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Maternal body mass index during early pregnancy, gestational weight gain, and risk of autism spectrum disorders: Results from a Swedish total population and discordant sibling study.
Open accessAbstract
BACKGROUND: Prenatal environmental factors such as maternal adiposity may influence the risk of offspring autism spectrum disorders (ASD), though current evidence is inconsistent. The objective of this study was to assess the relationship of parental BMI and gestational weight gain (GWG) with risk of offspring ASD in a population-based cohort study using family-based study designs. METHODS: The cohort was based in Stockholm County, Sweden, including 333,057 individuals born 1984-2007, of whom 6420 were diagnosed with an ASD. We evaluated maternal body mass index (BMI) at first antenatal visit, GWG and paternal BMI at the time of conscription into the Swedish military as exposures using general estimating equation (GEE) models with logit link. RESULTS: At the population level, maternal overweight/obesity was associated with increased risk of offspring ASD [odds ratio (OR)25 ≤ BMI < 30 1.31, 95% confidence interval = 1.21-1.41; ORBMI ≥ 30 1.94, 1.72-2.17], as was paternal underweight (ORBMI < 18.5, 1.19, 1.06-1.33) and obesity (ORBMI ≥ 30 1.47, 1.12-1.92) in mutually adjusted models. However, in matched sibling analyses, the relationship between elevated maternal BMI and ASD risk was not apparent. GWG had a U-shaped association with offspring ASD at the population level (ORinsufficient 1.22, 1.07-1.40; ORexcessive 1.23, 1.08-1.40). Matched sibling analyses were suggestive of elevated risk with excessive GWG (ORinsufficient 1.12, 0.68-1.84; ORexcessive 1.48, 0.93-2.38). CONCLUSIONS: Whereas population-level results suggested that maternal BMI was associated with ASD, sibling analyses and paternal BMI analyses indicate that maternal BMI may also be a proxy marker for other familial risk factors. Evidence is stronger for a direct link between GWG and ASD risk.
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“To calculate CIs, instead of relying on the assumption that estimates follow an asymptotic normal distribution, we calculated 2-sided 95% CIs using profile likelihood methods.23”
From Association of Genetic and Environmental Factors With Autism in a 5-Country Cohort (2019) · cites this paper as [23]
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Influence of Maternal Obesity on the Long-Term Health of Offspring
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“Some studies that did assess gestational weight gain found it was not related to neurodevelopmental outcomes beyond prepregnancy weight (59,65), whereas others found significant positive associations with neurodevelopmental outcomes (44,52,58,62).”
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Edlow, A. G. (2016) · Prenatal Diagnosis · doi:10.1002/pd.4932 · Cited by 326
“with offspring ASD risk, even in those studies that failed to find an association with maternal pre-pregnancy obesity.(26,27) Paternal obesity has also been demonstrated to be independently associated with increased ASD risk in offspring.”
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“A Swedish study described a relationship between maternal BMI and ASD at population level; however, sibling analysis did not reveal any association between elevated maternal BMI and ASD risk [139].”
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Wiegersma, A. M., Dalman, C., Lee, B. K., Karlsson, H., & Gardner, R. M. (2019) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2019.2309 · Cited by 255
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Contu, L., & Hawkes, C. A. (2017) · International Journal of Molecular Sciences · doi:10.3390/ijms18051093 · Cited by 162
“However, matched sibling analysis of over 6000 children did not report a significant association between maternal obesity and offspring risk of autism [91].”
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The Risk of Offspring Psychiatric Disorders in the Setting of Maternal Obesity and Diabetes
Kong, L., Norstedt, G., Schalling, M., Gissler, M., & Lavebratt, C. (2018) · PEDIATRICS · doi:10.1542/peds.2018-0776 · Cited by 127
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“While a recent meta-analysis confirmed the association between maternal obesity and ASD [Li et al., 2015], other studies have proposed this association may be confounded by paternal obesity [Sur en et al., 2014] or genetic and other familial risk factors [Gardner et al., 2015].”
