Correlation analysis of maternal condition during pregnancy with head circumference and autism spectrum disorder: A

Lei Liu1, Shichun Zhao2

  • 1Department of Burns and Plastic Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong Province, People's Republic of China.

Medicine
|February 9, 2024
PubMed

Insights

Maternal folic acid (FA) supplementation during pregnancy was linked to a lower risk of autism spectrum disorder (ASD) and abnormal head circumference (HC) in offspring. This suggests FA may play a protective role in neurodevelopment.

Area of Science:

  • Neurodevelopmental disorders
  • Pediatric health
  • Maternal health

Background:

  • Autism spectrum disorder (ASD) is a complex neurodevelopmental condition.
  • Abnormal head circumference (HC), including macrocephaly and microcephaly, is observed in some children with ASD.
  • Maternal health status and prenatal factors are increasingly recognized as potential influences on ASD risk.

Purpose of the Study:

  • To investigate the association between maternal health status during pregnancy and the risk of ASD and abnormal HC in offspring.
  • To examine the specific role of folic acid (FA) supplementation during pregnancy in relation to ASD and HC outcomes.

Main Methods:

  • Observational case-control study design.
  • Inclusion of Han children diagnosed with ASD and typically developing (TD) controls.
  • Propensity score matching and multivariate logistic regression analysis to control for confounding factors.
  • Data collection via physical measurements and maternal questionnaires on risk factors and FA supplementation.

Main Results:

  • Significantly higher incidence of macrocephaly (22.0% vs 1.8%) and microcephaly (17.1% vs 1.8%) in children with ASD compared to TD controls.
  • Maternal FA supplementation during pregnancy was significantly associated with a reduced risk of ASD (OR=3.69) and abnormal HC (macrocephaly: OR=8.13; microcephaly: OR=4.16).
  • Overall incidence of abnormal HC was higher in the ASD group than in the TD group.

Conclusions:

  • Abnormal head circumference is more prevalent in children with ASD.
  • Maternal folic acid supplementation during pregnancy may have a protective effect against the development of ASD and abnormal HC in offspring.
  • Further research into maternal health status and its impact on ASD etiology is warranted.

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