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.

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