BackgroundResultInfluentialDenizli, M., Capitano, M. L., & Kua, K. L. (2022) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2022.940937 · Cited by 125
“These behavioral phenotypes seen in rodents might be reflective of frontiersin.org neuropsychiatric disorders including ADHD, anxiety disorder, ASD and schizophrenia.”
BackgroundInfluentialMaternal body mass index before pregnancy as a risk factor for ADHD and autism in children
Andersen, C. H., Thomsen, P. H., Nohr, E. A., & Lemcke, S. (2018) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-017-1027-6 · Cited by 113
“Most of the studies on ASD agree on the outcome measure as they generally used register-based diagnoses according to ICD-9, ICD-10 or DSM-4, depending on the country of origin [22, 23, 26, 28, 29].”
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“Covariates Parental covariates included parental age at delivery,(43) income quintile at birth,(35) immigration status,(44) education level (highest level achieved by either parent before birth of the index child)(35) and history of inpatient psychiatric care prior to the birth of the child (defined as neither parent,…”
BackgroundDevelopmental vitamin D and autism spectrum disorders: findings from the Stockholm Youth Cohort
Lee, B. K., Eyles, D. W., Magnusson, C., Newschaffer, C. J., McGrath, J. J., Kvaskoff, D., Ko, P., Dalman, C., Karlsson, H., & Gardner, R. M. (2019) · Molecular Psychiatry · doi:10.1038/s41380-019-0578-y · Cited by 105
“Other covariates considered included diagnoses of maternal autism, ID, and other psychiatric disorders [35] and maternal health variables assessed at the first antenatal visit, including body mass index [36], smoking [37], and nutritional supplement use [4].”
BackgroundChemicals, nutrition, and autism spectrum disorder: a mini-review
Fujiwara, T., Morisaki, N., Honda, Y., Sampei, M., & Tani, Y. (2016) · Frontiers in Neuroscience · doi:10.3389/fnins.2016.00174 · Cited by 99
“According to a Swedish cohort study of 333,057 participants, which included 6420 individuals with ASD, maternal overweight or obesity evaluated at the first antenatal visit was associated with having an offspring with ASD (Gardner et al., 2015).”
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“Further, the association between maternal obesity and the risk of ASD was not supported by a study using sibling–comparisons [28], which indicated that maternal BMI may be a proxy indicator for familial risk factors such as socio-economic status (SES) and genetic background [28, 30].”
ResultSanderson, E. C. M., Macdonald-Wallis, C. M., & Smith, G. D. (2017) · International Journal of Epidemiology · doi:10.1093/ije/dyx213 · Cited by 90
“A number of the studies described in Table 1 adjust the estimated effect of the exposure for the negative control in order to attempt to account for any unobserved confounding in the model.(23,25,31,34,36,39,46) As discussed further below, adjusting for the effect of the negative control is not the correct interpretat…”
BackgroundMaternal Body Mass Index and Risk of Autism Spectrum Disorders in Offspring: A Meta-analysis.
Wang, Y., Tang, S., Xu, S., Weng, S., & Liu, Z. (2016) · Scientific Reports · doi:10.1038/srep34248 · Cited by 81
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“Recently, a number of studies have examined maternal BMI and ASD with several, but not all, reporting increased risk of ASD among heavier mothers (Bilder et al., 2013; Dodds et al., 2011; Gardner et al., 2015; Getz, Anderka, Werler, & Jick, 2016; Krakowiak et al., 2012; Li et al., 2016; Lyall, Pauls, Santangelo, Spieg…”
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“However, there are few differences between women with and without baseline BMI data in characteristics such as socioeconomic factors, suggesting that BMI data are missing at random (33).”
