Abstract
The aim of this study is to investigate the association between prematurity and diagnosis of neurodevelopmental disorders (ND) (attention deficit/hyperactivity disorder [ADHD] or autism spectrum disorder [ASD]) in Brazilian children and adolescents. Case–control study based on medical records data from a specialized outpatient clinic. Prematurity was defined as gestational age less than 37 weeks. Prematurity was independently associated with diagnosis of a ND (adjusted odds ratio [AOR] 3.46, 95% CI 1.15 – 7.92), as well as with ADHD and ASD diagnosis after a multiple logistic regression analysis. These findings from Brazilian patients are related to what is found in the literature worldwide. Efforts to modify risk factors, such as prematurity, may impact incidence reduction of both ADHD and ASD.
Similar content being viewed by others
References
Achenbach, T. M., & Ruffle, T. M. (2000). The child behavior checklist and related forms for assessing behavioral/emotional problems and competencies. Pediatrics in Review,21, 265–271.
Ameis, S. H., et al. (2016). A diffusion tensor imaging study in children with ADHD, autism spectrum disorder, OCD, and matched controls: distinct and non-distinct white matter disruption and dimensional brain-behavior relationships. The American Journal of Psychiatry,173, 1213–1222. https://doi.org/10.1176/appi.ajp.2016.15111435.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders 5th edition (DSM 5). Washington, DC: American Psychiatric Association.
Anderson, P. J., Doyle, L. W., Victorian, G., & Infant Collaborative Study. (2004). Executive functioning in school-aged children who were born very preterm or with extremely low birth weight in the 1990s. Pediatrics,114, 50–57.
Baxter, A. J., Brugha, T. S., Erskine, H. E., Scheurer, R. W., Vos, T., & Scott, J. G. (2015). The epidemiology and global burden of autism spectrum disorders. Psychological Medicine,45, 601–613. https://doi.org/10.1017/S003329171400172X.
Bhutta, A. T., Cleves, M. A., Casey, P. H., Cradock, M. M., & Anand, K. J. (2002). Cognitive and behavioral outcomes of school-aged children who were born preterm: a meta-analysis. JAMA,288, 728–737.
Blencowe, H., et al. (2012). National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries: A systematic analysis and implications. Lancet,379, 2162–2172. https://doi.org/10.1016/S0140-6736(12)60820-4.
Blencowe, H., et al. (2013). Preterm birth-associated neurodevelopmental impairment estimates at regional and global levels for 2010. Pediatric Research,74(Suppl 1), 17–34. https://doi.org/10.1038/pr.2013.204.
Canals, J., Morales-Hidalgo, P., Jane, M. C., & Domenech, E. (2018). ADHD prevalence in Spanish preschoolers: Comorbidity, socio-demographic factors, and functional consequences. Journal of Attention Disorders,22, 143–153. https://doi.org/10.1177/1087054716638511.
Espirito Santo, J. L., Portuguez, M. W., & Nunes, M. L. (2009). Cognitive and behavioral status of low birth weight preterm children raised in a developing country at preschool age. Jornal de Pediatria,85, 35–41. https://doi.org/10.2223/JPED.1859.
Faraone, S. V., et al. (2015). Attention-deficit/hyperactivity disorder. Nature Reviews Disease Primers,1, 15020. https://doi.org/10.1038/nrdp.2015.20.
Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods,39, 175–191.
Fezer, G. F., Matos, M. B., Nau, A. L., Zeigelboim, B. S., Marques, J. M., & Liberalesso, P. B. N. (2017). Perinatal features of children with autism spectrum disorder. Revista Paulista de Pediatria,35, 130–135. https://doi.org/10.1590/1984-0462/;2017;35;2;00003.
Fischi-Gomez, E., et al. (2015). Structural brain connectivity in school-age preterm infants provides evidence for impaired networks relevant for higher order cognitive skills and social cognition. Cerebral Cortex,25, 2793–2805. https://doi.org/10.1093/cercor/bhu073.
