Autism spectrum disorder (ASD)-a case-control study to investigate the prenatal, perinatal and neonatal factors in Indian Population

Globally, Autism spectrum disorder (ASD) has been rapidly increasing in the past decades, and still the aetiological factors that contribute to ASD remains unclear. Since a wide plethora of factors can be involved in the development of ASD, we aimed to investigate various paternal, prenatal, perinat...

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Autores principales: Vellingiri Balachandar, Geetha Bharathi, Kaavya Jayaramayya, Anila Venugopal, Iyer Mahalaxmi, Arul Narayanasamy, Avanthika Bharathi, Abilash Valsala Gopalakrishnan, Nachimuthu Senthil Kumar, Mohana Devi Subramaniam
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Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/9cb54dcdfade4229b6c5fbbabb471a1c
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spelling oai:doaj.org-article:9cb54dcdfade4229b6c5fbbabb471a1c2021-11-14T04:35:47ZAutism spectrum disorder (ASD)-a case-control study to investigate the prenatal, perinatal and neonatal factors in Indian Population2666-459310.1016/j.dscb.2021.100024https://doaj.org/article/9cb54dcdfade4229b6c5fbbabb471a1c2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666459321000238https://doaj.org/toc/2666-4593Globally, Autism spectrum disorder (ASD) has been rapidly increasing in the past decades, and still the aetiological factors that contribute to ASD remains unclear. Since a wide plethora of factors can be involved in the development of ASD, we aimed to investigate various paternal, prenatal, perinatal, neonatal and environmental risk factors using broad and reliable classification methods. The targeted population were children (between 3 -18 years) residing in Tamil Nadu, India and were identified as children with ASD (n = 346) on the basis of DSM-V and CARS. Each child was matched by gender and age (±2) to 1038 controls (735 males, 303 females) in a case-control design in the ratio 1:3. Questionnaires and other medical records of participants and controls were surveyed according to the study criteria. The prenatal risk factors that were significant for children with ASD were advanced parental age, parental smoking and passive smoking, stress and environmental exposures during pregnancy. The significant neonatal factors were hypoxia and birth-weight. Hypoxia was a significant neonatal factor that was different among ASD children and controls and birth weight emerged as a prominent factor associated with autism severity. Additional investigations focused on both genetic and environmental factors that link these ASD risk factors individually or collectively are needed. Hence, an accurate understanding of etiology can help in comprehending the intricacies of this multifaceted condition and may pave way for early diagnosis, prevention and treatment of ASD.Vellingiri BalachandarGeetha BharathiKaavya JayaramayyaAnila VenugopalIyer MahalaxmiArul NarayanasamyAvanthika BharathiAbilash Valsala GopalakrishnanNachimuthu Senthil KumarMohana Devi SubramaniamElsevierarticleAutism spectrum disorder (ASD)Neurodevelopmental disorderAetiologyRisk factorsParental influenceisk factors, Parental influenceNeurology. Diseases of the nervous systemRC346-429ENBrain Disorders, Vol 4, Iss , Pp 100024- (2021)
institution DOAJ
collection DOAJ
language EN
topic Autism spectrum disorder (ASD)
Neurodevelopmental disorder
Aetiology
Risk factors
Parental influenceisk factors, Parental influence
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Autism spectrum disorder (ASD)
Neurodevelopmental disorder
Aetiology
Risk factors
Parental influenceisk factors, Parental influence
Neurology. Diseases of the nervous system
RC346-429
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
description Globally, Autism spectrum disorder (ASD) has been rapidly increasing in the past decades, and still the aetiological factors that contribute to ASD remains unclear. Since a wide plethora of factors can be involved in the development of ASD, we aimed to investigate various paternal, prenatal, perinatal, neonatal and environmental risk factors using broad and reliable classification methods. The targeted population were children (between 3 -18 years) residing in Tamil Nadu, India and were identified as children with ASD (n = 346) on the basis of DSM-V and CARS. Each child was matched by gender and age (±2) to 1038 controls (735 males, 303 females) in a case-control design in the ratio 1:3. Questionnaires and other medical records of participants and controls were surveyed according to the study criteria. The prenatal risk factors that were significant for children with ASD were advanced parental age, parental smoking and passive smoking, stress and environmental exposures during pregnancy. The significant neonatal factors were hypoxia and birth-weight. Hypoxia was a significant neonatal factor that was different among ASD children and controls and birth weight emerged as a prominent factor associated with autism severity. Additional investigations focused on both genetic and environmental factors that link these ASD risk factors individually or collectively are needed. Hence, an accurate understanding of etiology can help in comprehending the intricacies of this multifaceted condition and may pave way for early diagnosis, prevention and treatment of ASD.
format article
author Vellingiri Balachandar
Geetha Bharathi
Kaavya Jayaramayya
Anila Venugopal
Iyer Mahalaxmi
Arul Narayanasamy
Avanthika Bharathi
Abilash Valsala Gopalakrishnan
Nachimuthu Senthil Kumar
Mohana Devi Subramaniam
author_facet Vellingiri Balachandar
Geetha Bharathi
Kaavya Jayaramayya
Anila Venugopal
Iyer Mahalaxmi
Arul Narayanasamy
Avanthika Bharathi
Abilash Valsala Gopalakrishnan
Nachimuthu Senthil Kumar
Mohana Devi Subramaniam
author_sort Vellingiri Balachandar
title Autism spectrum disorder (ASD)-a case-control study to investigate the prenatal, perinatal and neonatal factors in Indian Population
title_short Autism spectrum disorder (ASD)-a case-control study to investigate the prenatal, perinatal and neonatal factors in Indian Population
title_full Autism spectrum disorder (ASD)-a case-control study to investigate the prenatal, perinatal and neonatal factors in Indian Population
title_fullStr Autism spectrum disorder (ASD)-a case-control study to investigate the prenatal, perinatal and neonatal factors in Indian Population
title_full_unstemmed Autism spectrum disorder (ASD)-a case-control study to investigate the prenatal, perinatal and neonatal factors in Indian Population
title_sort autism spectrum disorder (asd)-a case-control study to investigate the prenatal, perinatal and neonatal factors in indian population
publisher Elsevier
publishDate 2021
url https://doaj.org/article/9cb54dcdfade4229b6c5fbbabb471a1c
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