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父母年龄与芬兰全国出生队列中自闭症谱系障碍的风险

Parental age and risk of autism spectrum disorders in a Finnish national birth cohort.

机构信息

Department of Child Psychiatry, University of Turku, Turku, Finland.

出版信息

J Autism Dev Disord. 2013 Nov;43(11):2526-35. doi: 10.1007/s10803-013-1801-3.

Abstract

Aim of the study was to examine the associations between parental age and autism spectrum disorders (ASD). Data were based on the FIPS-A (Finnish Prenatal Study of Autism and Autism Spectrum Disorders), a case-control study with a total of 4,713 cases with childhood autism (n = 1,132), Asperger's syndrome (n = 1,785) or other pervasive developmental disorder (PDD) (n = 1,796), which were ascertained from the Finnish Hospital Discharge Register. Controls were selected from the Finnish Medical Birth Register. Conditional logistic regression models were used for statistical analyses. Advanced paternal age (35-49 years) was associated with childhood autism in offspring, whereas advanced maternal age was associated with both Asperger's syndrome and PDD in offspring (35 years or more and 40 years or more, respectively). Teenage motherhood (19 years or less) was associated with PDD in offspring. The main finding was that maternal and paternal ages were differentially associated with ASD subtypes. In addition to advanced parental age, teenage pregnancy seems to incur a risk for PDD in offspring.

摘要

本研究旨在探讨父母年龄与自闭症谱系障碍(ASD)之间的关联。数据基于 FIPS-A(芬兰自闭症和自闭症谱系障碍产前研究),这是一项病例对照研究,共有 4713 例儿童自闭症(n=1132)、阿斯伯格综合征(n=1785)或其他广泛发育障碍(PDD)(n=1796)病例,这些病例均从芬兰住院记录中确定。对照组选自芬兰医疗出生登记处。采用条件逻辑回归模型进行统计分析。父亲年龄较大(35-49 岁)与子女的自闭症有关,而母亲年龄较大与子女的阿斯伯格综合征和 PDD 有关(分别为 35 岁或以上和 40 岁或以上)。未成年母亲(19 岁或以下)与子女的 PDD 有关。主要发现是母亲和父亲的年龄与 ASD 亚型有不同的关联。除了父母年龄较大之外,未成年怀孕似乎会使子女患 PDD 的风险增加。

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