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Stunting in infancy is associated with atypical activation of working memory and attention networks
Journal article   Open access   Peer reviewed

Stunting in infancy is associated with atypical activation of working memory and attention networks

Sobanawartiny Wijeakumar, Samuel H Forbes, Vincent A. Magnotta, Sean Deoni, Kiara Jackson, Vinay P Singh, Madhuri Tiwari, Aarti Kumar and John P Spencer
Nature human behaviour, Vol.7(12), pp.2199-2211
12/2023
DOI: 10.1038/s41562-023-01725-3
PMCID: PMC10730391
PMID: 37884677
url
https://doi.org/10.1038/s41562-023-01725-3View
Published (Version of record) Open Access

Abstract

Stunting is associated with poor long-term cognitive, academic and economic outcomes, yet the mechanisms through which stunting impacts cognition in early development remain unknown. In a first-ever neuroimaging study conducted on infants from rural India, we demonstrate that stunting impacts a critical, early-developing cognitive system—visual working memory. Stunted infants showed poor visual working memory performance and were easily distractible. Poor performance was associated with reduced engagement of the left anterior intraparietal sulcus, a region involved in visual working memory maintenance and greater suppression in the right temporoparietal junction, a region involved in attentional shifting. When assessed one year later, stunted infants had lower problem-solving scores, while infants of normal height with greater left anterior intraparietal sulcus activation showed higher problem-solving scores. Finally, short-for-age infants with poor physical growth indices but good visual working memory performance showed more positive outcomes suggesting that intervention efforts should focus on improving working memory and reducing distractibility in infancy.

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