Screened potential risk factors for autism and autistic behaviour in children. Literature review
DOI:
https://doi.org/10.12775/JEHS.2024.55.015Keywords
ASD, sutism behaviour, pregnancy, paternal factors, environmental factorsAbstract
Introduction and purpose: This publication is a review of research on potential risk factors for the development of autism and autistic behaviour in children. The purpose of this review is to spread knowledge and awareness of autism syndrome disorder.
Brief description of the state of knowledge: Autism syndrome disorder is a neurological and developmental brain disorder. It is characterized by problems with social relationships and communication as well as narrow and repetitive behaviours and interests. The causes of autism spectrum disorder are still not fully understood and pose a challenge to modern medicine. Numerous studies find causes in fetal life and the course of pregnancy, genetic conditions and mutations, environmental risk factors or vaccination. Many theories about the causes of autism require more extensive and thorough research, for which some beliefs have been overturned, such as the search for links between autism spectrum disorder and childhood vaccination. At this point, the role of genetic mutations in the occurrence of autism in children can be confirmed with certainty. Causes are particularly looked for in fetal life and prenatal factors. One theory relates to the activation of the mother's immune system, her production of cytokine and pro-inflammatory factors that affect the development of the fetal nervous system.
Results and conclusions: In our review, we aim to present the risk factors that can most significantly influence the development of ASD. These factors include genetics, prenatal diet, smoking during pregnancy, maternal intake of antidepressants, infections during pregnancy, other pregnancy and maternal factors, parental age, various paternal risk factors, lack of breastfeeding, and environmental factors. Some factors need more research for a comprehensive understanding, while others, like breastfeeding and non-smoking during pregnancy, are well-studied and require promotion to reduce the risk of the disorder.
References
Madley-Dowd P, Dardani C, Wootton RE, Dack K, Palmer T, Thurston R, Havdahl A, Golding J, Lawlor D, Rai D. Maternal vitamin D during pregnancy and offspring autism and autism-associated traits: a prospective cohort study. Mol Autism. 2022 Nov 12;13(1):44. doi: 10.1186/s13229-022-00523-4. PMID: 36371219; PMCID: PMC9652971.
Caramaschi D, Taylor AE, Richmond RC, Havdahl KA, Golding J, Relton CL, Munafò MR, Davey Smith G, Rai D. Maternal smoking during pregnancy and autism: using causal inference methods in a birth cohort study. Transl Psychiatry. 2018 Nov 29;8(1):262. doi: 10.1038/s41398-018-0313-5. PMID: 30498225; PMCID: PMC6265272.
Kalkbrenner AE, Meier SM, Madley-Dowd P, Ladd-Acosta C, Fallin MD, Parner E, Schendel D. Familial confounding of the association between maternal smoking in pregnancy and autism spectrum disorder in offspring. Autism Res. 2020 Jan;13(1):134-144. doi: 10.1002/aur.2196. Epub 2019 Aug 29. PMID: 31464107; PMCID: PMC7919848. 4. Implementation of Advanced Methods for Reproductive Pharmacovigilance in Autism: A Meta-Analysis of the Effects of Prenatal Antidepressant Exposure Monica L Vega , Graham C Newport , Durim Bozhdaraj , Samantha B Saltz , Charles B Nemeroff , D Jeffrey Newport PMID: 32375539 DOI: 10.1176/appi.ajp.2020.18070766
Brennan PA, Dunlop AL, Croen LA, Avalos LA, Salisbury AL, Hipwell AE, Nozadi SS, Sathyanarayana S, Crum RM, Musci R, Li M, Li X, Mansolf M, O'Connor TG, Elliott AJ, Ghildayal N, Lin PD, Sprowles JLN, Stanford JB, Bendixsen C, Ozonoff S, Lester BM, Shuster CL, Huddleston KC, Posner J, Paneth N. Prenatal Antidepressant Exposures and Autism Spectrum Disorder or Traits: A Retrospective, Multi-Cohort Study. Res Child Adolesc Psychopathol. 2023 Apr;51(4):513-527. doi: 10.1007/s10802-022-01000-5. Epub 2022 Nov 22. PMID: 36417100; PMCID: PMC10150657.
