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辅助受孕后出生的儿童患幼儿自闭症的风险会更低吗?

Do children born after assisted conception have less risk of developing infantile autism?

作者信息

Maimburg Rikke Damkjaer, Vaeth Michael

机构信息

Institute of Public Health, Department of Epidemiology, University of Aarhus, Vennelyst, Boulevard 6, 8000 Aarhus C, and Department of Obstetrics and Gynecology, Aarhus University Hospital, Skejby, Denmark.

出版信息

Hum Reprod. 2007 Jul;22(7):1841-3. doi: 10.1093/humrep/dem082. Epub 2007 Apr 24.

Abstract

BACKGROUND

A Danish population based matched case-control study of perinatal risk factors in children with infantile autism has provided some interesting and surprising observations regarding infantile autism and children born after assisted conception.

METHODS AND RESULTS

The cases (461) consisted of all children born between 1990 and 1999 and diagnosed with infantile autism in the Danish Psychiatric Central Register before February 2001. Matched controls were identified in the Danish Civil Registration System. The main exposure measures included obstetric risk factors for infantile autism. We found a 59% decreased risk for developing infantile autism among children conceived after assisted conception (odds ratio [OR] 0.41, 95% [0.19-0.89]) and a 63% decreased risk after adjusting for known risk factors for assisted conception and infantile autism (OR 0.37, 95% [0.14-0.98]).

CONCLUSION

We found that children born after assisted conception had a lower risk of developing infantile autism then their matched controls. Our observations could possibly be explained by the mother's health status before and during early pregnancy. Our findings require further investigation in larger studies.

摘要

背景

一项基于丹麦人群的针对患婴儿自闭症儿童围产期危险因素的匹配病例对照研究,提供了一些关于婴儿自闭症和辅助受孕后出生儿童的有趣且惊人的观察结果。

方法与结果

病例组(461例)包括1990年至1999年出生且在2001年2月前在丹麦精神病学中央登记处被诊断为婴儿自闭症的所有儿童。在丹麦民事登记系统中确定匹配的对照组。主要暴露测量包括婴儿自闭症的产科危险因素。我们发现辅助受孕后出生的儿童患婴儿自闭症的风险降低了59%(优势比[OR]0.41,95%[0.19 - 0.89]),在调整辅助受孕和婴儿自闭症的已知危险因素后风险降低了63%(OR 0.37,95%[0.14 - 0.98])。

结论

我们发现辅助受孕后出生的儿童患婴儿自闭症的风险低于其匹配的对照组。我们的观察结果可能可以用母亲怀孕前和怀孕早期的健康状况来解释。我们的研究结果需要在更大规模的研究中进一步调查。

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