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Is being born in spring significantly associated with early-onset bipolar affective disorder? A case-control study
Meng-Qi Wang1, Yu Hao1, Ran-Ran Wang1
1School of Traditional Chinese Medicine, Beijing University of Chinese Medicine , Beijing, China.
Insights
Early-onset bipolar affective disorder (BAD) in young adults is linked to birth season. Patients with BAD were more likely to be born in spring compared to other seasons, suggesting potential implications for prevention.
Area of Science:
- Psychiatry
- Epidemiology
- Chronobiology
Background:
- Limited research exists on the association between birth season and early-onset bipolar affective disorder (BAD).
- Understanding seasonal birth patterns may offer insights into the etiology of early-onset BAD.
Purpose of the Study:
- To investigate the relationship between season of birth and early-onset BAD in young adults.
- To compare birth season distributions between patients with early-onset BAD and matched controls.
Main Methods:
- A case-control study involving 957 patients with early-onset BAD (<25 years) from the North China Plain.
- Sex- and age-matched controls were recruited from universities and schools.
- Statistical analyses included chi-square tests and binary logistic regression, adjusting for age and sex.
Main Results:
- Early-onset BAD patients exhibited a significantly higher likelihood of being born in spring compared to other seasons.
- When spring was the reference season, patients with BAD had lower odds ratios for birth in other seasons.
- A significant association was found between birth season and the development of early-onset BAD.
Conclusions:
- Birth season is associated with early-onset bipolar affective disorder.
- Individuals diagnosed with early-onset BAD are more prone to being born during the spring season.
- These findings may inform future strategies for disease prevention and research directions in bipolar disorder.
Abstract:
Few studies have investigated relationships between birth season and early-onset bipolar affective disorder (BAD) in young adults. In the current study, birth season was compared in patients with early-onset BAD and in sex-matched and age-matched controls. A total of 957 patients aged <25 years of age from three hospitals in the North China Plain region were enrolled in the study. Sex-matched and age-matched control group data were collected in universities and schools via questionnaires. The R*C chi-square test was used to assess distributional differences in season of birth both in the patient and control group. A binary logistic regression model adjusted for age and sex was used to evaluate associations between season of birth and BAD. Using spring as the reference season, BAD patients showed significantly lower odds ratios of being born in any other season. There were associations between birth season and early-onset BAD, and early-onset BAD patients were more likely to have been born in spring. These data have implications for future disease prevention strategies and future research.
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