The ability of Bayley‐III scores to predict later intelligence in children born extremely preterm

Månsson, Johanna; Källén, Karin; Eklöf, Eva; Serenius, Fredrik; Ådén, Ulrika; Stjernqvist, Karin

doi:10.1111/apa.16037

Cited by 12 publications

(15 citation statements)

References 27 publications

(64 reference statements)

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“…Previous studies report that the cognitive domain results in early infancy were associated with future intelligence quotient, which gives clinical importance to our findings. Actually, in accordance with other studies, a Bayley-III mean group difference greater than 5 points could be regarded as clinically important …”

Section: Discussionsupporting

confidence: 84%

Effect of a Mediterranean Diet or Mindfulness-Based Stress Reduction During Pregnancy on Child Neurodevelopment

Crovetto,

Nakaki,

Arranz

et al. 2023

JAMA Netw Open

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ImportanceMaternal suboptimal nutrition and high stress levels are associated with adverse fetal and childhood neurodevelopment.ObjectiveTo test the hypothesis that structured interventions based on a Mediterranean diet or mindfulness-based stress reduction (MBSR) during pregnancy improve child neurodevelopment at age 2 years.Design, Setting, and ParticipantsThis was a prespecified analysis of the parallel-group Improving Mothers for a Better Prenatal Care Trial Barcelona (IMPACT BCN) randomized clinical trial, which was conducted at a university hospital in Barcelona, Spain, from February 2017 to March 2020. A total of 1221 singleton pregnancies (19 to 23 weeks’ gestation) with high risk of delivering newborns who were small for gestational age were randomly allocated into 3 groups: a Mediterranean diet intervention, an MBSR program, or usual care. A postnatal evaluation with the Bayley Scales of Infant and Toddler Development, 3rd Edition (Bayley-III), was performed. Data were analyzed from July to November 2022.InterventionsParticipants in the Mediterranean diet group received monthly individual and group educational sessions and free provision of extra virgin olive oil and walnuts. Those in the stress reduction group underwent an 8-week MBSR program adapted for pregnancy. Individuals in the usual care group received pregnancy care per institutional protocols.Main Outcomes and MeasuresNeurodevelopment in children was assessed by Bayley-III at 24 months of corrected postnatal age.ResultsA total of 626 children (293 [46.8%] female and 333 [53.2%] male) participated at a mean (SD) age of 24.8 (2.9) months. No differences were observed in the baseline characteristics between intervention groups. Compared with children from the usual care group, children in the Mediterranean diet group had higher scores in the cognitive domain (β, 5.02; 95% CI, 1.52-8.53; P = .005) and social-emotional domain (β, 5.15; 95% CI, 1.18-9.12; P = .01), whereas children from the stress reduction group had higher scores in the social-emotional domain (β, 4.75; 95% CI, 0.54-8.85; P = .02).Conclusions and RelevanceIn this prespecified analysis of a randomized clinical trial, maternal structured lifestyle interventions during pregnancy based on a Mediterranean diet or MBSR significantly improved child neurodevelopmental outcomes at age 2 years.Trial RegistrationClinicalTrials.gov Identifier: NCT03166332

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Section: Discussionsupporting

confidence: 84%

Effect of a Mediterranean Diet or Mindfulness-Based Stress Reduction During Pregnancy on Child Neurodevelopment

Crovetto,

Nakaki,

Arranz

et al. 2023

JAMA Netw Open

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“…However, it should be considered that the sensitivity of Bayley-III has been criticised. 25 The effects of parental singing may also not be visible at this stage of development. The impact could be seen later in more sensitive measures of cognition and language or other outcomes, such as socioemotional development.…”

Section: Discussionmentioning

confidence: 99%

“…These results imply that early music interventions may not improve long‐term outcomes in preterm‐born children, proposing more sustained interventions to be implemented and investigated. However, it should be considered that the sensitivity of Bayley‐III has been criticised 25 . The effects of parental singing may also not be visible at this stage of development.…”

