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Cited by 256

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Risk of Autism Spectrum Disorders in Low Birth Weight and Small for Gestational Age Infants

Open access
Lampi, Katja M., Lehtonen, Liisa, Tran, Phuong Lien, Suominen, Auli, Lehti, Venla, Banerjee, P. Nina, Gissler, Mika, Brown, Alan S., Sourander, Andre·2012·The Journal of Pediatrics

Abstract

Objective To examine the relationship between birth weight, gestational age, small for gestational age (SGA), and three most common autism spectrum disorder (ASD) subtypes. Study design In this population-based case-control study conducted in Finland, 4713 cases born between 1987 and 2005 with ICD-diagnoses of childhood autism, Asperger syndrome or PDD, were ascertained from the Finnish Hospital Discharge Register. Four controls, individually matched on sex, date of birth, and place of birth, were selected from the Finnish Medical Birth Register for each case. Conditional logistic regression models were used to assess whether birth weight and gestational age information predicted ASD after controlling for maternal age, parity, smoking during pregnancy and psychiatric history, as well as for infant’s major congenital anomalies. Results Very low (<1500g) and moderately low (<2500g) birth weight, very low gestational age (less than 32 weeks), and SGA increased risk of childhood autism (adjusted OR 3.05, 95% CI 1.4–6.5; 1.57, 1.1–2.3; 2.51, 1.3–5.0 and 1.72, 1.1–2.6, respectively). Very low and moderately low birth weight, very low gestational age, and SGA were also associated with increase in PDD risk (OR 3.44, 95% CI 1.9–6.3; 1.81, 1.4–2.4; 2.46, 1.4–2.3 and 2.24, 1.7–3.0, respectively). No associations were found between the perinatal characteristics and Asperger syndrome. The increased risks persisted after controlling for selected potential confounders. Conclusions The finding that low birth weight, prematurity and SGA were related to childhood autism and PDD but not to Asperger syndrome suggests that prenatal factors related to these exposures may differ for these ASD subtypes, which may have preventive implications.

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Metadata

Authors
Lampi, K. M., Lehtonen, L., Tran, P. L., Suominen, A., Lehti, V., Banerjee, P. N., Gissler, M., Brown, A. S., & Sourander, A.
Venue
The Journal of Pediatrics
Publisher
Elsevier BV
Published
2012-11
Volume
161
Issue
5
Pages
830-836
ISSN
0022-3476 (ISSN-L)
OpenAlex
W2089014593
Cited by
256
References
42
FWCI
7.52
Type
journal article
Language
en
Open access
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CoChat. (2026). Citation check: Risk of Autism Spectrum Disorders in Low Birth Weight and Small for Gestational Age Infants. https://app.cochat.ai/papers/10.1016/j.jpeds.2012.04.058
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Lampi, K. M., Lehtonen, L., Tran, P. L., Suominen, A., Lehti, V., Banerjee, P. N., Gissler, M., Brown, A. S., & Sourander, A. (2012). Risk of Autism Spectrum Disorders in Low Birth Weight and Small for Gestational Age Infants. The Journal of Pediatrics. https://doi.org/10.1016/j.jpeds.2012.04.058

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