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Is paternal age associated with an increased risk of low birthweight, preterm delivery, and multiple birth?
Suzanne C Tough1, Alexandra J Faber, Lawrence W Svenson
1Pediatrics and Community Health Sciences, University of Calgary, Calgary, AB. suzanne.tough@calgaryhealthregion.ca
Insights
Advanced paternal age did not increase risks for low birthweight (LBW) or preterm birth in low-risk mothers. However, increased paternal age correlated with higher multiple birth rates, warranting further research.
Area of Science:
- Reproductive Health
- Perinatal Epidemiology
- Maternal-Fetal Medicine
Background:
- Paternal age is increasingly recognized as a factor in reproductive outcomes.
- Previous studies have yielded mixed results regarding the impact of paternal age on birth complications.
- This study focuses on low-risk mothers to isolate the effect of paternal age.
Purpose of the Study:
- To investigate the association between advanced paternal age and adverse birth outcomes.
- Specifically examining risks for low birthweight (LBW), preterm birth, and multiple gestation.
- To assess these risks in mothers not considered high-risk based on their own age.
Main Methods:
- Utilized population-based birth data from Alberta Health and Wellness (1990-1996).
- Analyzed birth outcomes in relation to maternal and paternal age.
- Stratified analysis for singleton and multiple births.
Main Results:
- No significant link between paternal age and LBW or preterm birth in women aged 25-29.
- Multiple birth rates showed a statistically significant increase with higher paternal age (p < 0.01).
- Advanced paternal age (>50 years) was associated with increased risk of LBW and preterm birth in singleton births (p < 0.05).
Conclusions:
- Paternal age is not identified as a risk factor for LBW or preterm delivery in low-risk women.
- The observed increase in multiple birth rates with paternal age requires validation in diverse populations.
- Further research is needed to confirm these findings and explore underlying mechanisms.
Objective:
To determine if paternal age elevates the risk of low birthweight (< 2500g, LBW), preterm birth (< 37 weeks gestation), and multiple gestation among mothers whose age does not predict an elevated risk.
Design/Methods:
Population data on birth outcome, maternal age and paternal age was obtained from Alberta Health and Wellness for all births 1990-1996.
Results:
Among women aged 25 to 29, regardless of parity, there was no linear relationship between paternal age and preterm birth or LBW. However, multiple birth rates increased with increased paternal age (p < 0.01). Among singleton births, advanced paternal age (>50 years) increased the risk of LBW and preterm birth (p < 0.05).
Conclusions:
Paternal age is not a risk factor for LBW or preterm delivery among low risk women. The increased risk of multiple birth with increased paternal age, regardless of parity, requires confirmation among other populations.
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