Risk factors for executive function impairment in adolescence: an analysis of data from the 2004 Pelotas Birth Cohort study
Objective: To investigate risk factors associated with impaired attention-related executive functions (EFs) at age 11 and working memory at age 15. Methods: Data from participants of the population-based 2004 Pelotas Birth Cohort at ages 11 (n=3,582) and 15 (n=1,950) were analyzed. The study measu...
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Psiquiatria (ABP)
2024-02-01
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| Series: | Brazilian Journal of Psychiatry |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462023000600470&tlng=en |
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| author | Júlia de Souza Rodrigues Alicia Matijasevich Luciana Tovo-Rodrigues Tiago N. Munhoz Iná S. Santos Maria Pastor-Valero |
| author_facet | Júlia de Souza Rodrigues Alicia Matijasevich Luciana Tovo-Rodrigues Tiago N. Munhoz Iná S. Santos Maria Pastor-Valero |
| author_sort | Júlia de Souza Rodrigues |
| collection | DOAJ |
| description | Objective: To investigate risk factors associated with impaired attention-related executive functions (EFs) at age 11 and working memory at age 15. Methods: Data from participants of the population-based 2004 Pelotas Birth Cohort at ages 11 (n=3,582) and 15 (n=1,950) were analyzed. The study measured attentional control, cognitive flexibility, and selective attention using the Test of Everyday Attention for Children (TEA-Ch). Spatial working memory was assessed by the Cambridge Neuropsychological Test Automated Battery (CANTAB). Logistic regression was employed to explore the relationship between perinatal and childhood exposures and EF impairment. Results: Low maternal education had a significant negative impact on EFs. At age 11, it was associated with decreased attentional control (OR = 3.04; 95%CI 2.09-4.43), and at age 15, it was linked to impaired spatial working memory (OR = 2.21; 95%CI 1.58-3.09). Additional risk factors included low household income, black or brown maternal skin color, high parity, prematurity, low birth weight, and multiple siblings. Breastfeeding, regardless of duration, was found to be a protective factor against impaired cognitive flexibility (OR = 0.38; 95%CI 0.22-0.65). Conclusion: This study underscores the lasting impact of perinatal exposures on EF development. Policies that mitigate the negative effects of risk factors and promote EF development, especially among vulnerable populations, are needed. |
| first_indexed | 2024-03-07T23:36:01Z |
| format | Article |
| id | doaj.art-ff13562c939c4c2392189e733f3ae251 |
| institution | Directory Open Access Journal |
| issn | 1809-452X |
| language | English |
| last_indexed | 2024-03-07T23:36:01Z |
| publishDate | 2024-02-01 |
| publisher | Associação Brasileira de Psiquiatria (ABP) |
| record_format | Article |
| series | Brazilian Journal of Psychiatry |
| spelling | doaj.art-ff13562c939c4c2392189e733f3ae2512024-02-20T07:36:36ZengAssociação Brasileira de Psiquiatria (ABP)Brazilian Journal of Psychiatry1809-452X2024-02-0145647048110.47626/1516-4446-2023-3277Risk factors for executive function impairment in adolescence: an analysis of data from the 2004 Pelotas Birth Cohort studyJúlia de Souza Rodrigueshttps://orcid.org/0000-0002-8138-037XAlicia MatijasevichLuciana Tovo-RodriguesTiago N. MunhozIná S. SantosMaria Pastor-Valero Objective: To investigate risk factors associated with impaired attention-related executive functions (EFs) at age 11 and working memory at age 15. Methods: Data from participants of the population-based 2004 Pelotas Birth Cohort at ages 11 (n=3,582) and 15 (n=1,950) were analyzed. The study measured attentional control, cognitive flexibility, and selective attention using the Test of Everyday Attention for Children (TEA-Ch). Spatial working memory was assessed by the Cambridge Neuropsychological Test Automated Battery (CANTAB). Logistic regression was employed to explore the relationship between perinatal and childhood exposures and EF impairment. Results: Low maternal education had a significant negative impact on EFs. At age 11, it was associated with decreased attentional control (OR = 3.04; 95%CI 2.09-4.43), and at age 15, it was linked to impaired spatial working memory (OR = 2.21; 95%CI 1.58-3.09). Additional risk factors included low household income, black or brown maternal skin color, high parity, prematurity, low birth weight, and multiple siblings. Breastfeeding, regardless of duration, was found to be a protective factor against impaired cognitive flexibility (OR = 0.38; 95%CI 0.22-0.65). Conclusion: This study underscores the lasting impact of perinatal exposures on EF development. Policies that mitigate the negative effects of risk factors and promote EF development, especially among vulnerable populations, are needed.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462023000600470&tlng=enBirth cohortattentionmemoryadolescent |
| spellingShingle | Júlia de Souza Rodrigues Alicia Matijasevich Luciana Tovo-Rodrigues Tiago N. Munhoz Iná S. Santos Maria Pastor-Valero Risk factors for executive function impairment in adolescence: an analysis of data from the 2004 Pelotas Birth Cohort study Brazilian Journal of Psychiatry Birth cohort attention memory adolescent |
| title | Risk factors for executive function impairment in adolescence: an analysis of data from the 2004 Pelotas Birth Cohort study |
| title_full | Risk factors for executive function impairment in adolescence: an analysis of data from the 2004 Pelotas Birth Cohort study |
| title_fullStr | Risk factors for executive function impairment in adolescence: an analysis of data from the 2004 Pelotas Birth Cohort study |
| title_full_unstemmed | Risk factors for executive function impairment in adolescence: an analysis of data from the 2004 Pelotas Birth Cohort study |
| title_short | Risk factors for executive function impairment in adolescence: an analysis of data from the 2004 Pelotas Birth Cohort study |
| title_sort | risk factors for executive function impairment in adolescence an analysis of data from the 2004 pelotas birth cohort study |
| topic | Birth cohort attention memory adolescent |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462023000600470&tlng=en |
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