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Parental obesity and risk of autism spectrum disorder
Pål Surén1, Nina Gunnes2, Christine Roth2
1Norwegian Institute of Public Health, Oslo, Norway; Centre for Paediatric Epidemiology and Biostatistics, UCL Institute of Child Health, London, United Kingdom; pal.suren@fhi.no.
Insights
Paternal obesity, but not maternal obesity, is linked to a higher risk of autism spectrum disorders (ASDs) in children. Further research into genetic and epigenetic factors is recommended.
Area of Science:
- Reproductive Health
- Pediatric Neurology
- Genetics
Background:
- Obesity is a growing global health concern with potential impacts on offspring neurodevelopment.
- Understanding parental factors contributing to autism spectrum disorders (ASDs) is crucial for early identification and intervention.
Purpose of the Study:
- To examine the association between parental pre-pregnancy body mass index (BMI) and the risk of ASDs in children.
- To differentiate the impact of maternal versus paternal BMI on ASD risk.
Main Methods:
- A population-based prospective cohort study of 92,909 children from the Norwegian Mother and Child Cohort Study.
- Logistic regression models were used to estimate relative risks (ORs) and 95% confidence intervals (CIs) for ASD diagnoses.
Main Results:
- Paternal obesity (BMI ≥30) was associated with an increased risk of autistic disorder (OR=1.73) and Asperger disorder (OR=2.01).
- Maternal obesity showed only a weak association with ASD risk.
- No significant associations were found for pervasive developmental disorder not otherwise specified.
Conclusions:
- Paternal obesity independently increases the risk of specific autism spectrum disorders in children.
- Future research should explore the underlying genetic and epigenetic mechanisms linking paternal obesity to ASDs.
Objectives:
The objective of the study was to investigate the associations among maternal prepregnancy BMI, paternal BMI, and the risk of autism spectrum disorders (ASDs) in children.
Methods:
The study sample of 92 909 children was derived from the population-based, prospective Norwegian Mother and Child Cohort Study. The age range was 4.0 through 13.1 (mean 7.4) years. Relative risks of ASDs were estimated by odds ratios (ORs) and 95% confidence intervals (CIs) from logistic regression models.
Results:
At the end of follow-up on December 31, 2012, 419 children in the study sample had been diagnosed with ASDs: 162 with autistic disorder, 103 with Asperger disorder, and 154 with pervasive developmental disorder not otherwise specified. Maternal obesity (BMI ≥30) was only weakly associated with ASD risk, whereas paternal obesity was associated with an increased risk of autistic disorder and Asperger disorder. The risk of autistic disorder was 0.27% (25 of 9267) in children of obese fathers and 0.14% (59 of 41 603) in children of fathers with normal weight (BMI <25), generating an adjusted OR of 1.73 (95% CI: 1.07-2.82). For Asperger disorder, analyses were limited to children aged ≥7 years (n = 50 116). The risk was 0.38% (18 of 4761) in children of obese fathers and 0.18% (42 of 22 736) in children of normal-weight fathers, and the adjusted OR was 2.01 (95% CI: 1.13-3.57). No associations were found for pervasive developmental disorder not otherwise specified.
Conclusions:
Paternal obesity is an independent risk factor for ASDs in children. The associations should be investigated further in genetic and epigenetic studies.
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