Table 2. Association of Gestational Age at Birth With Global Brain Volumesa.
Model | Total brain volume | Cerebral gray matter volume | Cerebral white matter volume | Cerebellar gray matter volume | Cerebellar white matter volume | Subcortical gray matter volumeb | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Difference (95% CI) | P value | Difference (95% CI) | P value | Difference (95% CI) | P value | Difference (95% CI) | P value | Difference (95% CI) | P value | Difference (95% CI) | P value | |
All children | ||||||||||||
GAB, wk (n = 3079) | ||||||||||||
Model 1 | 6.1 (4.2 to 8.0) | <.001 | 3.7 (2.7 to 4.7) | <.001 | 1.7 (0.9 to 2.6) | <.001 | 0.5 (0.3 to 0.7) | <.001 | 0.2 (0.1 to 0.2) | <.001 | 0.2 (0.1 to 0.2) | <.001 |
Model 2 | 4.5 (2.7 to 6.3) | <.001c | 2.8 (1.8 to 3.7) | <.001c | 1.2 (0.3 to 2.0) | .006c | 0.4 (0.2 to 0.5) | <.001c | 0.1 (0.1 to 0.2) | <.001c | 0.2 (0.1 to 0.2) | <.001c |
Term children | ||||||||||||
GAB, wk (n = 2718) | ||||||||||||
Model 1 | 6.7 (3.6 to 9.7) | <.001 | 3.8 (2.2 to 5.4) | <.001 | 2.3 (0.9 to 3.7) | .002 | 0.4 (0.1 to 0.8) | NA | 0.1 (0.05 to 0.2) | .003 | 0.1 (0.01 to 0.2) | .03 |
Model 2 | 4.8 (1.8 to 7.7) | .002c | 2.8 (1.2 to 4.3) | <.001c | 1.6 (0.3 to 3.0) | .02c | 0.2 (−0.1 to 0.6) | NA | 0.1 (0.03 to 0.2) | .01c | 0.1 (0.01 to 0.2) | .03c |
Abbreviations: GAB, gestational age at birth; NA, not applicable.
In the results of these regression models, the effect estimates represent the difference in cubic centimeters for brain volumes per 1-week-longer gestational duration. Model 1 is a minimally adjusted model corrected for child sex and age at the neuroimaging assessment. Model 2 is a fully adjusted model, corrected for child sex and age at the neuroimaging assessment, maternal ethnicity, age at intake, marital status, educational level, psychopathologic condition, smoking and alcohol use during pregnancy, and family income.
Intracranial volume was additionally adjusted for in both models.
The associations survived a false discovery rate correction for multiple testing (applied model 2 only).