Parental age at childbirth and risk for attention-deficit/hyperactivity disorder in offspring

Kyoung Min Kim1, Yu Jung Choi2, Myung Ho Lim3

  • 1Department of Psychiatry, Dankook University College of Medicine, Cheonan, Republic of Korea; Department of Psychiatry, Dankook University Hospital, Cheonan, Republic of Korea; Environmental Health Center, Dankook University Medical Center, Cheonan, Republic of Korea.

Insights

Parental age at birth is linked to attention-deficit/hyperactivity disorder (ADHD) symptoms in children. Both younger and older parental ages showed increased ADHD risk, suggesting a U-shaped association.

Area of Science:

  • Developmental Psychology
  • Pediatric Psychiatry
  • Genetics and Epigenetics

Background:

  • Parental age at conception is a factor in offspring neurodevelopment.
  • Previous research on parental age and attention-deficit/hyperactivity disorder (ADHD) has yielded inconsistent findings, particularly regarding advanced parental age.
  • Understanding environmental and biological influences on ADHD is crucial for early intervention and prevention strategies.

Purpose of the Study:

  • To investigate the association between parental age at birth and the prevalence and severity of attention-deficit/hyperactivity disorder (ADHD) symptoms in children.
  • To explore the shape of the relationship between parental age (both young and advanced) and ADHD risk.
  • To contribute novel insights into the complex etiology of ADHD.

Main Methods:

  • A large cohort study involving 30,552 children aged 6-12 years.
  • Parental ratings of ADHD symptoms were collected using the Korean version of the ADHD Rating Scale (K-ARS).
  • Statistical analysis examined the relationship between parental age at birth and K-ARS scores, including odds ratios for high-risk ADHD, analyzing a U-shaped curve.

Main Results:

  • A U-shaped association was observed between parental age at birth and ADHD symptoms in children.
  • Children of the youngest parents (≤20 years) exhibited the highest ADHD symptom scores and odds of high-risk ADHD.
  • Children of the oldest parents also showed significantly higher ADHD symptom scores and odds compared to the middle age groups.

Conclusions:

  • Both extremes of parental age—young and advanced—are associated with an increased risk of ADHD symptoms in offspring.
  • These findings challenge previous inconsistencies regarding advanced parental age and ADHD, highlighting a potential U-shaped risk.
  • Further cross-cultural research with detailed parental and child ADHD data is warranted to confirm these novel associations.

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