Shuid AN, Jayusman PA, Shuid N, Ismail J, Kamal Nor N, Mohamed IN. Association between Viral Infections and Risk of Autistic Disorder: An Overview. Int J Environ Res Public Health. 2021 Mar 10;18(6):2817. doi: 10.3390/ijerph18062817. PMID: 33802042; PMCID: PMC7999368.
Sari NP, Jansen PW, Blanken LME, Ruigrok ANV, Prinzie P, Tiemeier H, Baron-Cohen S, van IJzendoorn MH, White T. Maternal age, autistic-like traits and mentalizing as predictors of child autistic-like traits in a population-based cohort. Mol Autism. 2022 Jun 15;13(1):26. doi: 10.1186/s13229-022-00507-4. PMID: 35705965; PMCID: PMC9199218.
Vecchione R, Wang S, Rando J, Chavarro JE, Croen LA, Fallin MD, Hertz-Picciotto I, Newschaffer CJ, Schmidt RJ, Lyall K. Maternal Dietary Patterns during Pregnancy and Child Autism-Related Traits: Results from Two US Cohorts. Nutrients. 2022 Jun 30;14(13):2729. doi: 10.3390/nu14132729. PMID: 35807909; PMCID: PMC9268965.
Joyce EE, Chavarro JE, Rando J, Song AY, Croen LA, Fallin MD, Hertz-Picciotto I, Schmidt RJ, Volk H, Newschaffer CJ, Lyall K. Prenatal exposure to pesticide residues in the diet in association with child autism-related traits: Results from the EARLI study. Autism Res. 2022 May;15(5):957-970. doi: 10.1002/aur.2698. Epub 2022 Mar 8. PMID: 35261202; PMCID: PMC9090949.
Al Malki JS, Hussien NA, Al Malki F. Maternal toxoplasmosis and the risk of childhood autism: serological and molecular small-scale studies. BMC Pediatr. 2021 Mar 17;21(1):133. doi: 10.1186/s12887-021-02604-4. PMID: 33731054; PMCID: PMC7968291.
Grivas G, Frye R, Hahn J. Pregnant Mothers' Medical Claims and Associated Risk of Their Children being Diagnosed with Autism Spectrum Disorder. J Pers Med. 2021 Sep 24;11(10):950. doi: 10.3390/jpm11100950. PMID: 34683092; PMCID: PMC8537202.
Persson M, Opdahl S, Risnes K, Gross R, Kajantie E, Reichenberg A, Gissler M, Sandin S. Gestational age and the risk of autism spectrum disorder in Sweden, Finland, and Norway: A cohort study. PLoS Med. 2020 Sep 22;17(9):e1003207. doi: 10.1371/journal.pmed.1003207. PMID: 32960896; PMCID: PMC7508401.
Hertz-Picciotto I, Korrick SA, Ladd-Acosta C, Karagas MR, Lyall K, Schmidt RJ, Dunlop AL, Croen LA, Dabelea D, Daniels JL, Duarte CS, Fallin MD, Karr CJ, Lester B, Leve LD, Li Y, McGrath M, Ning X, Oken E, Sagiv SK, Sathyanaraya S, Tylavsky F, Volk HE, Wakschlag LS, Zhang M, O'Shea TM, Musci RJ; program collaborators for Environmental influences on Child Health Outcomes (ECHO). Maternal tobacco smoking and offspring autism spectrum disorder or traits in ECHO cohorts. Autism Res. 2022 Mar;15(3):551-569. doi: 10.1002/aur.2665. Epub 2022 Feb 24. PMID: 35199959; PMCID: PMC9304219.
Wang SY, Cheng YY, Guo HR, Tseng YC. Air Pollution during Pregnancy and Childhood Autism Spectrum Disorder in Taiwan. Int J Environ Res Public Health. 2021 Sep 17;18(18):9784. doi: 10.3390/ijerph18189784. PMID: 34574710; PMCID: PMC8467611.
