Intrapartum exposure to synthetic oxytocin, maternal BMI, and neurodevelopmental outcomes in children within the ECHO consortium / Lisa KURTH in Journal of Neurodevelopmental Disorders, 16 (2024)  

Public ISBD [article]  inJournal of Neurodevelopmental Disorders > 16 (2024) Titre : Intrapartum exposure to synthetic oxytocin, maternal BMI, and neurodevelopmental outcomes in children within the ECHO consortium Type de document : texte imprimé Auteurs : Lisa KURTH, Auteur ; T. Michael O'SHEA, Auteur ; Irina BURD, Auteur ; Anne L. DUNLOP, Auteur ; Lisa CROEN, Auteur ; Greta WILKENING, Auteur ; Ting-Ju HSU, Auteur ; Stephan EHRHARDT, Auteur ; Arvind PALANISAMY, Auteur ; Monica MCGRATH, Auteur ; Marie L. CHURCHILL, Auteur ; Daniel WEINBERGER, Auteur ; Marco GRADOS, Auteur ; Dana DABELEA, Auteur Langues : Anglais (eng) Mots-clés : Humans  Female  Pregnancy  Oxytocin  Male  Attention Deficit Disorder with Hyperactivity/epidemiology/etiology  Child  Body Mass Index  Autism Spectrum Disorder/epidemiology/etiology  Prenatal Exposure Delayed Effects  Adult  Pregnancy in Obesity/epidemiology  Child, Preschool  Cohort Studies  Obesity/epidemiology  Adhd  Asd  Autism  Bmi  Neurodevelopment  Obesity  Synthetic oxytocin Index. décimale : PER Périodiques Résumé : BACKGROUND: Synthetic oxytocin (sOT) is frequently administered during parturition. Studies have raised concerns that fetal exposure to sOT may be associated with altered brain development and risk of neurodevelopmental disorders. In a large and diverse sample of children with data about intrapartum sOT exposure and subsequent diagnoses of two prevalent neurodevelopmental disorders, i.e., attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD), we tested the following hypotheses: (1) Intrapartum sOT exposure is associated with increased odds of child ADHD or ASD; (2) associations differ across sex; (3) associations between intrapartum sOT exposure and ADHD or ASD are accentuated in offspring of mothers with pre-pregnancy obesity. METHODS: The study sample comprised 12,503 participants from 44 cohort sites included in the Environmental Influences on Child Health Outcomes (ECHO) consortium. Mixed-effects logistic regression analyses were used to estimate the association between intrapartum sOT exposure and offspring ADHD or ASD (in separate models). Maternal obesity (pre-pregnancy BMI ≥ 30 kg/m(2)) and child sex were evaluated for effect modification. RESULTS: Intrapartum sOT exposure was present in 48% of participants. sOT exposure was not associated with increased odds of ASD (adjusted odds ratio [aOR] 0.86; 95% confidence interval [CI], 0.71-1.03) or ADHD (aOR 0.89; 95% CI, 0.76-1.04). Associations did not differ by child sex. Among mothers with pre-pregnancy obesity, sOT exposure was associated with lower odds of offspring ADHD (aOR 0.72; 95% CI, 0.55-0.96). No association was found among mothers without obesity (aOR 0.97; 95% CI, 0.80-1.18). CONCLUSIONS: In a large, diverse sample, we found no evidence of an association between intrapartum exposure to sOT and odds of ADHD or ASD in either male or female offspring. Contrary to our hypothesis, among mothers with pre-pregnancy obesity, sOT exposure was associated with lower odds of child ADHD diagnosis. En ligne : https://dx.doi.org/10.1186/s11689-024-09540-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=575 [article] Intrapartum exposure to synthetic oxytocin, maternal BMI, and neurodevelopmental outcomes in children within the ECHO consortium [texte imprimé] / Lisa KURTH, Auteur ; T. Michael O'SHEA, Auteur ; Irina BURD, Auteur ; Anne L. DUNLOP, Auteur ; Lisa CROEN, Auteur ; Greta WILKENING, Auteur ; Ting-Ju HSU, Auteur ; Stephan EHRHARDT, Auteur ; Arvind PALANISAMY, Auteur ; Monica MCGRATH, Auteur ; Marie L. CHURCHILL, Auteur ; Daniel WEINBERGER, Auteur ; Marco GRADOS, Auteur ; Dana DABELEA, Auteur. Langues : Anglais (eng) in Journal of Neurodevelopmental Disorders > 16 (2024) Mots-clés : Humans  Female  Pregnancy  Oxytocin  Male  Attention Deficit Disorder with Hyperactivity/epidemiology/etiology  Child  Body Mass