MONDAY, April 9 (HealthDay News) — Children born to obese or very
overweight mothers are at higher risk of having autism or developmental
delays, new research suggests.
The study of more than 1,000 children found that the offspring of obese
mothers had a 67 percent higher risk of autism than the children of
normal-weight moms, and more than double the risk of having developmental
delays, such as language impairment.
“The odds of autism and other developmental delays were significantly
higher in the children of moms who were obese versus those who weren’t,”
said lead study author Paula Krakowiak, a biostatistician and doctoral
candidate at the University of California, Davis.
The research included more than 500 children aged 2 to 5 with mild to
severe autism, about 170 children with another type of developmental
disability, and 315 typically developing children, all taking part in the
Childhood Autism Risks from Genetics and the Environment, conducted
between 2003 and 2010.
Children were assessed by experts from the university’s MIND Institute
to confirm their autism diagnosis, while mothers were interviewed about
various aspects of their health before and during pregnancy. Information
about weight came from either medical records or mothers’ recollections of
their weight before and during pregnancy.
Obesity is defined as a body mass index of 30 and up. Body mass index,
or BMI, is a measure of body size based on height and weight.
While diabetes was also associated with increased odds of developmental
delays in offspring, there wasn’t a statistically significant association
between diabetes and autism.
The research is in the May issue of Pediatics, published online
April 9.
Autism is a neurodevelopmental disorder in which children have
difficulties with social interaction, verbal and nonverbal communication
such as reading facial expressions and understanding other social cues,
and restricted interests and behaviors.
About one in 88 U.S. children has a so-called autism spectrum disorder,
which includes milder forms of the disorder, such as Asperger syndrome,
according to updated figures from the U.S. Centers for Disease Control and
Prevention. One in six U.S. children has a developmental delay, such as a
speech or language impairment or other intellectual disabilities, the CDC
says.
Considering that about one-third of the women of child-bearing age in
the United States are obese and almost 9 percent have diabetes, the
findings could have serious public-health implications, said Krakowiak.
Dr. Andrew Adesman, chief of developmental and behavioral pediatrics at
the Steven and Alexandra Cohen Children’s Medical Center of New York, said
the findings “should not be ignored.” However, he noted that other genetic
or environmental factors are likely contributing to autism. Many parents
of autistic children are of normal weight, while many obese parents don’t
have autistic kids.
“Although the results of this study suggest obesity is a risk factor
for developmental problems in offspring, one cannot assume that
developmental problems in the offspring are due to obesity, and many other
factors may be involved or responsible,” Adesman said.
Indeed, other research published last week identified several
spontaneous genetic mutations as the cause of a fraction of autism cases.
Parents’ ages, especially fathers older than 35, were also associated with
autism in those recent studies, published online in the journal
Nature.
The reasons for the link between obesity and autism/developmental
delays are unknown, though some research suggests that obesity unleashes
inflammatory proteins, some of which may be able to cross the placenta
into the fetus. It’s possible the inflammatory proteins, known as
cytokines, may harm a fetus’s developing brain, Krakowiak said.
She also noted that while the research found an association between
obesity and autism/developmental delays, it did not prove that being obese
causes autism or other brain problems in the fetus. The link may be
indirect.
“It may not be the obesity itself, but other things that lead to
obesity, such as genetics, or lifestyle, or diet,” Krakowiak said.
About 24 percent of moms who had a child with a developmental delay
were obese; 21.5 percent of moms who had a child with autism were obese;
and 14 percent of moms with a typically developing child were obese.
Researchers noted that overweight mothers whose weight approached
obese — a BMI of 28 or 29 — had risk levels similar to obese moms.
Mothers with a child with autism or a developmental delay were also
more likely to have hypertension during pregnancy, but the association
wasn’t considered statistically significant. Researchers noted the number
of women with high blood pressure in the study was small.
More information
The U.S. National Institute of Neurological Disorders and
Stroke has more on autism.
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