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Maternal Dietary Patterns During Pregnancy and Child Autism-Related Traits in the Environmental Influences on Child
Rachel Vecchione1, Matt Westlake2, Megan G Bragg1
1AJ Drexel Autism Institute, Drexel University, Philadelphia, PA 19104, USA.
Insights
This study found no strong links between prenatal diet and autism spectrum disorder (ASD) diagnosis. However, healthier prenatal diets were linked to slightly better social responsiveness in children.
Area of Science:
- Pediatric Health
- Nutritional Epidemiology
- Neurodevelopmental Disorders
Background:
- Prenatal nutrition is crucial for fetal development.
- Autism spectrum disorder (ASD) is a complex neurodevelopmental condition.
- Understanding environmental influences, including diet, on ASD risk is critical.
Purpose of the Study:
- To investigate the association between prenatal dietary patterns and autism-related outcomes in children.
- To analyze the relationship between specific dietary indices and ASD diagnosis and social responsiveness scores.
Main Methods:
- Utilized data from 14 cohorts within the Environmental Influences on Child Health Outcomes (ECHO) consortium, including up to 6084 participants.
- Calculated prenatal dietary patterns using the Healthy Eating Index (HEI-2015), Alternative Healthy Eating Index modified for Pregnancy (AHEI-P), and Empirical Dietary Inflammatory Pattern (EDIP).
- Employed multivariable regression models to examine associations between dietary patterns and autism-related outcomes (ASD diagnosis, SRS-2 scores).
Main Results:
- Higher quartiles of prenatal HEI-2015 and AHEI-P scores were associated with lower Social Responsiveness Scale (SRS-2) scores in adjusted models.
- No significant associations were found between prenatal dietary patterns and the diagnosis of autism spectrum disorder.
- Subtle associations suggest potential links between prenatal diet and broader autism-related traits.
Conclusions:
- Current findings from a large U.S. study do not indicate strong links between overall prenatal dietary patterns and autism spectrum disorder diagnosis.
- Healthier prenatal dietary patterns may be subtly associated with improved social responsiveness, warranting further investigation.
- Future research should explore the nuanced relationship between prenatal nutrition and specific ASD-related phenotypes.
Abstract:
We examined relationships between prenatal dietary patterns and child autism-related outcomes, including parent-reported clinician diagnoses of autism spectrum disorder (ASD) and Social Responsiveness Scale (SRS-2) scores, in up to 6084 participants (with analytic samples ranging from 1671 to 4128 participants) from 14 cohorts in the Environmental Influences on Child Health Outcomes (ECHO) consortium. Associations between quartiles of the Healthy Eating Index (HEI-2015), the Alternative Healthy Eating Index modified for Pregnancy (AHEI-P), and the Empirical Dietary Inflammatory Pattern (EDIP), calculated based on reported prenatal diet, and outcomes were examined using crude and multivariable regression (quantile for SRS scores and logistic for diagnosis). In adjusted models, the higher quartile of prenatal HEI score was associated with lower SRS scores (Q4 vs. Q1 β for median quantile = -3.41 95% CI = -5.15, -1.26). A similar association was observed for the AHEI-P score when adjusting for total calories (Q4 vs. Q1 β = -2.52 95% -4.59, -0.45). There were no significant associations of prenatal diet with ASD diagnosis. Findings from this large U.S.-based study do not suggest strong associations between prenatal dietary patterns and ASD-related outcomes, although subtle associations with broader traits suggest the need to further consider how prenatal diet may relate to ASD-related phenotypes.
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