Index  Autism Spectrum Disorder/epidemiology/etiology  Prenatal Exposure Delayed Effects  Adult  Pregnancy in Obesity/epidemiology  Child, Preschool  Cohort Studies  Obesity/epidemiology  Adhd  Asd  Autism  Bmi  Neurodevelopment  Obesity  Synthetic oxytocin Index. décimale : PER Périodiques Résumé : BACKGROUND: Synthetic oxytocin (sOT) is frequently administered during parturition. Studies have raised concerns that fetal exposure to sOT may be associated with altered brain development and risk of neurodevelopmental disorders. In a large and diverse sample of children with data about intrapartum sOT exposure and subsequent diagnoses of two prevalent neurodevelopmental disorders, i.e., attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD), we tested the following hypotheses: (1) Intrapartum sOT exposure is associated with increased odds of child ADHD or ASD; (2) associations differ across sex; (3) associations between intrapartum sOT exposure and ADHD or ASD are accentuated in offspring of mothers with pre-pregnancy obesity. METHODS: The study sample comprised 12,503 participants from 44 cohort sites included in the Environmental Influences on Child Health Outcomes (ECHO) consortium. Mixed-effects logistic regression analyses were used to estimate the association between intrapartum sOT exposure and offspring ADHD or ASD (in separate models). Maternal obesity (pre-pregnancy BMI ≥ 30 kg/m(2)) and child sex were evaluated for effect modification. RESULTS: Intrapartum sOT exposure was present in 48% of participants. sOT exposure was not associated with increased odds of ASD (adjusted odds ratio [aOR] 0.86; 95% confidence interval [CI], 0.71-1.03) or ADHD (aOR 0.89; 95% CI, 0.76-1.04). Associations did not differ by child sex. Among mothers with pre-pregnancy obesity, sOT exposure was associated with lower odds of offspring ADHD (aOR 0.72; 95% CI, 0.55-0.96). No association was found among mothers without obesity (aOR 0.97; 95% CI, 0.80-1.18). CONCLUSIONS: In a large, diverse sample, we found no evidence of an association between intrapartum exposure to sOT and odds of ADHD or ASD in either male or female offspring. Contrary to our hypothesis, among mothers with pre-pregnancy obesity, sOT exposure was associated with lower odds of child ADHD diagnosis. En ligne : https://dx.doi.org/10.1186/s11689-024-09540-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=575

Prenatal depression and risk of child autism-related traits among participants in the Environmental influences on Child Health Outcomes program / Lyndsay A. AVALOS in Autism Research, 16-9 (September 2023)  

Public ISBD [article]  inAutism Research > 16-9 (September 2023) . - p.1825-1835 Titre : Prenatal depression and risk of child autism-related traits among participants in the Environmental influences on Child Health Outcomes program Type de document : texte imprimé Auteurs : Lyndsay A. AVALOS, Auteur ; Aruna CHANDRAN, Auteur ; Marie L. CHURCHILL, Auteur ; Xingyu GAO, Auteur ; Jennifer L. AMES, Auteur ; Sara S. NOZADI, Auteur ; Danielle S. ROUBINOV, Auteur ; Patricia A. BRENNAN, Auteur ; Nicole R. BUSH, Auteur ; Carlos A. CAMARGO, Auteur ; Kecia N. CARROLL, Auteur ; Camille C. CIOFFI, Auteur ; Assiamira FERRARA, Auteur ; Brandon GOLDSON, Auteur ; Monique M. HEDDERSON, Auteur ; Alison E. HIPWELL, Auteur ; Jean M. KERVER, Auteur ; Thomas G. O'CONNOR, Auteur ; Christina A. PORUCZNIK, Auteur ; Lauren C. SHUFFREY, Auteur ; Maria M. TALAVERA-BARBER, Auteur ; Rosalind J. WRIGHT, Auteur ; Yeyi ZHU, Auteur ; Lisa A. CROEN, Auteur ; program collaborators for Environmental influences on Child Health OUTCOMES, Auteur Article en page(s) : p.1825-1835 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Abstract This study evaluated the association between prenatal depression and offspring autism-related traits. The sample comprised 33 prenatal/pediatric cohorts participating in the Environmental influences on Child Health Outcomes program who contributed information on prenatal depression and autism-related traits. Autism-related traits were assessed continuously and at the diagnostic cut-off using the Social Responsiveness Scale for children up to 12 years of age. Main analyses included 3994 parent-child pairs with prenatal depression diagnoses data; secondary analyses included 1730 parent-child pairs with depression severity data. After confounder adjustment, we observed an increase in autism-related traits among children of individuals with prenatal depression compared to those without (adjusted ?