Franz, A. P., et al. (2018). Attention-deficit/hyperactivity disorder and very preterm/very low birth weight: A meta-analysis. Pediatrics. https://doi.org/10.1542/peds.2017-1645.
Hack, M., Taylor, H. G., Schluchter, M., Andreias, L., Drotar, D., & Klein, N. (2009). Behavioral outcomes of extremely low birth weight children at age 8 years. Journal of Developmental and Behavioral Pediatrics,30, 122–130. https://doi.org/10.1097/DBP.0b013e31819e6a16.
Insel, T., et al. (2010). Research domain criteria (RDoC): Toward a new classification framework for research on mental disorders. The American Journal of Psychiatry,167, 748–751. https://doi.org/10.1176/appi.ajp.2010.09091379.
La Maison, C., Munhoz, T. N., Santos, I. S., Anselmi, L., Barros, F. C., & Matijasevich, A. (2018). Prevalence and risk factors of psychiatric disorders in early adolescence: 2004 Pelotas (Brazil) birth cohort. Social Psychiatry and Psychiatric Epidemiology,53, 685–697. https://doi.org/10.1007/s00127-018-1516-z.
Lee, S. H., et al. (2013). Genetic relationship between five psychiatric disorders estimated from genome-wide SNPs. Nature Genetics,45, 984–994. https://doi.org/10.1038/ng.2711.
Leigh, J. P., & Du, J. (2015). Brief report: Forecasting the economic burden of autism in 2015 and 2025 in the United States. Journal of Autism and Developmental Disorders,45, 4135–4139. https://doi.org/10.1007/s10803-015-2521-7.
Losh, M., Esserman, D., Anckarsater, H., Sullivan, P. F., & Lichtenstein, P. (2012). Lower birth weight indicates higher risk of autistic traits in discordant twin pairs. Psychological Medicine,42, 1091–1102. https://doi.org/10.1017/S0033291711002339.
Modabbernia, A., Velthorst, E., & Reichenberg, A. (2017). Environmental risk factors for autism: An evidence-based review of systematic reviews and meta-analyses. Molecular Autism,8, 13. https://doi.org/10.1186/s13229-017-0121-4.
Murray, E., et al. (2015). Sex differences in the association between foetal growth and child attention at age four: Specific vulnerability of girls. Journal of Child Psychology and Psychiatry and Allied Disciplines,56, 1380–1388. https://doi.org/10.1111/jcpp.12422.
Murray, E., et al. (2016). Are fetal growth impairment and preterm birth causally related to child attention problems and ADHD? Evidence from a comparison between high-income and middle-income cohorts. Journal of Epidemiology and Community Health,70, 704–709. https://doi.org/10.1136/jech-2015-206222.
Nelson, C. A., 3rd, Bos, K., Gunnar, M. R., & Sonuga-Barke, E. J. (2011). The neurobiological toll of early human deprivation. Monographs of the Society for Research in Child Development,76, 127–146. https://doi.org/10.1111/j.1540-5834.2011.00630.x.
Passini, R., Jr., et al. (2010). Brazilian multicenter study on prevalence of preterm birth and associated factors. BMC Pregnancy and Childbirth,10, 22. https://doi.org/10.1186/1471-2393-10-22.
Passini, R., Jr., et al. (2014). Brazilian multicentre study on preterm birth (EMIP): Prevalence and factors associated with spontaneous preterm birth. PLoS ONE,9, e109069. https://doi.org/10.1371/journal.pone.0109069.
Peter, C. J., et al. (2016). DNA methylation signatures of early childhood malnutrition associated with impairments in attention and cognition. Biological Psychiatry,80, 765–774. https://doi.org/10.1016/j.biopsych.2016.03.2100.
Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. (2015). Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of Child Psychology and Psychiatry and Allied Disciplines,56, 345–365. https://doi.org/10.1111/jcpp.12381.
