Cortical responses to speech sounds in 3- and 6-month-old infants fed breast milk, milk formula, or soy formula.

Controversy exists about the safety of soy formula, with the main concern relating to potential estrogenic effects of soy protein. Since estrogens influence early brain development, we compared behavioral development and cortical responses (event-related potentials; ERPs) to speech sounds in infants fed either breast milk or formula (milk- or soy-based). Across-groups ERP measures were generally similar and behavioral measures were within normal ranges, suggesting no important influences of soy formula on behavioral development and brain function during the study period. Analyses relating ERP and behavioral measures revealed diet- and gender-specific emphases that may reflect differences in developmental trajectories of brain-behavior relationships.

A longitudinal study of differences in electroencephalographic activity among breastfed, milk formula-fed, and soy formula-fed infants during the first year of life.

BACKGROUND: The extent to which adequate nutrition from infant diets differentially influence developmental outcomes in healthy infants has not been determined. AIM: To compare the effects of the major infant diets on the development of brain electrical activity during infancy. STUDY DESIGN: Scalp EEG signals (124 sites) recorded from the same infants during quiet wakefulness at 3, 6, 9, and 12months. SUBJECTS: Healthy, full-term infants (40/group; gender matched) either breastfed (BF) or fed milk formula (MF) or soy formula (SF) through the first 6months. OUTCOME MEASURES: Power spectral values for frequencies in the 0.1-30Hz range. RESULTS: Significant diet-related differences were present across frequency bands and included effects that were time- [peaks in 0.1-3Hz at 6 (MF,SF) and 9months (BF); 3-6Hz at 6months (MF, SF>BF); increases in 6-9Hz from 3 to 6months (MF>BF) and from 6 to 9months (MF>SF)] and gender-related (9-12Hz and 12-30Hz: at 9months BF>MF, SF boys, and MF>SF girls). CONCLUSIONS: The development of brain electrical activity during infancy differs between those who are breastfed compared with those fed either milk or soy formula, but is generally similar for formula-fed groups. These variations in EEG activity reflect diet-related influences on the development of brain structure and function that could put infants on different neurodevelopmental trajectories along which cognitive and brain function development will proceed.

Early infant diet and the omega 3 fatty acid DHA: effects on resting cardiovascular activity and behavioral development during the first half-year of life.

This investigation evaluated variations in resting heart rate (HR) measures during the first half year of life in healthy, full-term infants who were either breast-fed (BF), or fed formula with (milk-based: MF; soy-based: SF) or without (soy-based: SF(-)) commercially supplemented DHA (decosahexaenoic acid). In infants fed the DHA-deficient diet, higher HR and lower values for heart rate variability measures were observed, indicating decreased parasympathetic tone in this group. These effects, appearing at 4 months and continuing for the remainder of the study period, are consistent with suggestions that the 3-5-month postnatal interval may be an important period in the development of cardiovascular regulation. The absence of these effects in SF infants receiving the DHA-supplemented formula suggests that neither soy protein nor the associated phytochemicals in soy formula contribute to these effects to any appreciable extent. In general, the results do not indicate differences in any of the study variables attributable to soy formula per se.

No difference indicated in electroencephalographic power spectral analysis in 3- and 6-month-old infants fed soy- or milk-based formula.

Increasing concern has been recently raised on the possible effects of soy-derived phyto-oestrogens on the development of cognitive functions in infants. However, limited studies have been conducted to date, and no data have been made available for determining whether infant soy formula can affect normal development of the human brain. We compared electroencephalographic (EEG) spectral power derived from high-density recordings of infants fed milk-based or soy formula (46 fed milk-based formula and 39 fed soy formula) at 3 and 6 months of age. The spectral parameters included absolute power, relative power and spectral edge frequency (SEF) at 85%, 90% and 95% levels. The frequency domain contained four bands (0.1-3, 3-6, 6-9 and 9-12 Hz). EEG signals were collected from eight brain areas in each hemisphere. The results showed that the highest spectral power was mainly distributed in the low-frequency bands and was predominant in the frontal and anterior temporal areas. None of the spectral variables significantly differed between the soy- and milk-fed infants (anova, all P > 0.2). However, significant effects were indicated on the SEFs for factors of sex, age and brain area (all P < 0.01). Hemispheric differences in the absolute and relative power were also indicated. Our results suggest that the EEG power spectral development of soy-fed infants does not differ from that of infants fed milk-based formula. In addition, EEG spectral development appears more advanced in female than in male infants at 6 months.

The influence of infant diet on early developmental changes in processing human voice speech stimuli: ERP variations in breast and milk formula-fed infants at 3 and 6 months after birth.

