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Brief Report: Association Between Autism Spectrum Disorder, Gastrointestinal Problems and Perinatal Risk Factors
Johan Isaksson1,2,3, Erik Pettersson4, Elzbieta Kostrzewa5
1Department of Women's and Children's Health, Pediatric Neuropsychiatry Unit, Center for Neurodevelopmental Disorders at Karolinska Institutet (KIND), Karolinska Institutet, Stockholm, Sweden. johan.isaksson@ki.se.
Insights
Autism spectrum disorder (ASD) is linked to gastrointestinal (GI) problems, potentially influenced by environmental factors during pregnancy and breastfeeding. The study found this association persists even within families, suggesting non-shared environmental influences.
Area of Science:
- Neurodevelopmental Disorders
- Gastroenterology
- Environmental Health
Background:
- Autism spectrum disorder (ASD) is frequently observed alongside gastrointestinal (GI) issues, yet the underlying connection remains poorly understood.
- Existing research suggests a potential link between ASD and GI problems, but specific contributing factors require further investigation.
Purpose of the Study:
- To investigate the association between autism spectrum disorder (ASD) and gastrointestinal (GI) problems.
- To explore the role of perinatal environmental factors in the relationship between ASD and GI issues.
Main Methods:
- A web-based survey was administered to parents of 217 sibling pairs, who were either concordant or discordant for ASD.
- Data collected included maternal weight gain during pregnancy, maternal infections, antibiotic use, breastfeeding duration, delivery mode, birth weight, and child GI problems.
Main Results:
- Autism spectrum disorder (ASD) was significantly associated with gastrointestinal (GI) problems.
- A summation of maternal infection and antibiotic use during pregnancy and/or breastfeeding correlated with ASD and GI issues.
- The association between GI problems and ASD remained significant within sibling pairs after adjusting for other factors (β = 1.23; p < .001).
Conclusions:
- The findings indicate that non-shared environmental factors may influence the association between ASD and GI problems.
- While perinatal environmental factors were implicated, the specific mechanisms driving the ASD-GI link were not fully elucidated by the examined variables.
Abstract:
Autism spectrum disorder (ASD) has been associated with gastrointestinal (GI) problems, but the nature of this association is unclear. Parents to siblings, concordant or discordant for ASD (N = 217), participated in a web survey covering mother's weight gain during pregnancy, maternal viral/bacterial infection and use of antibiotics, duration of breastfeeding, mode of delivery, birth weight and child GI problems. ASD was associated with GI problems and perinatal environmental risk, based on a summation of maternal infection and antibiotic use during pregnancy and/or the breastfeeding period. The association between GI problems and ASD remained within the sibling pairs (β = 1.23; p < .001) in the adjusted model. Our results indicate non-shared environmental effects on the ASD/GI association, but none of the factors examined explained the link.
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