Association between birth weight and neurodevelopmental disorders assessed using the Korean National Health Insurance

In Gyu Song1,2, Han-Suk Kim3, Yoon-Min Cho4

  • 1Department of Pediatrics, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, South Korea.

Scientific Reports
|February 9, 2022
PubMed

Insights

Low birth weight (LBW) in infants is linked to higher risks of attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). Even babies under 2.5 kg showed increased odds of these neurodevelopmental disorders.

Area of Science:

  • Neuroscience
  • Pediatrics
  • Public Health

Background:

  • Low birth weight (LBW) is a known risk factor for neurodevelopmental disorders, but the association with attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) requires further investigation.
  • Existing research on the link between LBW and neurodevelopmental outcomes is debated, necessitating large-scale studies to clarify these risks.

Purpose of the Study:

  • To investigate the association between infant birth weight and the risk of developing ADHD and ASD in school-aged children.
  • To determine if birth weight categories, particularly those below 2.5 kg, correlate with increased odds of ADHD and ASD diagnoses.

Main Methods:

  • Retrospective cohort study utilizing Korean National Health Insurance claims data.
  • Inclusion of 2,143,652 children born between 2008 and 2012.
  • Analysis of ADHD and ASD diagnoses based on birth weight categories, with subgroup analysis excluding perinatal diseases.

Main Results:

  • Infants with birth weights <1.5 kg, 1.5-1.9 kg, and 2.0-2.4 kg showed significantly increased odds of ADHD.
  • Infants with birth weights 1.5-1.9 kg and 2.0-2.4 kg had substantially higher odds of ASD.
  • These associations persisted even in children without perinatal diseases, indicating birth weight as an independent risk factor.

Conclusions:

  • Infants born with birth weights below 2.5 kg are at an elevated risk for both ADHD and ASD.
  • The findings underscore the importance of close clinical monitoring and follow-up for all low birth weight infants.
  • This study highlights birth weight as a critical factor in the development of neurodevelopmental disorders, irrespective of perinatal complications.

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