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Published on: April 22, 2015
Autism spectrum disorders: head circumference and body length at birth are both relative
Marine Grandgeorge1, Eric Lemonnier, Nelle Jallot
1Centre de Ressources Autisme, CHRU de Brest, Hôpital de Bohars, Bohars, France. marine.grandgeorge@chu-brest.fr
Insights
Infants later diagnosed with autism spectrum disorder (ASD) showed differences in head size relative to body length and weight at birth. An increased head circumference-to-body length ratio may indicate a risk factor for ASD.
Area of Science:
- Neurodevelopmental disorders
- Pediatric medicine
- Genetics and developmental biology
Background:
- Head circumference, body length, and weight are key infant growth indicators.
- Autism Spectrum Disorders (ASDs) are complex neurodevelopmental conditions.
- Limited research has explored early morphological disproportions in relation to ASD.
Purpose of the Study:
- To compare head circumference, head circumference-to-height, and head circumference-to-weight ratios in neonates diagnosed with ASD versus controls.
- To investigate potential early physical indicators associated with ASD development.
Main Methods:
- Recruited 422 children with ASD and 153 typically developing children.
- Collected and standardized head circumference, body length, and weight at birth as percentile scores by gestational age and gender.
Main Results:
- Genuine macrocephaly was significantly higher in children with other pervasive developmental disorders compared to controls.
- Relative macrocephaly and microcephaly were more frequent in children with autism disorder concerning body length.
- No significant difference was found for genuine microcephaly between groups.
Conclusions:
- Differences in relative head size to body dimensions suggest varied neurological mechanisms in ASD phenotypes.
- An elevated head circumference-to-body length ratio in newborns may serve as a potential early marker for ASD.
- Further research is warranted to explore the predictive value of these early morphological parameters.
Aim:
Although the body length and weight of an infant are related to head circumference, little research on ASDs has examined these factors. Our study compared the head circumferences of neonates who were later diagnosed with ASD with a control group. Additional comparisons on morphological disproportions at birth included the head circumference-to-height and head circumference-to-weight ratios.
Methods:
We recruited 422 children with ASD and 153 typically developing children. Head circumference, body length and weight at birth were collected and standardized as percentile scores according to gestational age and gender.
Results:
Our results revealed that genuine macrocephaly was significantly higher in children with other pervasive developmental disorders compared with the control group. This difference was not observed with regard to genuine microcephaly. Relative macrocephaly and relative microcephaly were significantly more frequent in children with autism disorder compared with the control group with regard to body length.
Conclusions:
The differences in relative macrocephaly and microcephaly, as well as in other parameters, between diagnostic subgroups suggest that the presence of several neurological mechanisms plays a role in the later expression of different phenotypes. An increased head circumference-to-body length ratio in newborns may be a factor to follow that could be related to ASD.
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