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. 2017 Oct;29(4):1499-1511.
doi: 10.1017/S0954579417000414. Epub 2017 May 2.

Determinants of neonatal brain-derived neurotrophic factor and association with child development

Affiliations

Determinants of neonatal brain-derived neurotrophic factor and association with child development

Akhgar Ghassabian et al. Dev Psychopathol. 2017 Oct.

Abstract

Using a population-based birth cohort in upstate New York (2008-2010), we examined the determinants of brain-derived neurotrophic factor (BDNF) measured in newborn dried blood spots (n = 2,637). We also examined the association between neonatal BDNF and children's development. The cohort was initially designed to examine the influence of infertility treatment on child development but found no impact. Mothers rated children's development in five domains repeatedly through age 3 years. Socioeconomic and maternal lifestyle determinants of BDNF were examined using multivariable linear regression models. Generalized linear mixed models estimated odds ratios for neonatal BDNF in relation to failing a developmental domain. Smoking and drinking in pregnancy, nulliparity, non-White ethnicity/race, and prepregnancy obesity were associated with lower neonatal BDNF. Neonatal BDNF was not associated with failure for developmental domains; however, there was an interaction between BDNF and preterm birth. In preterm infants, a higher BDNF was associated with lower odds of failing any developmental domains, after adjusting for confounders and infertility treatment. This result was particularly significant for failure in communication. Our findings suggest that BDNF levels in neonates may be impacted by maternal lifestyle characteristics. More specifically, lower neonatal BDNF might be an early marker of aberrant neurodevelopment in preterm infants.

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Figures

Figure 1
Figure 1. Probabilities of failing Ages and Stages Questionnaire through age 36 months by neonatal BDNF levels (lowest tertile vs. highest two tertiles) and gestational age (term vs. preterm).
The longitudinal probabilities of failing ASQ by neonatal BDNF for children in the primary cohort (singletons and one randomly select of twin pairs) and non-stratified and stratified by gestational age (term vs. preterm) were estimated by generalized linear mixed-effects models using ASQ data from 4 to 36 months in the Upstate KIDS Study. Overall failure indicated failure in any one of the five domains that include fine motor, gross motor, communication, personal-social, and problem solving. BDNF: Brain Derived Neurotrophic Factor; ASQ: Ages and Stages Questionnaire

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