Maternal pre‐pregnancy obesity and child neurodevelopmental outcomes: a meta‐analysis
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Summary: This review examined evidence of the association between maternal pre‐pregnancy overweight/obesity status and child neurodevelopmental outcomes. PubMed and PsycINFO databases were systematically searched for empirical studies published before April 2017 using keywords related to prenatal obesity and children's neurodevelopment. Of 1483 identified papers, 41 were included in the systematic review, and 32 articles representing 36 cohorts were included in the meta‐analysis. Findings indicated that compared with children of normal weight mothers, children whose mothers were overweight or obese prior to pregnancy were at increased risk for compromised neurodevelopmental outcomes (overweight: OR = 1.17, 95% CI [1.11, 1.24], I2 = 65.51; obese: OR = 1.51; 95% CI [1.35, 1.69], I2 = 79.63). Pre‐pregnancy obesity increased the risk of attention deficit–hyperactivity disorder (OR = 1.62; 95% CI [1.23, 2.14], I2 = 70.15), autism spectrum disorder (OR = 1.36; 95% CI [1.08, 1.70], I2 = 60.52), developmental delay (OR = 1.58; 95% CI [1.39, 1.79], I2 = 75.77) and emotional/behavioural problems (OR = 1.42; 95% CI [1.26, 1.59], I2 = 87.74). Given the current obesity prevalence among young adults and women of childbearing age, this association between maternal obesity during pregnancy and atypical child neurodevelopment represents a potentially high public health burden.
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Maternal obesity is linked to roughly 60% higher ADHD likelihood.
“Two meta-analyses, one with seven studies with over 28,000 participants and another with three studies and over 1.4 million participants, found that children of obese mothers were roughly 60% more likely to develop ADHD (Jenabi et al., 2019; Sanchez et al., 2018).”
From The World Federation of ADHD International Consensus Statement: 208 Evidence-based conclusions about the disorder (2021) · cites this paper as Sanchez et al., 2018
Maternal obesity is associated with a 36% increased risk of ASD in offspring (OR 1.36, 95% CI 1.08-1.70).
“and a 36% increased risk for ASD (OR 1.36; 95% CI 1.08–1.70) [87].”
From The contribution of environmental exposure to the etiology of autism spectrum disorder (2019) · cites this paper as [87]
Maternal overweight/obesity is associated with a 17% increased risk of any neurodevelopmental disorder in offspring (OR 1.17, 95% CI 1.11-1.24).
“the offspring of obese and overweight mothers had a 17% increased risk of experiencing any neurodevelopmental disorder (OR 1.17, 95% CI 1.11–1.24)”
From The contribution of environmental exposure to the etiology of autism spectrum disorder (2019) · cites this paper as [87]
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Strategies to reduce attrition in weight loss interventions: A systematic review and meta‐analysis
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The Prenatal Hormone Milieu in Autism Spectrum Disorder
Worsham, W., Dalton, S., & Bilder, D. A. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.655438 · Cited by 29 · see citing works
Maternal prenatal infection and anxiety predict neurodevelopmental outcomes in middle childhood
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Maternal adiposity and perinatal and offspring outcomes: an umbrella review
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- Authors
- Sanchez, C. E., Barry, C., Sabhlok, A., Russell, K., Majors, A., Kollins, S. H., & Fuemmeler, B. F.
- Affiliations
- Duke Medical Center (US)
- Virginia Commonwealth University (US)
- Corresponding author
- Fuemmeler, B. F.
- Venue
- Obesity Reviews
- Publisher
- Wiley
- Published
- 2017-11-22
- Volume
- 19
- Issue
- 4
- Pages
- 464-484
- ISSN
- 1467-7881 (ISSN-L)
- 1467-789X
- PMC
- PMC6059608
- OpenAlex
- W2770549430
- Semantic Scholar
- a3952b6027c27b3b635c87d0b05985b11f7f0366
- Cited by
- 304
- References
- 89
- Citations by year
- 2026: 24 · 2025: 38 · 2024: 60 · 2023: 47 · 2022: 42 · 2021: 33 · 2020: 28 · 2019: 18 · 2018: 14
- FWCI
- 3.07
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Obesity Reviews (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD084487)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Keywords
- maternal overweight, child neurodevelopment, attention deficit hyperactivity disorder, autism spectrum disorder, developmental delay, emotional and behavioral problems, child development outcomes
- MeSH terms
- Adult, Child, Child Development, Child, Preschool, Female, Humans, Infant, Newborn, Mothers, Obesity, Pregnancy, Pregnancy Complications, Prenatal Exposure Delayed Effects, Risk Factors, Body Mass Index, Neurodevelopmental Disorders
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