention problems. Child and Adolescent Mental Health, 17: 238–245. doi: 10.1111/j.1475-3588.2012.00649.x
- Issue published online: 17 OCT 2012
- Article first published online: 20 FEB 2012
- Manuscript Accepted: 5 DEC 2011
- German Federal Ministry of Education and Science
Predictors of attention problems remain uncertain. Here we distinguish prematurity from small (birth weight) for gestational age (SGA).
A total of 1437 children were studied between 0 and 6 years. Gender differences and indirect perinatal effects (via 20-month head circumference and cognition) were considered for age 6 attention problems.
Boys, preterms, and SGA children were all at increased risk for attention problems. Indirect perinatal effects differed between boys and girls.
The routes leading to attention problems seem to differ for SGA and preterm children. SGA appears to reduce brain volume while prematurity alters brain function. Although less frequent, female attention problems are more strongly predicted by prematurity and cognitive dysfunction.