Evidence map›Paper›PMID 24167172›Full record

ArticlePediatrics2013

Maternal prenatal weight gain and autism spectrum disorders.

Deborah A Bilder, Amanda V Bakian, Joseph Viskochil, Erin A S Clark, Elizabeth L Botts, Ken R Smith, Richard Pimentel, William M McMahon, Hilary Coon

Open access · greenAbstract read
In one paragraph

Article in Pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 7 pooled it
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 7 syntheses or guidelines pooled it, 109 citations in OpenAlex.

  1. Pooled it
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  5. Pooled it
  6. Maternal pre-pregnancy obesity and child neurodevelopmental outcomes: a meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2018
    Pooled it
  7. Pooled it
  8. A Review of the Effects of Maternal and Paternal Obesity on Neurodevelopmental Disorders and Related Neurobiology in Rodent and Human Offspring.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Review
  9. Review
  10. Article
  11. Prenatal ozone exposure and risk of intellectual disability.Journal of exposure science & environmental epidemiology · 2026
    Article
  12. Article
  13. Article
  14. Review
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  16. PMJournal of exposure science & environmental epidemiology · 2024
    Article
  17. Review
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  19. Article
  20. Article

4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Deborah A BilderUtah Autism Research Program, 650 Komas Dr, Suite 206, Salt Lake City, UT 84108. deborah.bilder@hsc.utah.edu.
Amanda V Bakian
Joseph Viskochil
Erin A S Clark
Elizabeth L Botts
Ken R Smith
Richard Pimentel
William M McMahon
Hilary Coon
University of Utah · US

Funding

The Utah Study of Fertility, Longevity and AgingR01AG022095 · NIA · UNIVERSITY OF UTAH · PI SMITH, KEN R · 2003 to 2015
$9.4M
Genetics of Autism Intermediate PhenotypesR01MH069359 · NIMH · UNIVERSITY OF UTAH · PI COON, HILARY · 2005 to 2009
$2.1M
1/3 - Sequencing Autism Spectrum Disorder Extended PedigreesR01MH094400 · NIMH · UNIVERSITY OF UTAH · PI COON, HILARY · 2012 to 2016
$1.5M
Genetic Polymorphisms Associated with Cerebral Palsy and Neurodevelopmental DelayK23HD061910 · NICHD · UNIVERSITY OF UTAH · PI CLARK, ERIN · 2010 to 2012
$411k
NIA NIH HHS R01 AG022095NICHD NIH HHS K23 HD061910NIMH NIH HHS R01 MH069359NIMH NIH HHS R01 MH094400PHS HHS CCU822365
6 · The paper itself

Abstract

backgroundThe rising population of individuals identified with an autism spectrum disorder (ASD) calls for further investigation of its underlying etiology. A disturbance in the fetal steroid hormone environment may be a mechanism in which environmental and genetic risk factors interact. The mother, fetus, and placenta collectively create the fetal steroid environment. Prepregnancy BMI and pregnancy weight gain have served as markers for fetal steroid hormone exposure in other disease states. This study's objective is to determine whether prepregnancy BMI and pregnancy weight gain are associated with increased ASD risk across study designs and cohorts while controlling for important confounding variables.

methodsA population-based Utah ASD cohort (n = 128) was ascertained in a 3-county surveillance area and gender- and age-matched to 10,920 control subjects. A second, research-based ASD cohort of Utah children (n = 288) and their unaffected siblings (n = 493) were ascertained through participation in an ASD genetics study. Prenatal variables were obtained from birth certificate records.

resultsASD risk was significantly associated with pregnancy weight gain (adjusted odds ratio = 1.10, 95% confidence interval: 1.03 to 1.17; adjusted odds ratio = 1.17, 95% confidence interval: 1.01 to 1.35 for each 5 pounds of weight gained), but not prepregnancy BMI, in population and research-based cohorts, respectively. When analyses were restricted to ASD cases with normal IQ, these associations remained significant.

conclusionsASD risk associated with a modest yet consistent increase in pregnancy weight gain suggests that pregnancy weight gain may serve as an important marker for autism's underlying gestational etiology. This justifies an investigation into phenomena that link pregnancy weight gain and ASD independent of prepregnancy BMI.

Indexed as

Body Mass IndexAdolescentAdultChild Development Disorders, PervasiveCohort StudiesFemaleHumansMaleMiddle AgedPregnancyPrenatal Exposure Delayed EffectsUtahWeight GainYoung Adultautismepidemiologyprenatalrisk factorsweight gain

Identifiers

PMID24167172
PMCPMC3813395
OpenAlexW2134335825

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.