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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.
Abstract:
This study investigated the association between parental age at birth and attention-deficit/hyperactivity disorder (ADHD) symptoms in their children. A total of 30,552 children aged 6-12 years participated in the study. ADHD symptoms were rated using the Korean version of the ADHD Rating Scale (K-ARS) by parents. K-ARS scores and odds ratio (OR) for children with high-risk ADHD presented a U-shape curve depending on the age of both parents at birth. The total K-ARS scores and OR for high-risk ADHD were highest in children of fathers and mothers belonging to the youngest age group (aged ≤20) (K-ARS = 12.33, OR = 2.89 vs K-ARS = 10.98, OR = 2.63) and second highest in children whose father's or mother's age at birth was the oldest (K-ARS = 9.63, OR = 1.65 vs K-ARS = 9.95, OR = 1.95). Our study identified that both spectrums of age-young and old of either parent-were associated with ADHD in children. These are new findings considering that old age of parents as the correlates of offspring ADHD is the inconsistent finding with previous studies and warrant future studies in other cultures that include more detailed information on ADHD symptoms of children and their parents are needed to confirm the present findings.
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