Effects of prenatal alcohol exposure on the development of white matter volume and change in executive function

Prenatal alcohol exposure can cause a wide range of deficits in executive function that persist throughout life, but little is known about how changes in brain structure relate to cognition in affected individuals. In the current study, we predicted that the rate of white matter volumetric developme...

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Main Authors: P. Gautam, S.C. Nuñez, K.L. Narr, E.C. Kan, E.R. Sowell
Format: Article
Language:English
Published: Elsevier 2014-01-01
Series:NeuroImage: Clinical
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213158214000667
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author P. Gautam
S.C. Nuñez
K.L. Narr
E.C. Kan
E.R. Sowell
author_facet P. Gautam
S.C. Nuñez
K.L. Narr
E.C. Kan
E.R. Sowell
author_sort P. Gautam
collection DOAJ
description Prenatal alcohol exposure can cause a wide range of deficits in executive function that persist throughout life, but little is known about how changes in brain structure relate to cognition in affected individuals. In the current study, we predicted that the rate of white matter volumetric development would be atypical in children with fetal alcohol spectrum disorders (FASD) when compared to typically developing children, and that the rate of change in cognitive function would relate to differential white matter development between groups. Data were available for 103 subjects [49 with FASD, 54 controls, age range 6–17, mean age = 11.83] with 153 total observations. Groups were age-matched. Participants underwent structural magnetic resonance imaging (MRI) and an executive function (EF) battery. Using white matter volumes measured bilaterally for frontal and parietal regions and the corpus callosum, change was predicted by modeling the effects of age, intracranial volume, sex, and interactions with exposure status and EF measures. While both groups showed regional increases in white matter volumes and improvement in cognitive performance over time, there were significant effects of exposure status on age-related relationships between white matter increases and EF measures. Specifically, individuals with FASD consistently showed a positive relationship between improved cognitive function and increased white matter volume over time, while no such relationships were seen in controls. These novel results relating improved cognitive function with increased white matter volume in FASD suggest that better cognitive outcomes could be possible for FASD subjects through interventions that enhance white matter plasticity.
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spelling doaj.art-a3bbf69ac7db414d8ee01cf64a0fc4752022-12-22T01:42:54ZengElsevierNeuroImage: Clinical2213-15822014-01-015C192710.1016/j.nicl.2014.05.010Effects of prenatal alcohol exposure on the development of white matter volume and change in executive functionP. GautamS.C. NuñezK.L. NarrE.C. KanE.R. SowellPrenatal alcohol exposure can cause a wide range of deficits in executive function that persist throughout life, but little is known about how changes in brain structure relate to cognition in affected individuals. In the current study, we predicted that the rate of white matter volumetric development would be atypical in children with fetal alcohol spectrum disorders (FASD) when compared to typically developing children, and that the rate of change in cognitive function would relate to differential white matter development between groups. Data were available for 103 subjects [49 with FASD, 54 controls, age range 6–17, mean age = 11.83] with 153 total observations. Groups were age-matched. Participants underwent structural magnetic resonance imaging (MRI) and an executive function (EF) battery. Using white matter volumes measured bilaterally for frontal and parietal regions and the corpus callosum, change was predicted by modeling the effects of age, intracranial volume, sex, and interactions with exposure status and EF measures. While both groups showed regional increases in white matter volumes and improvement in cognitive performance over time, there were significant effects of exposure status on age-related relationships between white matter increases and EF measures. Specifically, individuals with FASD consistently showed a positive relationship between improved cognitive function and increased white matter volume over time, while no such relationships were seen in controls. These novel results relating improved cognitive function with increased white matter volume in FASD suggest that better cognitive outcomes could be possible for FASD subjects through interventions that enhance white matter plasticity.http://www.sciencedirect.com/science/article/pii/S2213158214000667Fetal Alcohol SyndromeMRIWorking memoryChildrenAdolescentExecutive functionsLongitudinal
spellingShingle P. Gautam
S.C. Nuñez
K.L. Narr
E.C. Kan
E.R. Sowell
Effects of prenatal alcohol exposure on the development of white matter volume and change in executive function
NeuroImage: Clinical
Fetal Alcohol Syndrome
MRI
Working memory
Children
Adolescent
Executive functions
Longitudinal
title Effects of prenatal alcohol exposure on the development of white matter volume and change in executive function
title_full Effects of prenatal alcohol exposure on the development of white matter volume and change in executive function
title_fullStr Effects of prenatal alcohol exposure on the development of white matter volume and change in executive function
title_full_unstemmed Effects of prenatal alcohol exposure on the development of white matter volume and change in executive function
title_short Effects of prenatal alcohol exposure on the development of white matter volume and change in executive function
title_sort effects of prenatal alcohol exposure on the development of white matter volume and change in executive function
topic Fetal Alcohol Syndrome
MRI
Working memory
Children
Adolescent
Executive functions
Longitudinal
url http://www.sciencedirect.com/science/article/pii/S2213158214000667
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