Paternal age and the occurrence of birth defects
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Updated: Jul 27, 2026

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Published on: March 10, 2020
Insights
Older fathers show a slightly increased risk of having babies with birth defects. This study found higher risks for specific conditions like chondrodystrophy and situs inversus in offspring of older men.
Area of Science:
- Reproductive Health
- Pediatrics
- Medical Genetics
Background:
- Paternal age is a potential risk factor for adverse birth outcomes.
- Previous studies have explored the link between parental age and birth defects, but paternal age effects require further clarification.
Purpose of the Study:
- To investigate the association between paternal age and the occurrence of various birth defects.
- To determine if paternal age is an independent risk factor for congenital anomalies, controlling for maternal age.
Main Methods:
- Utilized data from Metropolitan Atlanta, including birth certificates, hospital records, and maternal interviews.
- Employed logistic regression analysis to assess paternal-age-birth-defects associations across 86 defect groups, adjusting for maternal age and race.
Main Results:
- A modest increased risk for overall birth defects was observed with advancing paternal age, an association not found for maternal age.
- Significantly higher risks were linked to paternal age for ventricular septal defects, atrial septal defects, chondrodystrophy (including achondroplasia), and the novel finding of situs inversus.
Conclusions:
- Advanced paternal age is associated with a slightly elevated risk of congenital anomalies.
- Specific defects, notably chondrodystrophy and situs inversus, show a more pronounced association with increased paternal age.
Abstract:
The association between paternal age and the occurrence of birth defects was studied using data collected in Metropolitan Atlanta. Paternal-age information for babies born with defects was obtained from birth certificates, hospital records, and interviews with mothers; for babies born without defects, the information was obtained from birth certificates. Several statistical techniques were used to evaluate the paternal-age-birth-defects associations for 86 groups of defects. Logistic regression analysis that controlled for maternal age and race indicated that older fathers had a somewhat higher risk for having babies with defects, when all types of defects were combined; an equivalent association for older mothers was not found. Logistic regression analyses also indicated modestly higher risks for older fathers for having babies with ventricular septal defects and atrial septal defects and substantially higher risks for having babies with defects classified in the category chondrodystrophy (largely sporadic achondroplasia) and babies with situs inversus. An association between elevated paternal age and situs inversus has not been reported before; the magnitude of the estimated increased risk for situs inversus was about the same as that found in this study for chondrodystrophy.
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