Abstract
Objectives
This study assessed prenatal risk factors that contribute significantly to autism spectrum disorder (ASD).
Methods
A total of 400 online questionnaires were sent to the mothers who had children not older than 12 years of age. Only 76.25% of the questionnaires were fully complete, with 160 of the 305 mothers had a child with ASD while 145 had a neurotypical child. The risk factors were analyzed using binary logistic regression.
Results
The results showed four factors that contributed significantly (p < 0.05) to an increased risk of ASD. Mothers with relatives having ASD increased the risk five times to having a child with ASD. Mothers who were exposed to anesthesia and to X-ray in the first trimester also had a risk five times to having a child with ASD. Mothers who took folic acid during the first trimester decreased their risk 2.9 times to having a child with ASD.
Conclusions
Further studies are needed to verify these findings and to investigate the effects of multiple factors on ASD.
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References
Abdullahi, M. G. (2015). The effects of x-rays (radiation) on embryonic and fetal during developmental pregnancy stages. Journal of Nuclear Medicine & Radiation Therapy, 06(04), 4–7. https://doi.org/10.4172/2155-9619.1000231.
Abrahams, B. S., & Geschwind, D. H. (2008). Advances in autism genetics: On the threshold of a new neurobiology. Nature Reviews Genetics, 9(5), 341–355. https://doi.org/10.1038/nrg2346.
Almandil, N. B., Alkuroud, D. N., AbdulAzeez, S., AlSulaiman, A., Elaissari, A., & Borgio, J. F. (2019). Environmental and genetic factors in autism spectrum disorders: special emphasis on data from Arabian studies. International Journal of Environmental Research and Public Health, 16(4), 658. https://doi.org/10.3390/ijerph16040658.
AlZahrani, A. (2013). Prevalence and clinical characteristics of autism spectrum disorders in school-age children in Taif- KSA. International Journal of Medical Science and Public Health, 2(3), 578–582. https://doi.org/10.5455/ijmsph.2013.160420133.
Becerra, T. A., von Ehrenstein, O. S., Heck, J. E., Olsen, J., Arah, O. A., Jeste, S. S., Rodriguez, M., & Ritz, B. (2014). Autism spectrum disorders and race, ethnicity, and nativity: a population-based study. Pediatrics, 134(1), e63–e71. https://doi.org/10.1542/peds.2013-3928.
Campbell, S. B., Moore, E. L., Northrup, J., & Brownell, C. A. (2017). Developmental changes in empathic concern and self-understanding in toddlers at genetic risk for autism spectrum disorder. Journal of Autism and Developmental Disorders, 47(9), 2690–2702. https://doi.org/10.1007/s10803-017-3192-3.
Chaste, P., & Leboyer, M. (2012). Autism risk factors: genes, environment, and gene-environment interactions. Dialogues in Clinical Neuroscience, 14(3), 281–292. https://doi.org/10.2217/epi.11.19.
Durkin, M. S., Maenner, M. J., Newschaffer, C. J., Lee, L., Cunniff, M., Daniels, J. L., Kirby, R. S., Leavitt, L., Miller, L., Zahorodny, W., & Schieve, L. A. (2008). Original contribution advanced parental age and the risk of autism spectrum disorder. American Journal of Epidemiology, 53726(8), 1268–1276. https://doi.org/10.1093/aje/kwn250.
Huberman Samuel, M., Meiri, G., Dinstein, I., Flusser, H., Michaelovski, A., Bashiri, A., & Menashe, I. (2019). Exposure to general anesthesia may contribute to the association between cesarean delivery and autism spectrum disorder. Journal of Autism and Developmental Disorders, 49(8), 3127–3135. https://doi.org/10.1007/s10803-019-04034-9.
Hviid, A., Melbye, M., & Pasternak, B. (2013). Use of selective serotonin reuptake inhibitors during pregnancy and risk of autism. New England Journal of Medicine, 369(25), 2406–2415. https://doi.org/10.1056/NEJMoa1301449.
Johnson, C. P., & Myers, S. M. (2007). Identification and evaluation of children with autism spectrum disorders and the council on children with disabilities. American Academy of Pediatrics, 120(5), 1183–1215. https://doi.org/10.1542/peds.2007-2361.
Ko, W.-R., Huang, J.-Y., Chiang, Y.-C., Nfor, O. N., Ko, P.-C., Jan, S.-R., Lung, C.-C., Chang, H.-C., Lin, L.-Y., & Liaw, Y.-P. (2015). Risk of autistic disorder after exposure to general anaesthesia and surgery. European Journal of Anaesthesiology, 32(5), 303–310. https://doi.org/10.1097/EJA.0000000000000130.
Kuperman, A. A., & Koren, O. (2016). Antibiotic use during pregnancy: how bad is it? BMC Medicine, 14(1), 1–7. https://doi.org/10.1186/s12916-016-0636-0.
Lyall, K., Schmidt, R. J., & Hertz-Picciotto, I. (2014). Maternal lifestyle and environmental risk factors for autism spectrum disorders. International Journal of Epidemiology, 43(2), 443–464. https://doi.org/10.1093/ije/dyt282.
Masse, J. (2010) Autism Spectrum Disorders. In C. McNeil & T. L. Hembree-Kigin (Eds.), Parent-child interaction therapy. Issues in clinical child psychology. Springer.
