Evidence map›Paper›PMID 42247252›Full record

ArticleeLife2026

Growth in early infancy drives optimal brain functional connectivity which predicts cognitive flexibility in later childhood.

Chiara Bulgarelli, Anna Blasi, Samantha McCann, Bosiljka Milosavljevic, Giulia Ghillia, Ebrima Mbye, Ebou Touray, Tijan Fadera, Lena Acolatse, Sophie E Moore and 4 more

Abstract read
In one paragraph

Article in eLife, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
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  7. A Contextual Approach to Characterizing Caregiver Responsiveness in a Rural Area of The Gambia.Infancy : the official journal of the International Society on Infant Studies
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Chiara BulgarelliCentre for Brain and Cognitive Development, Birkbeck, University of London, London, United Kingdom.ORCID https://orcid.org/0000-0002-6153-137X
Anna BlasiDepartment of Medical Physics and Biomedical Engineering, University College London, London, United Kingdom.
Samantha McCannDepartment of Women and Children's Health, King's College London, London, United Kingdom.
Bosiljka MilosavljevicDepartment of Psychology, University of Cambridge, Cambridge, United Kingdom.
Giulia GhilliaDepartment of Women and Children's Health, King's College London, London, United Kingdom.
Ebrima MbyeMedical Research Council Unit The Gambia at the London School of Hygiene and Tropical Medicine, Banjul, Gambia.
Ebou TourayMedical Research Council Unit The Gambia at the London School of Hygiene and Tropical Medicine, Banjul, Gambia.
Tijan FaderaMedical Research Council Unit The Gambia at the London School of Hygiene and Tropical Medicine, Banjul, Gambia.
Lena AcolatseMedical Research Council Unit The Gambia at the London School of Hygiene and Tropical Medicine, Banjul, Gambia.
Sophie E MooreDepartment of Women and Children's Health, King's College London, London, United Kingdom.
Sarah Lloyd-FoxDepartment of Psychology, University of Cambridge, Cambridge, United Kingdom.ORCID https://orcid.org/0000-0001-6742-9889
Clare E ElwellDepartment of Medical Physics and Biomedical Engineering, University College London, London, United Kingdom.
Adam T EggebrechtMallinckrodt Institute of Radiology, Washington University School of Medicine in St. Louis, St. Louis, United States.
BRIGHT Study Team

Funding

Illuminating development of infant and toddler brainfunction with DOTR01MH122751 · NIMH · WASHINGTON UNIVERSITY · PI EGGEBRECHT, ADAM THOMAS · 2020 to 2024
$2.7M
Economic and Social Research Council ES/V016601/1Gates Foundation OPP1127625Leverhulme Trust ECF-2021-174Medical Research Council MC-A760-5QX00NIMH NIH HHS R01MH122751Wellcome Trust 10.35802/220225
6 · The paper itself

Abstract

Functional brain network organisation, measured by functional connectivity (FC), reflects key neurodevelopmental processes for healthy development. Early exposure to adversity, for example undernutrition, affects neurodevelopment, observable via disrupted FC, and leads to poorer outcomes from preschool age onwards. We assessed longitudinally the impact of early growth trajectories on developmental FC in a rural Gambian population from age 5-24 months. To investigate how these early trajectories relate to later childhood outcomes, we assessed cognitive flexibility at 3-5 years. We observed that early physical growth before the fifth month of life drove optimal developmental trajectories of FC that in turn predicted cognitive flexibility at pre-school age. In contrast to previously studied developmental populations, this Gambian sample exhibited long-range interhemispheric FC that decreased with age. Our results highlight the measurable effects that poor growth in early infancy has on brain development and the possible subsequent impact on pre-school age cognitive development, underscoring the need for early life interventions throughout global settings of adversity.

Indexed as

BrainChild DevelopmentCognitionCognitive FlexibilityChild, PreschoolFemaleHumansInfantLongitudinal StudiesMaleNeurodevelopmentadversityfNIRSfunctional connectivityglobal healthgrowth trajectoriesneurodevelopmentneurosciencenone

Identifiers

PMID42247252
PMCPMC13241087

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.