Is prepregnancy obesity associated with risk of cerebral palsy and epilepsy in children?
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Published on: November 20, 2015
Chun Pan1, Chelsea B Deroche1, Joshua R Mann2
1Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Insights
Maternal pre-pregnancy obesity is linked to a higher risk of cerebral palsy in children. However, this study found no association between maternal obesity and the risk of childhood epilepsy.
Area of Science:
- Obstetrics and Gynecology
- Pediatrics
- Neurology
Background:
- Maternal obesity is a growing public health concern.
- Understanding its impact on offspring neurodevelopmental outcomes is crucial.
Purpose of the Study:
- To investigate the association between pre-pregnancy obesity in women and the risk of cerebral palsy and epilepsy in their children.
Main Methods:
- Retrospective cohort study utilizing South Carolina Medicaid data.
- Inclusion of 83,901 maternal-child pairs.
- Analysis of cerebral palsy diagnoses (any and confirmed) and epilepsy diagnoses.
Main Results:
- No significant association found between maternal body mass index and childhood epilepsy risk.
- A significant association observed between increasing maternal body mass index and any diagnosis of cerebral palsy.
- Morbid obesity was associated with an increased risk of both any and confirmed cerebral palsy.
Conclusions:
- Maternal pre-pregnancy body mass index is associated with an increased risk of cerebral palsy in offspring.
- No evidence supports an association between maternal pre-pregnancy body mass index and childhood epilepsy.
Abstract:
We conducted a retrospective cohort study to investigate the association between prepregnancy obesity in women and risk of cerebral palsy and epilepsy in their children using data from the South Carolina Medicaid program. The cohort included 83,901 maternal-child pairs; 100 cases of cerebral palsy were initially identified, followed by 53 cases that had at least 2 cerebral palsy diagnoses. For confirmed epilepsy, diagnosed on at least 5 occasions or by more than 1 provider, 83,472 observations were included with 338 cases. There was no association between maternal body mass index and risk of childhood epilepsy. A significant association between increasing maternal body mass index and any diagnosis of cerebral palsy was found, and morbid obesity was associated with increased risk of any and confirmed cerebral palsy. In conclusion, there appears to be an association of maternal body mass index with cerebral palsy, but there is no evidence to support an association with epilepsy.
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