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母体化学物质和药物不耐受:自闭症和注意力缺陷多动障碍(ADHD)的潜在风险因素。

Maternal Chemical and Drug Intolerances: Potential Risk Factors for Autism and Attention Deficit Hyperactivity Disorder (ADHD).

作者信息

Heilbrun Lynne P, Palmer Raymond F, Jaen Carlos R, Svoboda Melissa D, Perkins Jimmy, Miller Claudia S

机构信息

From the Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio (RFP, LPH, CRJ, CSM); Department of Pediatrics, Children's Hospital of San Antonio/Baylor College of Medicine (MDS); and Retired (JP, formerly a professor at the University of Texas School of Public Health at San Antonio).

出版信息

J Am Board Fam Med. 2015 Jul-Aug;28(4):461-70. doi: 10.3122/jabfm.2015.04.140192.

Abstract

PURPOSE

The aim of this study was to assess whether chemically intolerant women are at greater risk for having a child with autism spectrum disorders (ASD) or attention deficit hyperactivity disorder (ADHD).

METHODS

We conducted a case-control study of chemical intolerance among mothers of children with ASD (n = 282) or ADHD (n = 258) and children without these disorders (n = 154). Mothers participated in an online survey consisting of a validated chemical intolerance screening instrument, the Quick Environmental Exposure and Sensitivity Inventory (QEESI). Cases and controls were characterized by parental report of a professional diagnosis. We used a one-way, unbalanced analysis of variance to compare means across the 3 groups.

RESULTS

Both mothers of children with ASD or ADHD had significantly higher mean chemical intolerance scores than did mothers of controls, and they were more likely to report adverse reactions to drugs. Chemically intolerant mothers were 3 times more likely (odds ratio, 3.01; 95% confidence interval, 1.50-6.02) to report having a child with autism or 2.3 times more likely (odds ratio, 2.3; 95% confidence interval, 1.12-5.04) to report a child with ADHD. Relative to controls, these mothers report their children are more prone to allergies (P < .02), have strong food preferences or cravings (P < .003), and have greater sensitivity to noxious odors (P < .04).

CONCLUSION

These findings suggest a potential association between maternal chemical intolerance and a diagnosis of ADHD or ASD in their offspring.

摘要

目的

本研究旨在评估对化学物质不耐受的女性生育患有自闭症谱系障碍(ASD)或注意力缺陷多动障碍(ADHD)孩子的风险是否更高。

方法

我们对患有ASD(n = 282)或ADHD(n = 258)的孩子的母亲以及没有这些疾病的孩子的母亲(n = 154)进行了一项关于化学物质不耐受的病例对照研究。母亲们参与了一项在线调查,该调查包括一份经过验证的化学物质不耐受筛查工具,即快速环境暴露与敏感性量表(QEESI)。病例组和对照组通过专业诊断的家长报告来确定。我们使用单向、不平衡方差分析来比较三组的均值。

结果

患有ASD或ADHD的孩子的母亲的化学物质不耐受平均得分均显著高于对照组的母亲,并且她们更有可能报告对药物有不良反应。对化学物质不耐受的母亲报告生育患有自闭症孩子的可能性是对照组的3倍(优势比,3.01;95%置信区间,1.50 - 6.02),报告生育患有ADHD孩子的可能性是对照组的2.3倍(优势比,2.3;95%置信区间,1.1

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