Rezende, L. F., & Eluf-Neto, J. (2016). Population attributable fraction: Planning of diseases prevention actions in Brazil. Revista de Saude Publica. https://doi.org/10.1590/s1518-8787.2016050006269.
Rommelse, N. N., Franke, B., Geurts, H. M., Hartman, C. A., & Buitelaar, J. K. (2010). Shared heritability of attention-deficit/hyperactivity disorder and autism spectrum disorder. European Child and Adolescent Psychiatry,19, 281–295. https://doi.org/10.1007/s00787-010-0092-x.
Schieve, L. A., et al. (2016). Population impact of preterm birth and low birth weight on developmental disabilities in US children. Annals of Epidemiology,26, 267–274. https://doi.org/10.1016/j.annepidem.2016.02.012.
Sciberras, E., Mulraney, M., Silva, D., & Coghill, D. (2017). Prenatal risk factors and the etiology of ADHD-review of existing evidence. Current Psychiatry Reports,19, 1. https://doi.org/10.1007/s11920-017-0753-2.
Singh, G. K., Kenney, M. K., Ghandour, R. M., Kogan, M. D., & Lu, M. C. (2013). Mental health outcomes in US children and adolescents born prematurely or with low birthweight. Depression Research and Treatment,2013, 570743. https://doi.org/10.1155/2013/570743.
Szatmari, P., Saigal, S., Rosenbaum, P., Campbell, D., & King, S. (1990). Psychiatric disorders at five years among children with birthweights less than 1000 g: A regional perspective. Developmental Medicine and Child Neurology,32, 954–962.
Vicari, S., Caravale, B., Carlesimo, G. A., Casadei, A. M., & Allemand, F. (2004). Spatial working memory deficits in children at ages 3-4 who were low birth weight, preterm infants. Neuropsychology,18, 673–678. https://doi.org/10.1037/0894-4105.18.4.673.
Vohra, R., Madhavan, S., & Sambamoorthi, U. (2017). Comorbidity prevalence, healthcare utilization, and expenditures of Medicaid enrolled adults with autism spectrum disorders. Autism,21, 995–1009. https://doi.org/10.1177/1362361316665222.
Wang, C., Geng, H., Liu, W., & Zhang, G. (2017). Prenatal, perinatal, and postnatal factors associated with autism: A meta-analysis. Medicine,96, e6696. https://doi.org/10.1097/MD.0000000000006696.
Woodward, L. J., Clark, C. A., Pritchard, V. E., Anderson, P. J., & Inder, T. E. (2011). Neonatal white matter abnormalities predict global executive function impairment in children born very preterm. Developmental Neuropsychology,36, 22–41. https://doi.org/10.1080/87565641.2011.540530.
Woolfenden, S., Sarkozy, V., Ridley, G., Coory, M., & Williams, K. (2012). A systematic review of two outcomes in autism spectrum disorder—Epilepsy and mortality. Developmental Medicine and Child Neurology,54, 306–312. https://doi.org/10.1111/j.1469-8749.2012.04223.x.
Funding
There is no external funding for this study.
Author information
Authors and Affiliations
Contributions
All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by TCBS, GAB and APD. The first draft of the manuscript was written by TCBS and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Ethics Approval
The protocol study was approved by the Human Research Ethics Committee of the UNISUL submitted through Plataforma Brasil.
Informed Consent
All data were collected from participant’s medical records. After authorization by the legal custodian of the medical records, the investigator contacted the legal participant’s guardian for signing the inform consent. The inform consent signature was allowed to be dispensed after two unsuccessful telephone contact attempts made by the investigators on different occasions.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Soncini, T.C.B., Belotto, G.A. & Diaz, A.P. Association Between Prematurity and Diagnosis of Neurodevelopment Disorder: A Case–Control Study. J Autism Dev Disord 50, 145–152 (2020). https://doi.org/10.1007/s10803-019-04235-2
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10803-019-04235-2