Pearson, D. A., Aman, M. G., Arnold, L. E., Lane, D. M., Loveland, K. A., Santos, C. W., Casat, C. D., Mansour, R., Jerger, S. W., Ezzell, S., Factor, P., Vanwoerden, S., Ye, E., Narain, P., & Cleveland, L. A. (2012). High concordance of parent and teacher attention-deficit/hyperactivity disorder ratings in medicated and unmedicated children with autism spectrum disorders. Journal of Child and Adolescent Psychopharmacology, 22(4), 284–291. https://doi.org/10.1089/cap.2011.0067.
Rosen, B. N., Lee, B. K., Lee, N. L., Yang, Y., & Burstyn, I. (2015). Maternal smoking and autism spectrum disorder: A meta-analysis. Journal of Autism and Developmental Disorders, 45(6), 1689–1698. https://doi.org/10.1007/s10803-014-2327-z.
Salhia, H. O., Al-nasser, L. A., Taher, L. S., & Al-khathaami, A. M. (2014). Systemic review of the epidemiology of autism in Arab Gulf countries. Neurosciences (Riyadh), 19(4), 291–296.
Saxena, A., & Chahrour, M. (2017). Autism spectrum disorder. In G. Ginsburg, & H. Willard (Eds.), Genomic and Precision Medicine (pp. 301–316). Elsevier. https://doi.org/10.1016/B978-0-12-800685-6.00016-3.
Schmidt, R. J., Tancredi, D. J., Krakowiak, P., Hansen, R. L., & Ozonoff, S. (2014). Maternal intake of supplemental iron and risk of autism spectrum disorder. American Journal of Epidemiology, 180(9), 890–900. https://doi.org/10.1093/aje/kwu208.
Sun, X., Allison, C., Auyeung, B., Zhang, Z., Matthews, F. E., Baron-Cohen, S., & Brayne, C. (2015). Validation of existing diagnosis of autism in mainland China using standardised diagnostic instruments. Autism : The International Journal of Research and Practice, 19(8), 1010–1017. https://doi.org/10.1177/1362361314556785.
Surén, P., Roth, C., Bresnahan, M., Haugen, M., Hornig, M., Hirtz, D., Lie, K. K., Lipkin, W. I., Magnus, P., Reichborn-Kjennerud, T., Schjølberg, S., Smith, G. D., Øyen, A. S., Susser, E., & Stoltenberg, C. (2013). Association between maternal use of folic acid supplements and risk of autism spectrum disorders in children. Obstetrical & Gynecological Survey, 68(6), 416–418. https://doi.org/10.1097/01.ogx.0000431313.84585.bd.
Szatmari, P., Chawarska, K., Dawson, G., Georgiades, S., Landa, R., Lord, C., Messinger, D. S., Thurm, A., & Halladay, A. (2016). Prospective longitudinal studies of infant siblings of children with autism: lessons learned and future directions. Journal of the American Academy of Child and Adolescent Psychiatry, 55(3), 179–187. https://doi.org/10.1016/j.jaac.2015.12.014.
Tran, P. L., Lehti, V., Lampi, K. M., Helenius, H., Suominen, A., Gissler, M., Brown, A. S., & Sourander, A. (2013). Smoking during pregnancy and risk of autism spectrum disorder in a Finnish national birth cohort. Paediatric and Perinatal Epidemiology, 27(3), 266–274. https://doi.org/10.1111/ppe.12043.
Turner, T., Pihur, V., & Chakravarti, A. (2011). Quantifying and modeling birth order effects in autism. PLoS One, 6(10), e26418. https://doi.org/10.1371/journal.pone.0026418.
Upadya, M., & Saneesh, P. J. (2016). Anaesthesia for non-obstetric surgery during pregnancy. Indian Journal of Anaesthesia, 60(4), 234–241. https://doi.org/10.4103/0019-5049.179445.
Wang, C., Geng, H., Liu, W., & Zhang, G. (2017). Prenatal, perinatal, and postnatal factors associated with autism: a meta-analysis. Medicine, 96(18), e6696. https://doi.org/10.1097/MD.0000000000006696.
Wu, S., Wu, F., Ding, Y., Hou, J., Bi, J., & Zhang, Z. (2017). Advanced parental age and autism risk in children : a systematic review and. Acta Psychiatrica Scandinavica, 135(1), 29–41. https://doi.org/10.1111/acps.12666.
Yazbak, F. E. (2004). Autism seems to be increasing worldwide, if not in London. BMJ (Clinical Research Ed.), 328(7433), 226–227. https://doi.org/10.1136/bmj.328.7433.226-c.
Zhang, X., Lv, C. C., Tian, J., Miao, R. J., Xi, W., Hertz-Picciotto, I., & Qi, L. (2010). Prenatal and perinatal risk factors for autism in China. Journal of Autism and Developmental Disorders, 40(11), 1311–1321. https://doi.org/10.1007/s10803-010-0992-0.
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TN supervised the data collection, drafted the manuscript, performed the statistical analysis, and led the analysis and interpretation of the data; NM conceived the study, led in its design and coordination, participated in the interpretation of the data, and helped to draft the manuscript; LS helped to conceive of the study and participated in the design and interpretation of the data; DM helped to conceive the study and participated in the design and interpretation of the data. All the authors read and approved the final manuscript.
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All procedures performed in studies involving human participants followed the ethical standards of Prince Sultan Military College of Health Sciences in Dhahran, Saudi Arabia, and with the 1964 Helsinki declaration and its later amendments.
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Al-maqati, T.N., Al-Otaibi, N.M., Al-Merbati, L.S. et al. Prenatal Factors Influencing the Risk of Autism Spectrum Disorder. Adv Neurodev Disord 5, 71–76 (2021). https://doi.org/10.1007/s41252-020-00178-3
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DOI: https://doi.org/10.1007/s41252-020-00178-3