Evidence map›Paper›PMID 26055426›Full record

ArticleMolecular psychiatry2016

Autism risk associated with parental age and with increasing difference in age between the parents.

S Sandin, D Schendel, P Magnusson, C Hultman, P Surén, E Susser, T Grønborg, M Gissler, N Gunnes, R Gross and 11 more

Abstract read
In one paragraph

Article in Molecular psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 126 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
126citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

126 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Long-Term Risk of Rheumatoid Arthritis in Individuals With Autism Spectrum Disorder: A Population-Based Matched Cohort Study.Autism research : official journal of the International Society for Autism Research · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

66 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

21 authors.

S SandinDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Karolinska, Sweden.ORCID http://orcid.org/0000-0001-6994-4884
D SchendelDepartment of Public Health, Institute of Epidemiology and Social Medicine, Aarhus University, Aarhus, Denmark.
P MagnussonDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Karolinska, Sweden.
C HultmanDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Karolinska, Sweden.
P SurénNorwegian Institute of Public Health, Oslo, Norway.
E SusserDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
T GrønborgSection for Biostatistics, Department of Public Health, Aarhus University, Aarhus, Denmark.
M GisslerNational Institute for Health and Welfare, Helsinki, Finland.
N GunnesNorwegian Institute of Public Health, Oslo, Norway.
R GrossDepartment of Epidemiology and Preventive Medicine, Tel Aviv University, Tel Aviv, Israel.
M HenningPublic Healthcare, Västra Götaland County, Gothenburg, Sweden.
M BresnahanDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
A SouranderDepartment of Child Psychiatry, Turku University and Turku University Hospital, Turku, Finland.
M HornigDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.ORCID http://orcid.org/0000-0001-7572-3092
K CarterTelethon Kids Institute, University of Western Australia, Australia.
R FrancisTelethon Kids Institute, University of Western Australia, Australia.
E ParnerSection for Biostatistics, Department of Public Health, Aarhus University, Aarhus, Denmark.
H LeonardTelethon Kids Institute, University of Western Australia, Australia.
M RosanoffDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
C StoltenbergNorwegian Institute of Public Health, Oslo, Norway.
A ReichenbergDepartment of Psychosis Studies, Institute of Psychiatry, King's College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Advancing paternal and maternal age have both been associated with risk for autism spectrum disorders (ASD). However, the shape of the association remains unclear, and results on the joint associations is lacking. This study tests if advancing paternal and maternal ages are independently associated with ASD risk and estimates the functional form of the associations. In a population-based cohort study from five countries (Denmark, Israel, Norway, Sweden and Western Australia) comprising 5 766 794 children born 1985-2004 and followed up to the end of 2004-2009, the relative risk (RR) of ASD was estimated by using logistic regression and splines. Our analyses included 30 902 cases of ASD. Advancing paternal and maternal age were each associated with increased RR of ASD after adjusting for confounding and the other parent's age (mothers 40-49 years vs 20-29 years, RR=1.15 (95% confidence interval (CI): 1.06-1.24), P-value<0.001; fathers⩾50 years vs 20-29 years, RR=1.66 (95% CI: 1.49-1.85), P-value<0.001). Younger maternal age was also associated with increased risk for ASD (mothers <20 years vs 20-29 years, RR=1.18 (95% CI: 1.08-1.29), P-value<0.001). There was a joint effect of maternal and paternal age with increasing risk of ASD for couples with increasing differences in parental ages. We did not find any support for a modifying effect by the sex of the offspring. In conclusion, as shown in multiple geographic regions, increases in ASD was not only limited to advancing paternal or maternal age alone but also to differences parental age including younger or older similarly aged parents as well as disparately aged parents.

Indexed as

Maternal AgePaternal AgeAdolescentAdultAgedAutistic DisorderCohort StudiesDenmarkFemaleHumansIsraelLogistic ModelsMaleMiddle AgedNorwayRegistries

Identifiers

PMID26055426
PMCPMC5414073

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.