Executive functions in adults born small for gestational age at term: a prospective cohort study

Abstract There are mixed findings regarding executive functioning in individuals born small for gestational age (SGA) at term and associations between performance-based and self-reported executive functions have yet to be examined in adults. In a prospective cohort study, 56 SGA and 68 non-SGA contr...

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Main Authors: Mariell Nordgård, Martine Reitan Udnæs, Kristina Anna Djupvik Aakvik, Silje Dahl Benum, Sigrid Hegna Ingvaldsen, Siri Weider, Kari Anne I. Evensen
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-025-86241-2
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author Mariell Nordgård
Martine Reitan Udnæs
Kristina Anna Djupvik Aakvik
Silje Dahl Benum
Sigrid Hegna Ingvaldsen
Siri Weider
Kari Anne I. Evensen
author_facet Mariell Nordgård
Martine Reitan Udnæs
Kristina Anna Djupvik Aakvik
Silje Dahl Benum
Sigrid Hegna Ingvaldsen
Siri Weider
Kari Anne I. Evensen
author_sort Mariell Nordgård
collection DOAJ
description Abstract There are mixed findings regarding executive functioning in individuals born small for gestational age (SGA) at term and associations between performance-based and self-reported executive functions have yet to be examined in adults. In a prospective cohort study, 56 SGA and 68 non-SGA control participants were assessed at 32 years using the performance-based Trail Making Test (TMT) and the self-report questionnaire Behavior Rating Inventory of Executive Function – Adult Version (BRIEF-A). The SGA group used 1.6 (95% confidence interval [CI] 0.1–3.1) to 3.9 (95% CI 1.2–6.5) seconds more on TMT conditions 1 and 3, indicating more difficulties with visual scanning and letter sequencing than controls. On BRIEF-A, the SGA group scored 1.5 (95% CI 0.2–2.8) points lower on the clinical scale Emotional Control. Correlation coefficients for the association between TMT and BRIEF-A scores ranged from -0.295 (p = 0.065) to 0.345 (p = 0.029) in the SGA group. In conclusion, we found that 32-year-old adults born SGA at term showed poorer performance on some executive function tasks than controls. However, they reported similar executive functioning in everyday life, except for emotional control. The associations between performance-based and self-report assessments of executive functions were weak.
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spelling doaj-art-8cad48bcd77a4ea9860fee349ee5c9022025-02-02T12:18:47ZengNature PortfolioScientific Reports2045-23222025-01-0115111010.1038/s41598-025-86241-2Executive functions in adults born small for gestational age at term: a prospective cohort studyMariell Nordgård0Martine Reitan Udnæs1Kristina Anna Djupvik Aakvik2Silje Dahl Benum3Sigrid Hegna Ingvaldsen4Siri Weider5Kari Anne I. Evensen6Faculty of Medicine and Health Sciences, Norwegian University of Science and TechnologyFaculty of Medicine and Health Sciences, Norwegian University of Science and TechnologyDepartment of Clinical and Molecular Medicine, Norwegian University of Science and TechnologyDepartment of Clinical and Molecular Medicine, Norwegian University of Science and TechnologyDepartment of Clinical and Molecular Medicine, Norwegian University of Science and TechnologyDepartment of Psychology, Norwegian University of Science and TechnologyDepartment of Clinical and Molecular Medicine, Norwegian University of Science and TechnologyAbstract There are mixed findings regarding executive functioning in individuals born small for gestational age (SGA) at term and associations between performance-based and self-reported executive functions have yet to be examined in adults. In a prospective cohort study, 56 SGA and 68 non-SGA control participants were assessed at 32 years using the performance-based Trail Making Test (TMT) and the self-report questionnaire Behavior Rating Inventory of Executive Function – Adult Version (BRIEF-A). The SGA group used 1.6 (95% confidence interval [CI] 0.1–3.1) to 3.9 (95% CI 1.2–6.5) seconds more on TMT conditions 1 and 3, indicating more difficulties with visual scanning and letter sequencing than controls. On BRIEF-A, the SGA group scored 1.5 (95% CI 0.2–2.8) points lower on the clinical scale Emotional Control. Correlation coefficients for the association between TMT and BRIEF-A scores ranged from -0.295 (p = 0.065) to 0.345 (p = 0.029) in the SGA group. In conclusion, we found that 32-year-old adults born SGA at term showed poorer performance on some executive function tasks than controls. However, they reported similar executive functioning in everyday life, except for emotional control. The associations between performance-based and self-report assessments of executive functions were weak.https://doi.org/10.1038/s41598-025-86241-2
spellingShingle Mariell Nordgård
Martine Reitan Udnæs
Kristina Anna Djupvik Aakvik
Silje Dahl Benum
Sigrid Hegna Ingvaldsen
Siri Weider
Kari Anne I. Evensen
Executive functions in adults born small for gestational age at term: a prospective cohort study
Scientific Reports
title Executive functions in adults born small for gestational age at term: a prospective cohort study
title_full Executive functions in adults born small for gestational age at term: a prospective cohort study
title_fullStr Executive functions in adults born small for gestational age at term: a prospective cohort study
title_full_unstemmed Executive functions in adults born small for gestational age at term: a prospective cohort study
title_short Executive functions in adults born small for gestational age at term: a prospective cohort study
title_sort executive functions in adults born small for gestational age at term a prospective cohort study
url https://doi.org/10.1038/s41598-025-86241-2
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