The purpose of this investigation was to determine if processing of language stimuli during the first half year of life in breast-fed infants differs from that of formula-fed infants. This question was addressed by examining the brain event-related potentials of healthy infants receiving breast milk (n = 15) or milk-based formula (n = 18) recorded in response to consonant vowel syllables presented in an oddball paradigm. The same infants were studied when they were 3-months and 6-months-old. The two groups were comparable on several measures relating to biological and home environment variables previously reported to influence development, including gestation period, birth weight, mother's IQ, and family socioeconomic status, and did not differ in weight or mental or motor development at the times of the visits. In general, ERP response features previously documented in studies of syllable processing in 3-6-month-old infants were observed in this study, including positive components at asymptotically equal to 190 msec (P1), asymptotically equal to 370 msec (P2), and asymptotically equal to 600 msec (P600), and negative components at asymptotically equal to 250 msec (N250), asymptotically equal to 450 msec (N450), and a late, negative going slow wave between 655 and 995 msec (LSW). For both groups there were instances where specific components were either poorly defined, e.g., P1 and N250 to the infrequent syllable at 3 months, N450 and P600 to this syllable at both ages, or not present in many infants, e.g., the P600 to the frequent syllable at 6 months. These variations appeared to be related to individual differences in development or paradigm-related features, i.e., ISI and frequency of syllable occurrence.

Effects of breast milk and milk formula diets on synthesized speech sound-induced event-related potentials in 3- and 6-month-old infants.

Effects of breast milk and milk formula supplemented with docosahexaenoic acid and arachidonic acid on speech processing were investigated by recording event-related potentials (ERPs) to synthesized /pa/ and /ba/ (oddball paradigm, 80%:20%) at 3 and 6 months of age. Behavioral assessment was also obtained. A major positive component (P200) was elicited by both types of sounds. It had a maximal scalp distribution in the fronto-central areas in both groups of infants. The mean latencies did not differ between the groups or between the stimulus types. However, the latencies decreased across age in both groups. The mean P200 amplitude in the formula-fed infants was lower than that in the breast-fed infants, but the difference was not significant. The between-stimulus differences in frontal P200 amplitudes were positively correlated with the behavioral scores of Bayley Index of Infant Development. These data suggest that the processing of the present speech stimuli is not affected by the investigated diets in the early infancy.

Links between abnormal brain structure and cognition in holoprosencephaly.

Converging information on medical issues, motor ability, and cognitive outcomes is essential when addressing long-term clinical management in children with holoprosencephaly. This study considered whether adding more informative structural indices to classic holoprosencephaly categories would increase prediction of cognitive outcomes. Forty-two children with holoprosencephaly were examined to determine the association of deep gray nuclei abnormalities with cognitive abilities and the effect of motor skill deficits on cognitive performance. Additionally, a cognitive profile was described using the Carter Neurocognitive Assessment, an experimental diagnostic instrument designed specifically for young children with severe neurodevelopmental dysfunction. Findings indicated that nonseparation of the deep gray nuclei was significantly associated with the cognitive construct of vocal communication, but not with the cognitive constructs of social awareness, visual attention, or auditory comprehension. Importantly, motor skill deficits did not significantly affect performance on the Carter Neurocognitive Assessment. This study is the first investigation to provide a descriptive overview of specific cognitive skills in this group of children. The results also strongly suggest that this feature of the brain's structure does not predict all aspects of neurodevelopmental function. These findings contribute a critical component to the growing body of knowledge regarding the medical and clinical outcomes of children with holoprosencephaly.

Auditory event-related responses in children with semi-lobar holoprosencephaly.

The purpose of this study was to evaluate auditory sensory and discrimination responses in children with semi-lobar holoprosencephaly (HPE). Event-related potential (ERP) signals were recorded to tone pair stimuli at 62 electrode sites from the scalp using an oddball paradigm (a two-block design, inter-stimulus interval=70 or 300 ms; frequency of tone pair=100 vs. 100 Hz for the frequent and 100 vs. 300 Hz for the infrequent). Latencies and amplitudes of P150, N250, and mismatch negativity (MMN)-like components were compared between children with HPE and controls. Our results revealed less organized ERP waveforms to both stimuli in children with HPE, with diminished P150 and N250 components across brain area. Robust and delayed MMN-like responses were elicited from the children with HPE, with decreased MMN amplitudes in the central, parietal, occipital, and posterior temporal areas. Our results suggest that while brain sensory responses to auditory tones may be impaired in children with semi-lobar HPE, subcomponents of auditory discrimination processes remain functional.

A new scaling method for topographical comparisons of event-related potentials.

Recent studies have demonstrated that comparisons of scalp topographical distributions of event-related potentials (ERPs) between experiment conditions may not correctly indicate underlying changes in neural sources if the signals are not scaled prior to the comparisons. This important issue was re-evaluated in this paper using both simulated and experimental data. Simulated data were generated according to 16 different brain models containing 2-4 dipole sources varying in strength, orientation, origin and number. The changes made in the strength, orientation and origin included relative changes between the sources or symmetrical changes in the sources. Experimental data were ERPs collected from 45 infants at 3 months of age. Influences of linked-ear and average references were examined. A scaling method based on relations of signal amplitudes between conditions was devised and compared with the vector method (McCarthy and Wood, 1985). While real topographic differences generated by complex changes in underlying sources were preserved, interactions between condition and electrode site due to mere strength changes were successfully identified by the new method, irrespective of reference method used. However, the vector method was not always reliable because failure to differentiate or mistakenly indicate changes in sources may occur when a linked-mastoid reference was used. The method presented in this paper is reliable and recommended prior to topographic comparisons to distinguish different types of changes in underlying neural sources.

