Description of the linguistic and neurological findings of twins born preterm at twoyears of age

Authors

  • Ana Carla Filgueira de Souza e Souza Universidade Federal da Bahia (UFBA) –Salvador (BA) /Programa de Pós-graduação em Processos Interativos dos Órgãos e Sistemas (PPgPIOS), Instituto de Ciências da Saúde (ICS), Universidade Federal da Bahia(UFBA), Salvador-Bahia
  • Luciana Lyra Casais-e-Silva Universidade Federal da Bahia (UFBA) –Salvador (BA) /Programa de Pós-graduação em Processos Interativos dos Órgãos e Sistemas (PPgPIOS), Instituto de Ciências da Saúde (ICS), Universidade Federal da Bahia(UFBA), Salvador-Bahia
  • Eduardo Pondé de Sena Universidade Federal da Bahia (UFBA) –Salvador (BA) /Programa de Pós-graduação em Processos Interativos dos Órgãos e Sistemas (PPgPIOS), Instituto de Ciências da Saúde (ICS), Universidade Federal da Bahia(UFBA), Salvador-Bahia

DOI:

https://doi.org/10.7322/jhgd.v29.9529

Keywords:

Language development, Language development disorders, Neurodevelopmental disorders, Premature birth, Twins

Abstract

Introduction: Prematurity, low birth weight and multiple births are risk factors for structural changes in the brain, as well as deviations in motor, cognitive, social and language development.

Objective: To describe language findings and investigate the presence of neurological changes in preterm twins born at two years of age.

Method: This is a cross-sectional study based on data analysis of the medical records of six pairs of low birth weight preterm twins, of both sexes, at two years of age, attended to at the State Center for the Prevention and Rehabilitation of Persons withDisabilities - CEPRED, in Salvador-Bahia-Brazil. To this end, information regarding birth was collected; the clinical history; the imaging exams; and the speech, neurological and interdisciplinary assessments.

Results: preterm twins had atypical language development and neurological changes that may compromise oral language development. From the neurological point of view, abnormalities common to the premature newborn, such as peri-intraventricular hemorrhage, were observed.

Conclusion: Multiple births associated with prematurity and low birth weight may pose risks to the childs language acquisition.

Downloads

Download data is not yet available.

References

1. World Health Organization (WHO). Born too soon: the global action report on preterm birth. Geneva: WHO; 2012; p. 9-14.

2. Almeida AC, Jesus ACP, Lima PFT, Araújo MFM, Araújo TM. Fatores de risco maternos para prematuridade em uma maternidade pública de Imperatriz-MA. Rev Gaúcha Enferm. 2012;33(2):86-94. DOI: http://dx.doi.org/10.1590/S1983-14472012000200013

3. Dinis SR, Domingues AP, Belo A, Couto D, Fonseca E, Moura P. Do induced twin pregnancies influence the obstetric and neonatal results of multiple births born before 32 weeks? Comparison to spontaneous gestation. Rev Bras Ginecol Obstet. 2015;37(5):216-21. DOI: http://dx.doi.org/10.1590/SO100-720320150005272

4. Wadhawan R, Oh W, Perritt RL, Mc Donald SA, Das A, Poole WK, et al. Twin gestation and neurodevelopmental outcome in extremely low birth weight infants. Pediatrics. 2009;123(2):220-7. DOI: http://dx.doi.org/10.1542/peds.2008-1126

5. Beiguelman B, Colleto GMDD, Franchi-Pinto C, Krieger H. Birth weight of twins: 2. Fetal genetic effect on birth weight. Genet Mol Biol. 1998;21(1):155-8. DOI: http://dx.doi.org/10.1590/S1415-47571998000100026

6. Bishop DV, Bishop SJ. “Twin language”: a risk factor for language impairment? J Speech Lang Hear Res. 1998;41(1):150-60. DOI: http://dx.doi.org/10.1044/jslhr.4101.150

7. Liu YC, Blair EM. Predicted birthweight for singletons and twins. Twin Res. 2002;5(6):529-37. DOI: http://dx.doi.org/10.1375/136905202762341991

8. Vohr B. Speech and language outcomes of very preterm infants. Semin Fetal Neonatal Med. 2014;19(2):78-83. DOI: http://dx.doi.org/10.1016/j.siny.2013.10.007

9. Laopaiboon M, Lumbiganon P, Intarut N, Mori R, Ganchimeg T, Vogel JP, et al. Advanced maternal age and pregnancy outcomes: a multicountry assessment. BJOG. 2014;121(Suppl 1):49-56. DOI: http://dx.doi.org/10.1111/1471-0528.12659

10. Adams-Chapman I, Bann CM, Vaucher YE, Stoll BJ; Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network. Association between feeding difficulties and language delay in preterm infants using bayley scales of infant development-third edition. J Pediatr. 2013;163(3): 680-5. DOI: http://dx.doi.org/10.1016/j.jpeds.2013.03.006

