Associations of transcranial doppler velocity, age, and gender with cognitive function in children with sickle cell anemia in Nigeria
Associations of transcranial doppler velocity, age, and gender with cognitive function in children with sickle cell anemia in Nigeria
Children with sickle cell anemia (SCA) have elevated cerebral blood velocity relative to healthy peers. The primary aim of this study was to evaluate the association between cerebral blood velocity, measured by transcranial Doppler (TCD) ultrasound, age, and gender with cognitive function in children with SCA in Nigeria. Eighty-three children (Mage = 9.10, SD = 1.90 years; 55% female) with SCA in Nigeria completed cognitive assessments and a TCD ultrasound. The association between TCD velocity and measures of perceptual reasoning (Raven's Progressive Matrices), working memory (WISC-IV Digit Span), and executive planning (Tower of London, TOL) were assessed. Results showed that elevated TCD velocity significantly predicted lower scores on TOL Time Violations and Total Problem-Solving Time when controlling for BMI, hemoglobin level, and parent education, suggesting that TCD velocity is related to the efficiency of executive function. Further, age was negatively related to children's performance on the Ravens Matrices and TOL Total Correct, and boys showed greater deficits on the TOL Total Correct relative to girls. Moderation analyses for gender showed that there was a conditional negative association between TCD velocity and Digit Span for boys, but not for girls. Findings suggest that children with SCA in Nigeria with elevated TCD velocity are at risk for deficits in efficiency of executive planning, and boys with elevated TCD velocity are particularly at increased risk for deficits in auditory working memory. Implications of this study are important for interventions to reduce cerebral blood velocity and the use of TCD in this population.
Journal Article
1-16
Prussien, Kemar V
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Salihu, Auwal
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Abdullahi, Shehu U
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Galadanci, Najibah A
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Bulama, Khadija
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Belonwu, Raymond O
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Kirkham, Fenella J.
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Yarboi, Janet
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Bemis, Heather
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DeBaun, Michael R
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Compas, Bruce E
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Prussien, Kemar V
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Salihu, Auwal
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Abdullahi, Shehu U
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Galadanci, Najibah A
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Bulama, Khadija
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Belonwu, Raymond O
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Kirkham, Fenella J.
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Yarboi, Janet
bb6cfe2e-8d53-4042-bd96-b8032ae2b6a0
Bemis, Heather
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DeBaun, Michael R
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Compas, Bruce E
5595bf3e-be9d-4139-b132-973fe9d249e3
Prussien, Kemar V, Salihu, Auwal, Abdullahi, Shehu U, Galadanci, Najibah A, Bulama, Khadija, Belonwu, Raymond O, Kirkham, Fenella J., Yarboi, Janet, Bemis, Heather, DeBaun, Michael R and Compas, Bruce E
(2018)
Associations of transcranial doppler velocity, age, and gender with cognitive function in children with sickle cell anemia in Nigeria.
Child Neuropsychology, .
(doi:10.1080/09297049.2018.1526272).
Abstract
Children with sickle cell anemia (SCA) have elevated cerebral blood velocity relative to healthy peers. The primary aim of this study was to evaluate the association between cerebral blood velocity, measured by transcranial Doppler (TCD) ultrasound, age, and gender with cognitive function in children with SCA in Nigeria. Eighty-three children (Mage = 9.10, SD = 1.90 years; 55% female) with SCA in Nigeria completed cognitive assessments and a TCD ultrasound. The association between TCD velocity and measures of perceptual reasoning (Raven's Progressive Matrices), working memory (WISC-IV Digit Span), and executive planning (Tower of London, TOL) were assessed. Results showed that elevated TCD velocity significantly predicted lower scores on TOL Time Violations and Total Problem-Solving Time when controlling for BMI, hemoglobin level, and parent education, suggesting that TCD velocity is related to the efficiency of executive function. Further, age was negatively related to children's performance on the Ravens Matrices and TOL Total Correct, and boys showed greater deficits on the TOL Total Correct relative to girls. Moderation analyses for gender showed that there was a conditional negative association between TCD velocity and Digit Span for boys, but not for girls. Findings suggest that children with SCA in Nigeria with elevated TCD velocity are at risk for deficits in efficiency of executive planning, and boys with elevated TCD velocity are particularly at increased risk for deficits in auditory working memory. Implications of this study are important for interventions to reduce cerebral blood velocity and the use of TCD in this population.
Text
SCD TCD Cognitive Function 08-06-18
- Accepted Manuscript
More information
Accepted/In Press date: 12 September 2018
e-pub ahead of print date: 1 October 2018
Keywords:
Journal Article
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Local EPrints ID: 425369
URI: http://eprints.soton.ac.uk/id/eprint/425369
ISSN: 0929-7049
PURE UUID: b88a8621-1782-45fa-aec0-59e97d6bb8e5
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Date deposited: 16 Oct 2018 16:30
Last modified: 16 Mar 2024 07:10
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Contributors
Author:
Kemar V Prussien
Author:
Auwal Salihu
Author:
Shehu U Abdullahi
Author:
Najibah A Galadanci
Author:
Khadija Bulama
Author:
Raymond O Belonwu
Author:
Janet Yarboi
Author:
Heather Bemis
Author:
Michael R DeBaun
Author:
Bruce E Compas
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