Volk HE, Park B, Hollingue C, Jones KL, Ashwood P, Windham GC, Lurman F, Alexeeff SE, Kharrazi M, Pearl M, Van de Water J, Croen LA. Maternal immune response and air pollution exposure during pregnancy: insights from the Early Markers for Autism (EMA) study. J Neurodev Disord. 2020 Dec 16;12(1):42. doi: 10.1186/s11689-020-09343-0. PMID: 33327930; PMCID: PMC7745402.
Mehra A, Arora G, Sahni G, Kaur M, Singh H, Singh B, Kaur S. Gut microbiota and Autism Spectrum Disorder: From pathogenesis to potential therapeutic perspectives. J Tradit Complement Med. 2022 Mar 8;13(2):135-149. doi: 10.1016/j.jtcme.2022.03.001. PMID: 36970459; PMCID: PMC10037072.
Peralta-Marzal LN, Prince N, Bajic D, Roussin L, Naudon L, Rabot S, Garssen J, Kraneveld AD, Perez-Pardo P. The Impact of Gut Microbiota-Derived Metabolites in Autism Spectrum Disorders. Int J Mol Sci. 2021 Sep 17;22(18):10052. doi: 10.3390/ijms221810052. PMID: 34576216; PMCID: PMC8470471.
Slama S, Bahia W, Soltani I, Gaddour N, Ferchichi S. Risk factors in autism spectrum disorder: A Tunisian case-control study. Saudi J Biol Sci. 2022 Apr;29(4):2749-2755. doi: 10.1016/j.sjbs.2021.12.059. Epub 2022 Jan 4. PMID: 35531179; PMCID: PMC9072901.
Pan N, Lin LZ, Wang X, Guo CH, Jing J, Li XH. Association between paternal age at childbirth and autism spectrum disorder in offspring. Zhongguo Dang Dai Er Ke Za Zhi. 2022 Aug 15;24(8):863-868. English, Chinese. doi: 10.7499/j.issn.1008-8830.2203146. PMID: 36036123; PMCID: PMC9425870
Kim B, Ha M, Kim YS, Koh YJ, Dong S, Kwon HJ, Kim YS, Lim MH, Paik KC, Yoo SJ, Kim H, Hong PS, Sanders SJ, Leventhal BL. Prenatal exposure to paternal smoking and likelihood for autism spectrum disorder. Autism. 2021 Oct;25(7):1946-1959. doi: 10.1177/13623613211007319. Epub 2021 Apr 20. PMID: 33878952; PMCID: PMC8419001.
Yan T, Hou Y, Liang L. Family Socioeconomic Status and Parental Involvement in Chinese Parents of Children with Autism Spectrum Disorder: A Moderated Mediation Model. Healthcare (Basel). 2023 Apr 29;11(9):1281. doi: 10.3390/healthcare11091281. PMID: 37174823; PMCID: PMC10177892.
Ghozy S, Tran L, Naveed S, Quynh TTH, Helmy Zayan A, Waqas A, Sayed AKH, Karimzadeh S, Hirayama K, Huy NT. Association of breastfeeding status with risk of autism spectrum disorder: A systematic review, dose-response analysis and meta-analysis. Asian J Psychiatr. 2020 Feb;48:101916. doi: 10.1016/j.ajp.2019.101916. Epub 2019 Dec 27. PMID: 31923810.
Jenabi E, Bashirian S, Salehi AM, Khazaei S. Not breastfeeding and risk of autism spectrum disorders among children: a meta-analysis. Clin Exp Pediatr. 2023 Jan;66(1):28-31. doi: 10.3345/cep.2021.01872. Epub 2022 Jul 19. PMID: 35879869; PMCID: PMC9815942.
Zhan XL, Pan N, Karatela S, Shi L, Wang X, Liu ZY, Jing J, Li XH, Cai L, Lin LZ. Infant feeding practices and autism spectrum disorder in US children aged 2-5 years: the national survey of children's health (NSCH) 2016-2020. Int Breastfeed J. 2023 Aug 11;18(1):41. doi: 10.1186/s13006-023-00580-2. Erratum in: Int Breastfeed J. 2023 Nov 13;18(1):61. PMID: 37568201; PMCID: PMC10422796.