11. Haynes RL, Sleeper LA, Volpe JJ, Kinney HC. Neuropathologic studies of the encephalopathy of prematurity in the late preterm infant. Clin Perinatol. 2013;40(4):707-22. DOI: http://dx.doi.org/10.1016/j.clp.2013.07.003

12. Laptook AR. Birth Asphyxia and hypoxic-ischemic brain injury in the preterm infant. Clin Perinatol. 2016;43(3):529-45. DOI: http://dx.doi.org/10.1016/j.clp.2016.04.010

13. Flabiano FC, Bühler KECB, Limongi SCO. Desenvolvimento cognitivo e de linguagem expressiva em um par de gêmeos dizigótico: influência da síndrome de Down e da prematuridade associada ao muito baixo peso. Rev Soc Bras Fonoaudiol. 2009;14(2):267-74. DOI: http://dx.doi.org/10.1590/S1516-80342009000200020

14. Tanifuji S, Akasaka M, Kamei A, Araya N, Asami M, Matsumoto A, et al. Temporal brain metabolite changes in preterm infants with normal development. Brain Dev. 2017;39(3):196-202. DOI: http://dx.doi.org/10.1016/j.braindev.2016.10.006

15. Lee W, Al-Dossary H, Raybaud C, Young JM, Morgan BR, Whyte HE, et al. Longitudinal cerebellar growth following very preterm birth. J Magn Reson Imaging. 2016;43(6):1462-73. DOI: http://dx.doi.org/10.1002/jmri.25098

16. Ribeiro CC, Lamônica DAC. Habilidades comunicativas de crianças prematuras e prematuras extremas. Rev CEFAC. 2014;16(3):830-9. DOI: http://dx.doi.org/10.1590/1982-021620143813

17. Maggiolo ML, Varela MV, Arancibia SC, Ruiz MF. Dificultades de linguaje em niños preescolares con antecedente de prematuridad extrema. Rev Chil Pediatr. 2014;85(3):319-27. DOI: http://dx.doi.org/10.4067/S0370-41062014000300008

18. Zerbeto AB, Cortelo FM, Carvalho Filho EB. Associação entre idade gestacional e peso ao nascimento no desenvolvimento linguístico de crianças brasileiras: revisão sistemática. J Pediatr. 2015;91(4):326-32. DOI: http://dx.doi.org/10.1016/j.jped.2014.11.003

19. Woods PL, Rieger I, Wocadlo C, Gordon A. Predicting the outcome of specific language impairment at five years of age through early developmental assessment inpreterm infants. Early Hum Dev. 2014;90(10):613-9. DOI: http://dx.doi.org/10.1016/j.earlhumdev.2014.07.010

20. McEwen F, Happé F, Bolton P, Rijsdijk F, Ronald A, Dworzynski K, et al. Origins of Individual Differences in Imitation: Links With Language, Pretend Play, and Socially Insightful Behavior in Two-Year-Old Twins. Child Dev. 2007;78(2):474-92. DOI: http://dx.doi.org/10.1111/j.1467-8624.2007.01010.x

21. Gejão MG, Nicolielo AP, Gonçalves BRL, Maximino LP, Lopes-Herrera SA. Communicative evolution in twins with language delay. Rev CEFAC. 2014;16(3):1013-20. DOI: http://dx.doi.org/10.1590/1982-021620141013

22. Wilson-Ching M, Molloy CS, Anderson VA, Burnett A, Roberts G, Cheong JL, et al. Attention difficulties in a contemporary geographic cohort of adolescents bornextremely preterm/extremely low birth weight. J Int Neuropsychol Soc. 2013;19(10):1097-108. DOI: http://dx.doi.org/10.1017/S1355617713001057

23. Jaekel J, Baumann N, Wolke D. Effects of gestational age at birth on cognitive performance: a function of cognitive workload demands. PLoS One. 2013;8(5):e65219. DOI: http://dx.doi.org/10.1371/journal.pone.0065219

24. Wild KT, Betancourt LM, Brodsky NL, Hurt H. The effect of socioeconomic statuson the language outcome of preterm infants at toddler age. Early Hum Dev. 2013;89(9):743-6. DOI: http://dx.doi.org/10.1016/j.earlhumdev.2013.05.008

25. Ferreira AT, Silva MMA, Silva L, Merighi LBM, Miranda AM, De-Vitto LPM, et al. Desempenho comunicativo em trigêmeos prematuros. Rev CEFAC. 2008;10(1):15-21. DOI: http://dx.doi.org/10.1590/S1516-18462008000100003

26. Colledge E, Bishop DV, Koeppen-Schomerus G, Price TS, Happé FG, Eley TC, et al. The structure of language abilities at 4 years: a twin study. Dev Psychol. 2002;38(5):749-57. DOI: http://dx.doi.org/10.1037//0012-1649.38.5.749

