Risk factor of birth weight below 2,500 grams and attention deficit hyperactivity disorder in Thai children
Chadapim Sasaluxnanon1, Titawee Kaewpornsawan
1Division of Child Psychiatry, Department of Psychiatry, Faculty of Medical, Siriraj Hospital, Mahidol University, 2 Prannok Rd. Bangkoknoi, Bangkok 10700, Thailand. sornsasa@hotmail.com
Insights
Low birth weight (below 2,500 grams) is a significant risk factor for Attention Deficit Hyperactivity Disorder (ADHD). Other identified risks include pregnancy complications, maternal emotional distress, and family history of ADHD.
Area of Science:
- Pediatric Psychiatry
- Neurodevelopmental Disorders
- Public Health
Background:
- Attention Deficit Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder impacting children.
- Identifying risk factors for ADHD is crucial for early intervention and prevention strategies.
Purpose of the Study:
- To investigate the association between low birth weight (below 2,500 grams) and ADHD.
- To identify other potential risk factors contributing to ADHD development.
Main Methods:
- A hospital-based, retrospective case-control study involving 122 ADHD cases and 119 controls.
- Data collected via questionnaires on demographic, prenatal, and postnatal factors, including birth weight and family history.
- Multiple logistic regression analysis was employed to assess the influence of various factors.
Main Results:
- ADHD cases were 3.6 times more likely to have a birth weight below 2,500 grams compared to controls (p=0.03).
- Significant risk factors identified include pregnancy complications (OR=4.17), emotional distress during pregnancy (OR=2.99), postnatal complications (OR=3.26), and a family history of ADHD (OR=3.6).
Conclusions:
- Low birth weight, pregnancy complications, maternal emotional distress, neonatal complications, and a family history of ADHD are potential risk factors for developing ADHD.
- These findings highlight the importance of prenatal and perinatal care in mitigating ADHD risk.
Objectives:
To study the factor of birth weight below 2,500 grams and Attention Deficit Hyperactivity Disorder (ADHD) and to identify the factors that are associated with ADHD.
Material And Method:
A retrospective, hospital-based, case control study was conducted with 122 ADHD cases from the child and adolescent psychiatric outpatient unit at Siriraj Hospital, 119 nonADHD from students who have been assessedfrom Child Behavior Checklist (CBCL) and Conners Teacher Rating Scale, they are identified as normal. Mothers of both groups have been asked to fill a self report questionnaire to evaluate demographic data, prenatal data, factors effected pregnancy both physical and mental illness, post natal period, birth weight, underlying disease, physical illness and family history of ADHD. Multiple logistic regression analysis was used to determine the adjust effect of all factors.
Results:
The number of ADHD cases who had a birth weight below 2,500 grams was 3.6 times the number of control cases who had a birth weight below 2,500 grams. It was statistically significant (p = 0.03). Factors associated with ADHD were pregnancy complication (p value < 0.05, OR = 4.17, 95%CI [1.66, 14.02]), emotional distress during pregnancy (p value <0.05, OR = 2.99, 95%CI [1.43, 5.40]), postnatal complication (p value < 0.05, OR = 3.26, 95%CI[1.56, 6.41] and a family history of ADHD (p value < 0.05, OR = 3.6, 95%CI [1.65, 8.11].
Conclusion:
From the present study, the birth weight below 2,500 grams, pregnancy complication, emotional distress during pregnancy, neonatal complication and a family history of ADHD may be the risk factors of ADHD.
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