Maternal Vitamin D Levels and the Risk of Offspring Attention-Deficit/Hyperactivity Disorder

Autor: Keely Cheslack-Postava, Alan S. Brown, Heljä-Marja Surcel, Susanna Hinkka-Yli-Salomäki, Minna Sucksdorff, David Gyllenberg, Andre Sourander, Roshan Chudal
Přispěvatelé: HUS Children and Adolescents, Children's Hospital
Rok vydání: 2021
Předmět:
Maternal
Forests
3124 Neurology and psychiatry
Trees
Quercus
3123 Gynaecology and paediatrics
Pregnancy
Developmental and Educational Psychology
Prenatal
Vitamin D
Child
Finland
education.field_of_study
Obstetrics
05 social sciences
ICD-10
PREVALENCE
3. Good health
Psychiatry and Mental health
Prenatal Exposure Delayed Effects
Female
Maternal vitamin
050104 developmental & child psychology
BRAIN-DEVELOPMENT
medicine.medical_specialty
prenatal
DEFICIT HYPERACTIVITY DISORDER
BIRTH
515 Psychology
Offspring
Population
attention-deficit/hyperactivity disorder
Article
DSM-IV
mental disorders
medicine
Vitamin D and neurology
ADHD
Humans
Attention deficit hyperactivity disorder
0501 psychology and cognitive sciences
education
business.industry
Public health
NATIONWIDE
Vitamin D Deficiency
medicine.disease
maternal
Attention-deficit/hyperactivity disorder
Attention Deficit Disorder with Hyperactivity
Case-Control Studies
FETAL-GROWTH
business
Zdroj: J Am Acad Child Adolesc Psychiatry
ISSN: 0890-8567
Popis: Objective: Recent evidence has highlighted the importance of vitamin D in the development of the central nervous system. Some studies have shown an association between maternal vitamin D deficiency during pregnancy and offspring attention-deficit/hyperactivity disorder (ADHD) symptoms based on parent or teacher ratings. There are no previous studies on early pregnancy 25-hydroxyvitamin D [25(OH)D] levels and the risk of diagnosed offspring ADHD. Our aim was to examine maternal 25(OH)D levels in early pregnancy and offspring ADHD. Method: In this nationwide population-based case-control study, 1,067 ADHD cases (born between 1998 and 1999 and diagnosed according to the International Classification of Diseases) and 1,067 matched controls were identified from Finnish registers. Maternal 25(OH)D levels were measured using quantitative immunoassay from maternal sera, collected during the first trimester and archived in the national biobank. Conditional logistic regression was used to examine the association between maternal 25(OH)D and offspring ADHD. Results: There was a significant association between decreasing log-transformed maternal 25(OH)D levels and offspring ADHD both in the unadjusted analyses (odds ratio 1.65; 95% CI 1.33—2.05; p < .001) and in the analyses adjusting for maternal socioeconomic status and age (odds ratio 1.45; 95% CI 1.15—1.81; p = .002). Analyses by quintiles of maternal 25(OH)D levels in the lowest versus highest quintile revealed an adjusted odds ratio for offspring ADHD of 1.53 (95% CI 1.11—2.12; p = .010). Conclusion: This study demonstrated an association between low maternal 25(OH)D during pregnancy and an elevated risk for offspring ADHD. If replicated in independent samples, this finding may have significant public health implications.
Databáze: OpenAIRE