Risk Factors for Autism Spectrum Disorder in Individuals Born Preterm: A Systematic Review and Meta-Analysis of

Bo Yang1, Nina Zaks2, Eero Kajantie3,4,5,6

  • 1JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.

Insights

Preterm children face higher autism spectrum disorder (ASD) risks. Male sex is a confirmed risk factor, with low birth weight showing potential association. More research is needed to clarify ASD causes in preterm infants.

Area of Science:

  • Neurodevelopmental Disorders
  • Perinatal Medicine
  • Epidemiology

Background:

  • Preterm birth is linked to increased autism spectrum disorder (ASD) risk.
  • Determinants of ASD in preterm infants are not well understood.
  • This study systematically reviews risk factors for ASD in preterm populations.

Purpose of the Study:

  • To summarize population-based literature on ASD risk factors in preterm-born individuals.
  • To identify consistent risk factors through systematic review and meta-analysis.
  • To highlight knowledge gaps in ASD etiology for preterm infants.

Main Methods:

  • Systematic search of Ovid MEDLINE, Embase, and Web of Science databases.
  • Inclusion of 19 population-based studies (cohort, case-control, cross-sectional).
  • Meta-analysis of risk factors examined in at least two studies, following PRISMA guidelines.

Main Results:

  • Male sex identified as a significant risk factor for ASD in preterm infants (RR 3.04).
  • Low birth weight suggested a potential association with ASD.
  • Neonatal jaundice showed no clear link; other factors examined in limited studies.

Conclusions:

  • Significant knowledge gaps persist regarding ASD risk factors in preterm infants.
  • Male sex is the only consistent risk factor identified.
  • Further research is crucial to understand ASD etiology differences between preterm and term-born individuals.
Abstract

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