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Lahti‐Pulkkinen, M., Girchenko, P. V., Tuovinen, S., Sammallahti, S., Reynolds, R. M., Lahti, J. M. T., Heinonen, K., Lipsanen, J. O., Hämäläinen, E. K., Villa, P., et al. (2020) · Hypertension · doi:10.1161/hypertensionaha.119.14140 · Cited by 81
“These findings correspond with the few available studies which showed similar independent associations of any hypertensive pregnancy disorder with child ASD and developmental delay,(5) preeclampsia with child ADHD(8) and ASD,(11) and preeclampsia or gestational hypertension with adolescent anxiety disorders(6) but con…”
ResultShook, L. L., Kışlal, S., & Edlow, A. G. (2020) · Prenatal Diagnosis · doi:10.1002/pd.5724 · Cited by 88
Mina, T. H., Lahti‐Pulkkinen, M., Drake, A. J., Räikkönen, K., Minnis, H., Denison, F. C., Norman, J. E., & Reynolds, R. M. (2016) · Psychological Medicine · doi:10.1017/s0033291716002452 · Cited by 80
“To our knowledge only one study has specifically analysed outcomes according to combined class II and class III obesity separately from class I obesity and that study also reported significantly increased risks of multiple types of neuropsychiatric problems (SDQ problem total difficulties, emotional symptoms, and peer…”
BackgroundInfluentialEgorova, O., Myte, R., Schneede, J., Hägglöf, B., Bölte, S., Domellöf, E., A’roch, B. I., Elgh, F., Ueland, P. M., & Silfverdal, S. (2020) · Molecular Autism · doi:10.1186/s13229-020-0315-z · Cited by 72
Parental Obesity and Early Childhood Development
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“90) Non-Hispanic white, n (%) 3888 (81) 1876 (81) 985 (80) 528 (83) 499 (79) Maternal education, a n (%) Less than high school 289 (6) 143 (6) 68 (6) 45 (7) 33 (5) High school or GED equivalent 620 (13) 268 (12) 138 (11) 88 (14) 126 (20) Some college 1463 (30) 564 (24) 385 (31) 239 (37) 275 (44) College 1064 (22) 567…”
InfluentialArroyo‐Jousse, V., Jaramillo, A., Castaño‐Moreno, E., Lépez, M., Carrasco‐Negüe, K., & Casanello, P. C. (2019) · Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease · doi:10.1016/j.bbadis.2019.165558 · Cited by 68
Childhood Health Consequences of Maternal Obesity during Pregnancy: A Narrative Review
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Prins, J. R., Eskandar, S., Eggen, B. J. L., & Scherjon, S. A. (2018) · Journal of Reproductive Immunology · doi:10.1016/j.jri.2018.01.004 · Cited by 66
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The impact of maternal obesity on childhood neurodevelopment
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“Two studies, which included matched-sibling analysis, also failed to find a significant association between maternal obesity and ASD in children [34, 36].”
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“Accordingly, Gardner et al. (2015) did not report in their study a clear relationship between obesity in pregnancy and Frontiers in Physiology | www.frontiersin.org 2 March 2018 | Volume 9 | Article 184 the occurrence of ASD.”
BackgroundMaternal stressors and the developmental origins of neuropsychiatric risk
Khambadkone, S. G., Cordner, Z. A., & Tamashiro, K. L. (2020) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2020.100834 · Cited by 61
“Though much of the early epidemiological work focused on links between maternal infection and schizophrenia (Mednick et al., 1988; Patterson, 2009; Meyer, 2014; Patterson, 2009) additional associations have been identified with ASDs (Patterson, 2011), developmental delay (Zerbo et al., 2013), cognitive impairment (Ric…”
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Intergenerational Metabolic Syndrome and Neuronal Network Hyperexcitability in Autism
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Maternal obesity and risk of cerebral palsy in children: a systematic review and meta‐analysis
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“Except for maternal obesity, paternal obesity has also been found to be associated with increased risk of neurodevelopmental disabilities such as autism spectrum disorders and attention-deficit/hyperactivity disorder in children.(46,47) Among the included observational studies in our meta-analysis on maternal obesity…”
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“, 2014) or analyses with paternal BMI (Gardner et al., 2015) have failed to find an association between maternal obesity and an increase in offspring neurobehavioral problems.”
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Sureshchandra, S., Marshall, N., & Messaoudi, I. (2019) · Journal of Leukocyte Biology · doi:10.1002/jlb.3ri0619-181r · Cited by 38
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“[6] reported that the significant association between maternal BMI and the risk of ASD among offspring disappeared when cases were compared to their unaffected siblings.”