Brain responses to tonal changes in the first two years of life.

Maturation of auditory perceptual and discrimination process within the first two years of life is investigated in healthy infants by examining event-related potentials (ERPs). High-density EEG signals were recorded from the scalp monthly between 3 and 24 months of age. Two types of stimuli (100 vs. 100 Hz for standard stimuli; 100 vs. 300 Hz for deviant stimuli; occurrence rate: 85:15%) were presented using an oddball paradigm. Latencies and amplitudes were compared across development. The results showed that latencies of P150, N250, P350, and N450 components gradually decreased with increasing age. Amplitudes of the N250 and P350 components gradually increased and reached the maximum at 9 months, and then gradually decreased with the increase of age. Mismatch negativity was not obvious at 3 months of age, but was seen at 4-5 months and became robust after 6 months. Robust late positivity was recorded at all ages. These mismatch responses were noticeable in the frontal, central, and parietal areas, and the maximal MMN amplitude distribution gradually moved from the parietal area to the frontal area across the age range. Two important periods--one around 6 months and the other around 9 months are suggested in the maturation of auditory central system. Dynamical changes in the underlying source strengths and orientations may be principal contributors to ERP morphological changes in infants within the first 24 months.

Timing errors in auditory event-related potentials.

Electronic problems of electroencephalographic (EEG) system may occur in even the best-managed laboratories. Timing error may happen in the coupling of computers from various manufactures, resulting in the misalignment of event markers that signal the onset of stimuli. In one system, an impedance check desynchronized a computer and thus caused misalignment of events in EEG signals. Thus, the aim of this study was to develop a method to identify and correct such timing errors that contaminated 114 raw data of EEG/auditory event-related potentials (ERPs) recorded in one of our longitudinal studies. A two-step procedure was introduced in the correction of timing errors. First, the time delay was roughly estimated by identifying a P150 component in two ERP blocks. Second, a small phase-locked positive wave was identified for fine estimation. Reliability within and among evaluators was examined using ERP data with simulated timing errors. Concordant results were obtained in 104 (91.2%) of the 114 raw EEG/ERP data sets. Our results showed that the method presented here is reliable and can be used for correcting timing errors without introduction of experimenter bias.

Relationship of nonlinear analysis, MRI and SPECT in the lateralization of temporal lobe epilepsy.

OBJECTIVES: The purpose of this study was to investigate the correlation of lateralization by nonlinear analysis, magnetic resonance imaging (MRI) and interictal single-photon emission computed tomography (SPECT) in patients with temporal lobe epilepsy. METHODS: Twenty-three patients (7 males, 16 females) were examined by MRI, interictal SPECT and EEG. Nonlinear dynamic properties of neuronal networks were estimated by calculating correlation dimensions on interictal EEG signals and corresponding surrogate data. Lateralization was detected based on the criteria introduced in this study. Concordance rates of the results among the three methods were compared. RESULTS: Epileptogenic foci were shown in the temporal areas in 21 patients using the nonlinear method (8 left, 2 right, 11 both), while 20 patients showed abnormalities in temporal lobes on MR images (13 left, 5 right, 2 both). Low cerebral blood flows of the temporal lobes were detected in all patients (11 left, 8 right, 4 both). Completely concordant lateralization was observed in 8 patients (35%) for the nonlinear method and MRI, in 9 patients (39%) for the nonlinear method and SPECT, and in 10 patients (43%) for MRI and SPECT. There were no significant differences among the concordance rates for these different methods. CONCLUSIONS: Our results revealed that correlation dimension is useful for differentiating dynamic properties of neuronal networks in the interictal state, and can provide informative data for localizing epileptogenic foci in epileptic patients. Therefore, the present nonlinear method is recommended for use with patients during presurgical evaluation.

Nonlinear analysis of EEG after repetitive transcranial magnetic stimulation.

The purpose of this study was to investigate whether repetitive transcranial magnetic stimulation (rTMS) can change nonlinear dynamic properties of the cerebral cortex. Two rTMS trains (10 Hz, 3 seconds, 100% of motor threshold) were administered to the left frontal area in healthy subjects. EEG signals were collected at 14 electrode sites before and after stimulation, and were filtered digitally into delta, theta, alpha, beta, and gamma bands. Basing on an improved algorithm introduced in the authors' recent study, dimension estimates were calculated on these signals as well as on the corresponding surrogate data. Sham treatment was designed into this study. The data showed that EEG signals obviously exhibited lower dimension estimates than the surrogate data, whereas the theta and alpha rhythms presented the lowest values among the frequency components. rTMS increased the dimension estimates of EEG signals during the first 2 minutes. Similar findings were also obtained on the delta and beta components. This study revealed that EEG signals in the normal state can be described by a nonlinear dynamic process. This process can be affected temporarily by rTMS. Neuronal networks revealed by EEG signals show more complicated properties after stimulation.