Mohammed SA, Rajashekar S, Giri Ravindran S, Kakarla M, Ausaja Gambo M, Yousri Salama M, Haidar Ismail N, Tavalla P, Uppal P, Hamid P. Does Vaccination Increase the Risk of Autism Spectrum Disorder? Cureus. 2022 Aug 12;14(8):e27921. doi: 10.7759/cureus.27921. PMID: 36110492; PMCID: PMC9464417.
Pivetti M, Melotti G, Mancini C. Vaccines and autism: a preliminary qualitative study on the beliefs of concerned mothers in Italy. Int J Qual Stud Health Well-being. 2020 Dec;15(1):1754086. doi: 10.1080/17482631.2020.1754086. PMID: 32298221; PMCID: PMC7178877.
Hviid A, Hansen JV, Frisch M, Melbye M. Measles, Mumps, Rubella Vaccination and Autism: A Nationwide Cohort Study. Ann Intern Med. 2019 Apr 16;170(8):513-520. doi: 10.7326/M18-2101. Epub 2019 Mar 5. PMID: 30831578.
Yu T, Chang KC, Kuo PL. Paternal and maternal psychiatric disorders associated with offspring autism spectrum disorders: A case-control study. J Psychiatr Res. 2022 Jul;151:469-475. doi: 10.1016/j.jpsychires.2022.05.009. Epub 2022 May 15. PMID: 35609363.
Viktorin A, Levine SZ, Altemus M, Reichenberg A, Sandin S. Paternal use of antidepressants and offspring outcomes in Sweden: nationwide prospective cohort study. BMJ. 2018 Jun 8;361:k2233. doi: 10.1136/bmj.k2233. PMID: 29884724; PMCID: PMC5992520.
Andrade C. Paternal Depression as a Risk Factor for Neurodevelopmental Disorders in Offspring: Implications for Maternal Depression and Its Treatment During Pregnancy. J Clin Psychiatry. 2020 Dec 1;81(6):20f13785. doi: 10.4088/JCP.20f13785. PMID: 33264818.
Masini E, Loi E, Vega-Benedetti AF, Carta M, Doneddu G, Fadda R, Zavattari P. An Overview of the Main Genetic, Epigenetic and Environmental Factors Involved in Autism Spectrum Disorder Focusing on Synaptic Activity. Int J Mol Sci. 2020 Nov 5;21(21):8290. doi: 10.3390/ijms21218290. PMID: 33167418; PMCID: PMC7663950.
Magdalena H, Beata K, Paprocka J, Agnieszka KG, Szczepara-Fabian M, Buczek A, Ewa EW. Preconception Risk Factors for Autism Spectrum Disorder - A Pilot Study. Brain Sci. 2020 May 14;10(5):293. doi: 10.3390/brainsci10050293. PMID: 32423096; PMCID: PMC7288185.
Wilde VK. Breastfeeding Insufficiencies: Common and Preventable Harm to Neonates. Cureus. 2021 Oct 4;13(10):e18478. doi: 10.7759/cureus.18478. PMID: 34659917; PMCID: PMC8491802.
Genovese A, Butler MG. Clinical Assessment, Genetics, and Treatment Approaches in Autism Spectrum Disorder (ASD). Int J Mol Sci. 2020 Jul 2;21(13):4726. doi: 10.3390/ijms21134726. PMID: 32630718; PMCID: PMC7369758.
Vellingiri Balachandar, Geetha Bharathi, Kaavya Jayaramayya, Anila Venugopal, Iyer Mahalaxmi, Arul Narayanasamy, Avanthika Bharathi, Abilash Valsala Gopalakrishnan, Nachimuthu Senthil Kumar, Mohana Devi Subramaniam, Autism spectrum disorder (ASD)-a case-control study to investigate the prenatal, perinatal and neonatal factors in Indian Population, Brain Disorders, Volume 4, 2021, 100024, ISSN 2666-4593, https://doi.org/10.1016/j.dscb.2021.100024.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Gabriela Nowak, Mateusz Sztybór, Karol Momot, Marcin Kapica, Aleksandra Żmijewska, Maria Krzyżanowska, Monika Maleszewska, Julia Piątkiewicz, Mikołaj Wojtas, Karen Głogowska
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 445
Number of citations: 0