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“Of note, however, studies have also documented null associations between pre-pregnancy weight and neurodevelopmental outcomes [16,17], and discordant sibling design studies suggested that the association may not be causal [18,19].”
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“For example, Gardner and colleagues [26] used the WHO standards to categorise BMI into four categories; underweight (BMI < 18.”
MethodImpact of parental over- and underweight on the health of offspring
Bellver, J., & Mariani, G. (2019) · Fertility and Sterility · doi:10.1016/j.fertnstert.2019.02.128 · Cited by 38
Gestational age at birth and academic performance: population-based cohort study
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Maternal Prepregnancy Weight Status and Adolescent Eating Disorder Behaviors
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“However, other studies suggest that the strength of association between maternal obesity and ASD diminishes after adjusting for paternal BMI or in sibling study designs (67,68).”
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Neonatal Levels of Acute Phase Proteins and Risk of Autism Spectrum Disorder
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“As a means of evaluating the potential for residual confounding, some studies also have examined paternal associations.(54,55) Comparing the magnitude of the association between maternal and paternal associations with neurocognitive outcomes provides the opportunity to assess whether associations observed are attribut…”
BackgroundMaternal adiposity and perinatal and offspring outcomes: an umbrella review
Yang, Z., Feng, G., Gao, X., Yan, X., Li, Y., Wang, Y., Li, S., Jiang, Y., Zhao, S., Zhao, H., et al. (2024) · Nature Human Behaviour · doi:10.1038/s41562-024-01994-6 · Cited by 22
“While several studies used sibling designs to mitigate familial confounding sources 90–93 , nearly all found that this design neutralized the dose-dependent increased risk of offspring neurodevelopmental outcomes associated with maternal BMI 92 .”
Ahlqvist, V. H., Persson, M., Ortega, F. B., Tynelius, P., Magnusson, C., & Berglind, D. (2020) · Journal of the American Heart Association · doi:10.1161/jaha.119.014290 · Cited by 20
“…for maternal metabolic morbidities at pregnancy (diabetes mellitus and hypertension), the prevalence of such metabolic morbidities is higher in Sweden in more recent cohorts than compared with when our data were collected, 71 which may have implications for the generalizability of our fi ndings.”
ResultMaternal Levels of Cytokines in Early Pregnancy and Risk of Autism Spectrum Disorders in Offspring
Brynge, M., Gardner, R. M., Sjöqvist, H., Lee, B. K., Dalman, C., & Karlsson, H. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.917563 · Cited by 23
“Covariates Based on previous associations with ASD, and a plausible relationship with cytokines, we considered the following covariates as potential confounders: maternal age (33), psychiatric history (34, 35), BMI (8), region of birth (36), education (34), and smoking at first antenatal visit (37), sex of fetus (31),…”
BackgroundMethodChen, S., Fan, M., Lee, B. K., Dalman, C., Karlsson, H., & Gardner, R. M. (2023) · BMC Medicine · doi:10.1186/s12916-023-02799-6 · Cited by 23
“Though the main intention of the Institute of Medicine (IOM) guideline for optimal gestational weight gain is to provide clinicians with a basis for practice [5], evidence has emerged in the past decades for an association between maternal total GWG outside of the optimal range defined by the guidelines and children’s…”
BackgroundAugustin, H., Winkvist, A., & Bärebring, L. (2020) · Nutrients · doi:10.3390/nu12020317 · Cited by 21
“Similar to previous findings [27,28], insufficient GWG in our study was most common among underweight women while excessive GWG was most common among women with overweight or obesity.”
ResultSu, L., Chen, C., Lü, L., Xiang, A. H., Dodds, L. A., & He, K. (2020) · Obesity · doi:10.1002/oby.22966 · Cited by 20
“Findings for inadequate GWG are even more controversial (8-12,14-16).”