Section: Discussionmentioning

confidence: 99%

No impact of parental singing during the neonatal period on cognition in preterm‐born children at 2–3 years

et al. 2023

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Aim: Studies examining the long-term effects of neonatal music interventions on the cognition of children born preterm are scarce. We investigated whether a parental singing intervention before term age improves cognitive and language skills in preterm-born children. Methods: In this longitudinal, two-country Singing Kangaroo, randomised controlled trial, 74 preterm infants were allocated to a singing intervention or control group. A certified music therapist supported parents of 48 infants in the intervention group to sing or hum during daily skin-to-skin care (Kangaroo care) from neonatal care until term age. Parents of 26 infants in the control group conducted standard Kangaroo care. At 2-3 years of corrected age, the cognitive and language skills were assessed with the Bayley Scales of Infant and Toddler Development, Third Edition.Results: There were no significant differences in cognitive and language skills between the intervention and control groups at the follow-up. No associations between the amount of singing and the cognitive and language scores were found. Conclusion:Parental singing intervention during the neonatal period, previously shown to have some beneficial short-term effects on auditory cortical response inThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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“…Indeed, the Kaufmann ABC Battery at 5 years is considered a more sensitive assessment at a more optimal timing for neurodevelopment in preterm infants 28 . Another explanation may indicate that these two assessments' correlation may be weak, particularly for study purposes, as demonstrated in a Swedish cohort, including 323 EPs 29 . Conversely, other authors 30 describe a strong correlation between BSID‐III scores with general cognitive abilities in six‐year‐old 30 low‐birth weight children.…”

Section: Discussionmentioning

confidence: 99%

“…One may argue that cognitive functions such as short-term memory are becoming differentiated from early infancy to school age and may be more apparent in the neurodevelopmental assessment within 5 years. 28,29 Indeed, the Kaufmann ABC Battery at 5 years is considered a more sensitive assessment at a more optimal timing for neurodevelopment in preterm infants. 28 Another explanation may indicate that these two assessments' correlation may be weak, particularly for study purposes, as demonstrated in a Swedish cohort, including 323 EPs.…”

Section: Neurodevelopmental Outcomes At the Corrected Age Of Five Yearsmentioning

confidence: 99%

Creative music therapy for long‐term neurodevelopment in extremely preterm infants: Results of a feasibility trial

Haslbeck,

Adams,

Schmidli

et al. 2023

Acta Paediatrica

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AimWe tested the feasibility of a future randomised clinical trial (RCT) in which Creative Music Therapy (CMT), a family‐integrating individualised approach in neonatal care, could improve neurodevelopment in extremely preterm infants (EPTs).MethodsIn this feasibility trial, 12 EPTs received CMT, while the remaining 19 received standard neonatal care. Socio‐demographic data and perinatal complications were compared between groups as risk factors. Bayley Scales of Infant and Toddler Development at 2‐year follow‐up (FU2) and KABC‐II‐Kaufman Assessment Battery for Children at 5‐year follow‐up (FU5) were analysed using the Mann–Whitney U‐tests.ResultsTwenty‐seven (87.1%) and 18 (58.1%) EPTs attended the FU2 and FU5 examination, respectively. The rate of neurodevelopmental risk factors at birth of the two groups was quite similar. While there was no difference in the FU2 outcomes between groups, there were higher values in the CMT group's Fluid‐Crystallised Index of the KABC‐II.ConclusionOur results indicate neither a beneficial nor a detrimental effect of CMT on neurodevelopment at 2 years but a trend of improved cognitive outcomes at 5 years more similar to cognitive scores of term‐born infants than of standard treatment EPTs. The findings favour an RCT but must be interpreted cautiously due to the reduced sample size and non‐randomised design.

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The ability of Bayley‐III scores to predict later intelligence in children born extremely preterm

Cited by 12 publications

References 27 publications

Effect of a Mediterranean Diet or Mindfulness-Based Stress Reduction During Pregnancy on Child Neurodevelopment

Effect of a Mediterranean Diet or Mindfulness-Based Stress Reduction During Pregnancy on Child Neurodevelopment

No impact of parental singing during the neonatal period on cognition in preterm‐born children at 2–3 years

Creative music therapy for long‐term neurodevelopment in extremely preterm infants: Results of a feasibility trial

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