27. Rice ML, Zubrick SR, Taylor CL, Hoffman L, Gayán J. Longitudinal study of language and speech of twins at 4 and 6 years: twinning effects decrease, zygosity effects disappear, and heritability increases. J Speech Lang Hear Res. 2018;22;61(1):79-93. DOI: http://dx.doi.org/10.1044/2017_JSLHR-L-16-0366

28. Pinheiro RC, Gagliardo HGRG, Martinez CMS, Santos JLF, Barba PCSD. Estudo comparativo do desempenho viso motor e motor global de gêmeos pré-termo naidade escolar. REFACS. 2015; 3(Supl 1):126-33. DOI: https://doi.org/10.18554/refacs.v3i3.1093

29. Halling C, Malone FD, Breathnach FM, Stewart MC, McAuliffe FM, Morrison JJ, et al. Neuro-developmental outcome of a large cohort of growth discordant twins. Eur J Pediatr. 2016;175(3):381-9. DOI: https://doi.org/10.1007/s00431-015-2648-8

30. Gucuyener K, Arhan E, Soysal AS, Ergenekon E, Turan O, Onal E, et al. Language assessment of non-handicapped twins at 5 years of age. Pediatr Int. 2011;53(6):944-9. DOI: https://doi.org/10.1111/j.1442-200X.2011.03425.x

31. Zanudin A, Burns Y, Gray PH, Danks M, Poulsen L, Watter P. Perinatal events and motor performance of children born with ELBW and non disabled. Pediatr Phys Ther. 2013;25(1):30-5. DOI: https://doi.org/10.1097/PEP.0b013e31827aa424

32. Peyton C, Yang E, Msall ME, Adde L, Støen R, Fjørtoft T, et al. White matter injury and general movements in high-risk preterm infants. AJNR Am J Neuroradiol. 2017;38(1):162-9. DOI: https://doi.org/10.3174/ajnr.A4955

33. Barbetta NL, Panhoca I, Zanolli ML. Development of language in monozygotic twins. Rev CEFAC. 2009;11(Supl 2):154-60. DOI: https://doi.org/10.1590/S1516-18462009005000028

34. Hayiou-Thomas ME, Dale PS, Plomin R. Language impairment from 4 to 12 years: prediction and etiology. J Speech Lang Hear Res. 2014;57(3):850-64. DOI: https://doi.org/10.1044/2013_JSLHR-L-12-0240

35. Barbetta NL, Panhoca I. Gêmeos idênticos no grupo terapêutico fonoaudiológico: a construção da linguagem e da subjetividade. Pro-Fono Rev Atual Cient. 2003;15:139-48.

36. Blackburn S. Brain Injury in Preterm Infants: Pathogenesis and Nursing Implications. Newborn Infant Nurs Rev. 2016;16(1):8-12. DOI: https://doi.org/10.1053/j.nainr.2015.12.004

37. Soares ACC, Silva K, Zuanetti PA. Risk factors for language development associated with prematurity. Audiol Commun Res. 2017;22:e1745. DOI: http://doi.org/10.1590/2317-6431-2016-1745

38. Angrisani RG, Fagá AMC, Goulart AL, Azevedo MF. Intracranial hemorrhage and central auditory disorders in neonates. Rev CEFAC. 2016;18(2):341-7. DOI: http://dx.doi.org/10.1590/1982-0216201618216315

39. Ment LR, Bada HS, Barnes P, Grant PE, Hirtz D, Papile LA, et al. Practice parameter: neuroimaging of the neonate: Report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society. Neurology. 2002;58(12):1726-38. DOI: http://dx.doi.org/10.1212/wnl.58.12.1726

40. He L, Parikh NA. Atlas-Guided Quantification of White Matter Signal Abnormalities on Term-Equivalent Age MRI in Very Preterm Infants: Findings Predict Language and Cognitive Development at Two Years of Age. PLoS One. 2013;8(12):e85475. DOI: http://dx.doi.org/10.1371/journal.pone.0085475

41. Gui L, Loukas S, Lazeyras F, Hüppi PS, Meskaldji DE, Borradori Tolsa C. Longitudinal study of neonatal brain tissue volumes in preterm infants and their ability to predict neurodevelopmental outcome. Neuroimage. 2019;185:728-41. DOI: http://dx.doi.org/10.1016/j.neuroimage.2018.06.034

42. Duncan AF, Watterberg KL, Nolen TL, Vohr BR, Adams-Chapman I, Das A, et al. Effect of ethnicity and race on cognitive and language testing at age 18–22 months in extremely preterm infants. J Pediatr. 2012;160(6):966-71. DOI: http://dx.doi.org/10.1016/j.jpeds.2011.12.009

Published

2019-12-12

Issue

Section

ORIGINAL ARTICLES