BackgroundMethodInfluentialAbdolaliyan, N., Shahnazi, H., Kzemi, A., & Hasanzadeh, A. (2017) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_175_16 · Cited by 20
“diabetes, preeclampsia, long‐term maternal diabetes,[5‐7] eclampsia, cesarean section,[8] the increased risk of fetal macrosomia, childhood obesity,[9,10] and the increased risk of autism.[11] According to an estimate”
BackgroundMotoki, N., Inaba, Y., Shibazaki, T., Misawa, Y., Ohira, S., Kanai, M., Kurita, H., Tsukahara, T., Nomiyama, T., The Japan Environment and Children’s Study (JECS) Group, et al. (2021) · European Journal of Pediatrics · doi:10.1007/s00431-021-04232-7 · Cited by 19
“A Swedish cohort study investigating the association between maternal GWG and risk of offspring autism spectrum disorder (ASD) supported our findings, whereby an elevated risk of ASD was observed for both insufficient and excess GWG [30].”
ResultChen, S., Wang, X., Lee, B. K., & Gardner, R. M. (2023) · BMC Medicine · doi:10.1186/s12916-023-03116-x · Cited by 19
Lee, P., Tse, L. F., László, K., Wei, D., Yu, Y., & Li, J. (2021) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.16887 · Cited by 19
Maternal early pregnancy body mass index and diurnal salivary cortisol in young adult offspring
Kumpulainen, S. M., Heinonen, K., Kaseva, N., ANDERSSON, S. M., Lano, A., Reynolds, R. M., Dieter Wolke, C., Kajantie, E., Eriksson, J. G., & Räikkönen, K. (2019) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2019.02.013 · Cited by 17
“, 2015), attention deficit hyperactivity (Gardner et al., 2015; Kong et al., 2018; Rodriguez, 2010; Rodriguez et al., 2008), conduct (Kong et al.”
BackgroundHawkins, J., Weatherby, N. L., Wrye, B. A., & Ward, K. U. (2019) · Holistic Nursing Practice · doi:10.1097/hnp.0000000000000341 · Cited by 16
Joung, K. E., Rifas‐Shiman, S. L., Oken, E., & Mantzoros, C. S. (2021) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgab378 · Cited by 14
“The association of maternal prepregnancy body mass index (BMI) with ASD in the offspring has previously been reported (5, 6).”
BackgroundDuko, B., Mengistu, T. S., Stacey, D., Moran, L., Tessema, G. A., Pereira, G. F., Bedaso, A., Gebremedhin, A. T., Alati, R., Ayonrinde, O. T., et al. (2024) · Psychiatry Research · doi:10.1016/j.psychres.2024.116149 · Cited by 14
“(References (Andersen 2018; Brion 2011; Buss 2012; Casas 2017; Chen 2014; Connolly 2016; Daraki 2017; Dow 2022; Fuemmeler 2019; Gardner 2015; Getz 2016; Grudzinski 2019; Hendrix.”
The Microbiome–Genetics Axis in Autism Spectrum Disorders: A Probiotic Perspective
Mihailovich, M., Tolinački, M., Bajić, S. S., Leštarević, S., Pejovic-Milovancevic, M., & Golić, N. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms252212407 · Cited by 16
Child Neurodevelopmental Outcomes by Prepregnancy Body Mass Index and Gestational Weight Gain
Kominiarek, M. A., Smid, M. C., Mele, L., Casey, B. M., Sorokin, Y., Reddy, U. M., Wapner, R. J., Thorp, J. M., Saade, G. R., Tita, A., et al. (2018) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000002974 · Cited by 13
Botsas, G., Koidou, E., Chatzinikolaou, K., & Grouios, G. (2023) · Children · doi:10.3390/children10121851 · Cited by 13
“Specifi-cally, gestational weight gain has been associated with the risk of ASD, especially in male children [100–102].”
BackgroundTian, Z.-X., Wan, M., Gao, Y., Wu, B., Xie, Y., Liu, J., Su, R., Tian, L.-L., & Hu, Y.-Q. (2019) · Journal of Obstetrics and Gynaecology · doi:10.1080/01443615.2019.1676211 · Cited by 12
“Two studies (Gardner et al. 2015; Shen et al. 2018) reported complete data for GWG with normal pre-gestational BMI while Xiang et al. (2015) used the IOM recommendations.”
