Aperçu: G.M.
L'obésité maternelle pré-grossesse peut entraver le développement neuropsychologique chez les nourrissons.
L'étude visait à vérifier si l'obésité maternelle pré-grossesse était associée au développement neuropsychologique chez 1 827 enfants espagnols.
À
5 ans, le développement cognitif et psychomoteur a été évalué à l'aide
des symptômes de McCarthy Scales of Child's Abilities, le trouble
déficitaire de l'attention et de l'hyperactivité (TDAH) en utilisant les
Critères de Diagnostic et le Manuel Statistique des Troubles Mentaux et
les symptômes du syndrome du spectre de l'autisme en utilisant le Test du
Syndrome d'Asperger Infantile.
Le pourcentage de mères et de pères obèses était respectivement de 8 et 12%. Dans
les modèles non ajustés, les enfants des mères obèses avaient des
scores inférieurs aux enfants des mères de poids normal dans toutes les
sous-échelles de McCarthy. Après
ajustement, seule la sous-échelle verbale est restée statistiquement
significativement réduite.
Aucune association n'a été observée chez les pères obèses.
L'obésité maternelle et paternelle était associée à une augmentation des symptômes liés au TDAH. L'obésité parentale n'a pas été associée à des symptômes d'autisme.
Pediatr Res. 2017 May 11. doi: 10.1038/pr.2017.118.
Maternal pre-pregnancy obesity and neuropsychological development in pre-school children: A prospective cohort study
Casas M1,2,3, Forns J1,2,3,4, Martínez D1,2,3, Guxens M1,2,3,5, Fernandez-Somoano A3,6,7, Ibarluzea J3,8,9, Lertxundi N9,10, Murcia M3,11, Rebagliato M3,11,12, Tardon A3,6,7, Sunyer J1,2,3, Vrijheid M1,2,3.
Author information
- 1
- ISGlobal, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain.
- 2
- Universitat Pompeu Fabra (UPF), Barcelona, Spain.
- 3
- CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
- 4
- Department of Genes and Environment, Division of Epidemiology, Norwegian Institute of Public Health, Oslo, Norway.
- 5
- Department of Child and Adolescent Psychiatry/Psychology, Erasmus University Medical Centre-Sophia Children's Hospital, Rotterdam, The Netherlands.
- 6
- Instituto Universitario de Oncología del Principado de Asturias (IUOPA)-Obra Social Cajastur, Spain.
- 7
- Department of Preventive Medicine and Public Health, University of Oviedo, Spain.
- 8
- Subdirección de Salud Pública de Gipuzkoa. The Basque Government's Health Department, Donostia-San Sebastian, Spain.
- 9
- Instituto de Investigación Sanitaria (BioDonostia), Donostia-San Sebastian, Spain.
- 10
- University of the Basque Country (EHU/UPV), Donostia-San Sebastian, Spain.
- 11
- FISABIO-Universitat de València-Universitat Jaume I Joint Research Unit of Epidemiology and Environmental Health, Valencia, Spain.
- 12
- Universitat Jaume I, Castelló de la Plana, Spain.
Abstract
BACKGROUND:
Maternal pre-pregnancy obesity may impair infant neuropsychological development, but it is unclear if intrauterine or confounding factors drive this association.METHODS:
We assessed whether maternal pre-pregnancy obesity was associated with neuropsychological development in 1,827 Spanish children. At 5 years, cognitive and psychomotor development was assessed using McCarthy Scales of Children's Abilities, attention deficit hyperactivity disorder (ADHD) symptoms using the Criteria of Diagnostic and Statistical Manual of Mental Disorders, and autism spectrum disorder symptoms using the Childhood Asperger Syndrome Test. Models were adjusted for socio-demographic factors and maternal intelligence quotient. We used paternal obesity as negative control exposure since it involves the same source of confounding than maternal obesity.RESULTS:
The percentage of obese mothers and fathers was 8 and 12%, respectively. In unadjusted models, children of obese mothers had lower scores than children of normal weight mothers in all McCarthy subscales. After adjustment, only the verbal subscale remained statistically significantly reduced (β: -2.8; 95%CI: -5.3, -0.2). No associations were observed among obese fathers. Maternal and paternal obesity were associated with an increase in ADHD-related symptoms. Parental obesity was not associated with autism symptoms.CONCLUSION:
Maternal pre-pregnancy obesity was associated with a reduction in offspring verbal scores at pre-school age.Pediatric Research accepted article preview online, 11 May 2017. doi:10.1038/pr.2017.118.- PMID: 28493861
- DOI: 10.1038/pr.2017.118