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Published on: February 3, 2016
No association between early gastrointestinal problems and autistic-like traits in the general population
Andrew J O Whitehouse1, Murray Maybery, John A Wray
1Telethon Institute for Child Health Research, Centre for Child Health Research, University of Western Australia, Crawley, WA, Australia. awhitehouse@ichr.uwa.edu.au
Insights
Early childhood gastrointestinal problems do not predict autistic-like traits in adulthood. This study found no link between childhood digestive issues and later autistic traits in a general population sample.
Area of Science:
- Developmental Pediatrics
- Gastroenterology
- Neurodevelopmental Disorders
Background:
- Gastrointestinal (GI) problems are common in early childhood.
- The potential link between early GI issues and neurodevelopmental outcomes, such as autistic traits, requires investigation.
- Understanding these associations can inform early identification and intervention strategies.
Purpose of the Study:
- To investigate the relationship between parent-reported gastrointestinal problems in early childhood and autistic-like traits in adulthood.
- To determine if specific gastrointestinal symptoms in young children are associated with higher scores on the Autism Spectrum Quotient (AQ) in later life.
- To examine the influence of measles, mumps, and rubella (MMR) vaccination on this potential relationship.
Main Methods:
- Longitudinal study of 804 children, tracking gastrointestinal symptoms (constipation, diarrhea, bloating, reflux, feeding issues) at ages 1, 2, 3, and 5 years.
- Autistic-like traits were assessed in early adulthood (mean age ~19.5 years) using the self-report Autism Spectrum Quotient (AQ).
- Statistical analyses, including chi-squared tests, were used to compare AQ scores between children with and without early GI problems, and to assess the role of MMR vaccination.
Main Results:
- No statistically significant differences in Autism Spectrum Quotient (AQ) scores were found between individuals who experienced early childhood gastrointestinal problems and those who did not.
- Children with early GI issues were not more likely to score in the upper quintile on any AQ scale, indicating no increased risk for autistic traits.
- Measles, mumps, and rubella (MMR) vaccination status was found to be unrelated to both early gastrointestinal symptoms and later autistic-like traits.
Conclusions:
- Parent-reported gastrointestinal problems during early childhood are not associated with self-reported autistic-like traits in the general population.
- The findings suggest that early GI symptoms are unlikely to be a predictive marker for autistic traits in adulthood.
- This study contributes to the understanding of neurodevelopmental trajectories and the factors influencing them, highlighting the lack of a link with early digestive issues.
Aim:
The aim of this study was to determine whether gastrointestinal problems in early childhood relate to autistic-like traits in a general population sample.
Method:
The parents of 804 children (442 females; 362 males) reported at 1-, 2-, 3-, and 5-year follow-ups whether their child had been taken to a hospital, general practitioner, or health clinic for any of five gastrointestinal symptoms: (1) constipation; (2) diarrhoea; (3) abdominal bloating, discomfort, or irritability; (4) gastro-oesophageal reflux or vomiting; and (5) feeding issues or food selectivity. Parents also reported whether their child had received the measles, mumps, and rubella vaccination. Autistic-like traits were measured when the children had reached early adulthood (mean age 19 y 7 mo; SD 0.63 y) using a self-report questionnaire, the Autism Spectrum Quotient (AQ).
Results:
There was no statistically significant difference in AQ scores between those who had (n=133) and those who had not (n=671) experienced early gastrointestinal symptoms. χ(2) analyses revealed that the children with early gastrointestinal problems were no more likely to be represented in the upper quintile of scores on any of the AQ scales. The measles, mumps, and rubella vaccination was unrelated to gastrointestinal symptoms or AQ scores.
Interpretation:
Parent-reported gastrointestinal problems in early childhood are unrelated to self-reported autistic-like traits in the general population.
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