BackgroundMethodInfluentialTraver, S., Geoffray, M., Mazières, L., Geneviève, D., Michelon, C., Picot, M., & Baghdadli, A. (2020) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2020.11.005 · Cited by 11
Michalczyk, J., Miłosz, A., Gesek, M., & Fornal, A. (2024) · Medical Science Monitor · doi:10.12659/msm.945087 · Cited by 9
“The study points to excessive or insufficient gestational weight gain as a risk factor for ASD [35].”
BackgroundLahti‐Pulkkinen, M., Räikkönen, K., Bhattacharya, S., & Reynolds, R. M. (2021) · Scientific Reports · doi:10.1038/s41598-021-94511-y · Cited by 10
Boone‐Heinonen, J., Biel, F. M., Marshall, N., & Snowden, J. M. (2020) · Annals of Epidemiology · doi:10.1016/j.annepidem.2020.04.009 · Cited by 8
Walker, C. K., VandeVoort, C. A., Li, C., Chaffin, C. L., & Capitanio, J. P. (2018) · Developmental Psychobiology · doi:10.1002/dev.21744 · Cited by 7
“Excess GWG has also been associated with ASD (Bilder et al., 2013; Dodds et al., 2011; Gardner et al., 2015).”
Engstrand, R. Z., Klang, N., Hirvikoski, T., Allodi, M. W., & Roll‐Pettersson, L. (2018) · Review Journal of Autism and Developmental Disorders · doi:10.1007/s40489-018-0147-3 · Cited by 7
“Other studies used a more specific term the maternal country of originwith various categorizations (Gardner et al. 2015; Idring et al. 2014; Lee et al. 2015; Zander et al. 2015; see Table 4).”
BackgroundMethodInfluentialBrynge, M., Gardner, R. M., Sjöqvist, H., Karlsson, H., & Dalman, C. (2022) · Translational Psychiatry · doi:10.1038/s41398-022-01907-z · Cited by 7
Placental biomarkers for the prediction of neurodevelopmental disorders
Patel, P. B., Ku, J., Uzoaru, I., & Goldstein, J. A. (2025) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2025.1663960 · Cited by 6
Kheirouri, S., & Farazkhah, T. (2022) · Journal of Indian Association for Child and Adolescent Mental Health · doi:10.1177/09731342221096480 · Cited by 5
Factors associated with the development of epilepsy in very low birth weight infants
Fukao, T., Sano, F., Nemoto, A., Naito, A., Yanagisawa, T., Imai, K., Hiroma, T., Inaba, Y., Kanemura, H., Aihara, M., et al. (2023) · Pediatrics & Neonatology · doi:10.1016/j.pedneo.2022.12.019 · Cited by 5
[Association between overweight/obesity in parents and autism spectrum disorders in offspring].
Qiu, T., Guo, B.-B., Wang, L.-Z., Zhang, H., Xu, Y., & Jiang, X. (2018) · PubMed Central · doi:10.7499/j.issn.1008-8830.2018.05.009 · Cited by 5
Kacperska, M., Mizera, J., Pilecki, M. W., & Pomierny-Chamioło, L. (2024) · Pharmacological Reports · doi:10.1007/s43440-024-00598-1 · Cited by 6
“…↑ risk: 25% ⬆ GWG [26] 129,733 Significantly associated with an increased risk of ASD (no association between insufficient GWG and ASD risk) [17] 333,057 Significantly associated with an increased risk of ASD (also in matched-siblings analysis) Case–control studies MOb [15] 1004 ↑ risk: 60%…”
BackgroundResultInfluentialPrasad, J. D., Steenwinckel, J. V., Gunn, A. J., Bennet, L., Korzeniewski, S. J., Gressèns, P., & Dean, J. M. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms252312999 · Cited by 5
“While maternal stress [452,453], pre-pregnancy obesity [454–456], gestational weight gain [457], and indicators of maternal immune-activation [438,458–462] and related factors (i.e., hypertension) play key roles, the pathways to adverse pregnancy and developmental outcomes appear mediated by the…”
Hajj, A., Hallit, S. R., El-Khatib, R., Haidar, S. A., Lteif, F. H. M., Hajj, L., Moudawar, M., & Khabbaz, L. R. (2022) · PubMed Central · Cited by 3
Varela, R. E., Vinet, E., Kamps, J. L., & Niditch, L. A. (2023) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-022-05888-2 · Cited by 4
Kwok, J., Khanolainen, D. P., Speyer, L. G., Murray, A. L., Torppa, M., & Bonnie Auyeung, B. (2023) · Biological Psychiatry Global Open Science · doi:10.1016/j.bpsgos.2023.08.004 · Cited by 5
“Cohort studies (15) that measured maternal obesity as a risk factor for childhood developmental outcomes looked at either prepregnancy body mass index (BMI) (8,16 – 18) or speci fi c trimesters of pregnancy (19).”