=1.31 95% CI: 0.65, 1.98). Analyses stratified by child sex documented a similar significant association among boys (a?=1.34 95%CI: 0.36, 2.32) and girls (a?=1.26 95% CI: 0.37, 2.15). Prenatal depression was also associated with increased odds of moderate to severe autism-related traits (adjusted odds ratio: 1.64, 95%CI: 1.09, 2.46), the screening threshold considered high risk of autism spectrum disorder (ASD) diagnosis. Findings highlight the importance of prenatal depression screening and preventive interventions for children of pregnant individuals with depression to support healthy development. Future research is needed to clarify whether these findings reflect overlap in genetic risk for depression and ASD-related traits or another mechanism. En ligne : https://doi.org/10.1002/aur.2988 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=510 [article] Prenatal depression and risk of child autism-related traits among participants in the Environmental influences on Child Health Outcomes program [texte imprimé] / Lyndsay A. AVALOS, Auteur ; Aruna CHANDRAN, Auteur ; Marie L. CHURCHILL, Auteur ; Xingyu GAO, Auteur ; Jennifer L. AMES, Auteur ; Sara S. NOZADI, Auteur ; Danielle S. ROUBINOV, Auteur ; Patricia A. BRENNAN, Auteur ; Nicole R. BUSH, Auteur ; Carlos A. CAMARGO, Auteur ; Kecia N. CARROLL, Auteur ; Camille C. CIOFFI, Auteur ; Assiamira FERRARA, Auteur ; Brandon GOLDSON, Auteur ; Monique M. HEDDERSON, Auteur ; Alison E. HIPWELL, Auteur ; Jean M. KERVER, Auteur ; Thomas G. O'CONNOR, Auteur ; Christina A. PORUCZNIK, Auteur ; Lauren C. SHUFFREY, Auteur ; Maria M. TALAVERA-BARBER, Auteur ; Rosalind J. WRIGHT, Auteur ; Yeyi ZHU, Auteur ; Lisa A. CROEN, Auteur ; program collaborators for Environmental influences on Child Health OUTCOMES, Auteur . - p.1825-1835. Langues : Anglais (eng) in Autism Research > 16-9 (September 2023) . - p.1825-1835 Index. décimale : PER Périodiques Résumé : Abstract This study evaluated the association between prenatal depression and offspring autism-related traits. The sample comprised 33 prenatal/pediatric cohorts participating in the Environmental influences on Child Health Outcomes program who contributed information on prenatal depression and autism-related traits. Autism-related traits were assessed continuously and at the diagnostic cut-off using the Social Responsiveness Scale for children up to 12 years of age. Main analyses included 3994 parent-child pairs with prenatal depression diagnoses data; secondary analyses included 1730 parent-child pairs with depression severity data. After confounder adjustment, we observed an increase in autism-related traits among children of individuals with prenatal depression compared to those without (adjusted ?=1.31 95% CI: 0.65, 1.98). Analyses stratified by child sex documented a similar significant association among boys (a?=1.34 95%CI: 0.36, 2.32) and girls (a?=1.26 95% CI: 0.37, 2.15). Prenatal depression was also associated with increased odds of moderate to severe autism-related traits (adjusted odds ratio: 1.64, 95%CI: 1.09, 2.46), the screening threshold considered high risk of autism spectrum disorder (ASD) diagnosis. Findings highlight the importance of prenatal depression screening and preventive interventions for children of pregnant individuals with depression to support healthy development. Future research is needed to clarify whether these findings reflect overlap in genetic risk for depression and ASD-related traits or another mechanism. En ligne : https://doi.org/10.1002/aur.2988 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=510

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