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Published on: January 7, 2013
Paternal age and mortality in children
Jin Liang Zhu1, Mogens Vestergaard, Kreesten M Madsen
1The Danish Epidemiology Science Centre, University of Aarhus, Vennelyst Boulevard 6, 8000, Aarhus C, Denmark. zjl@soci.au.dk
Advanced paternal age increases offspring mortality risk. Children of fathers aged 45+ face higher risks of death, particularly from congenital malformations and injury, highlighting the impact of paternal age on child survival.
Area of Science:
- Reproductive health
- Pediatric mortality
- Epidemiology
Background:
- Paternal age is a potential factor influencing offspring health outcomes.
- Previous studies on paternal age and child mortality have yielded unsettled results.
- This study investigates the association between paternal age and childhood mortality, considering confounding factors.
Purpose of the Study:
- To examine the relationship between paternal age and mortality in children.
- To determine if advanced paternal age is associated with increased offspring mortality.
- To account for maternal age and socioeconomic factors in the analysis.
Main Methods:
- Utilized the Danish Fertility Database (1980-1996) to identify a cohort of 102,879 couples and their firstborn singleton children.
- Linked the cohort data to the nationwide register on cause of death (1980-1998) to ascertain childhood deaths (N=831).
- Employed statistical analysis to assess the association between paternal age and overall and cause-specific mortality rates, adjusting for confounders.
Main Results:
- A U-shaped association was observed between paternal age and overall childhood mortality.
- Children of fathers aged 45 years or older showed significantly increased mortality rate ratios (MRR) compared to those with fathers aged 25-29.
- Specific causes of death with higher MRRs in offspring of older fathers included congenital malformations and injury or poisoning.
Conclusions:
- Advanced paternal age (45 years and older) is associated with increased offspring mortality, persisting into adulthood.
- The findings support accumulating evidence on the adverse effects of advanced paternal age in procreation.
- This study underscores the importance of considering paternal age in reproductive health and pediatric mortality research.
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