BackgroundLi, Y., Huang, Y., Yang, S. C., Shychuk, E. M., Shenkman, E. A., Bian, J., Angell, A. M., & Guo, Y. M. (2024) · medRxiv · doi:10.1101/2024.03.24.24304813 · Cited by 4
“Similarly, Gardner et al revealed that maternal obesity was associated with an increased ASD risk 43 .”
Factors in Infancy That May Predict Autism Spectrum Disorder
Gurevitz, M., & Leisman, G. (2023) · Brain Sciences · doi:10.3390/brainsci13101374 · Cited by 3
“Inflammation resulting from a metabolic condition could be a putative mechanism that contributes to the overall variance in ASD [54].”
BackgroundMaternal Eating Disorders, Body Mass Index, and Offspring Psychiatric Diagnoses
Nilsson, I. A. K., Ozsvar, J., Gissler, M., & Lavebratt, C. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.40517 · Cited by 3
Sex-specific effect of maternal pre-pregnancy BMI on neuropsychiatric development of offspring
Yang, X., Li, J., Zhu, H., Guan, S., Li, J., Zhang, Y., Zhang, B., Gao, S., Zhao, J., Cui, L., et al. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.02.018 · Cited by 3
Patti, M. A., Croen, L., Chen, A., Fallin, M. D., Khoury, J. C., Lyall, K., Newschaffer, C. J., Hertz‐Picciotto, I., Schmidt, R. J., Yolton, K. A., et al. (2023) · Obesity · doi:10.1002/oby.23710 · Cited by 3
“However, it is unclear whether prepregnancy BMI modifies this association, as suggested in some studies, or if it acts as an independent risk factor [9, 13, 14].”
BackgroundMethodInfluential
Metadata
- Authors
- Gardner, R. M., Lee, B. K., Magnusson, C., Rai, D., Frisell, T., Karlsson, H., Idring, S., & Dalman, C.
- Affiliations
- Karolinska Institutet (SE)
- Drexel University (US)
- Region Stockholm (SE)
- Avon and Wiltshire Mental Health Partnership NHS Trust (GB)
- Corresponding author
- Gardner, Renee M
- Venue
- International Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2015-06
- Volume
- 44
- Issue
- 3
- Pages
- 870-883
- ISSN
- 0300-5771 (ISSN-L)
- 1464-3685
- PMC
- PMC4521130
- OpenAlex
- W1902120875
- Cited by
- 141
- References
- 67
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 16 · 2023: 16 · 2022: 7 · 2021: 8 · 2020: 22 · 2019: 14 · 2018: 15 · 2017: 13 · 2016: 12 · 2015: 1
- FWCI
- 8.22
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- International Journal of Epidemiology (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Bristol Research (University of Bristol) (publishedVersion)
- Funders
- Autism Speaks
- Forskningsrådet för Arbetsliv och Socialvetenskap (2007-2064)
- Stockholms Läns Landsting (2007008)
- Vetenskapsrådet (523‐2010‐1052)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Keywords
- autism spectrum disorder, maternal body mass index, gestational weight gain, maternal obesity, paternal BMI, prenatal environmental exposure, family risk factors
- MeSH terms
- Autism Spectrum Disorder, Adolescent, Adult, Birth Weight, Child, Child, Preschool, Female, Humans, Male, Obesity, Pregnancy, Pregnancy Complications, Risk Factors, Sweden, Cohort Studies, Weight Gain, Body Mass Index, Odds Ratio, Siblings, Pregnant People, Young Adult
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