Evidence map›Paper›PMID 31266998›Full record

ArticleScientific reports2019

Maternal fever during pregnancy and offspring attention deficit hyperactivity disorder.

Kristin Gustavson, Helga Ask, Eivind Ystrom, Camilla Stoltenberg, W Ian Lipkin, Pål Surén, Siri E Håberg, Per Magnus, Gun Peggy Knudsen, Espen Eilertsen and 6 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
12.4field-weighted citation impact, top 1% 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

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Maternal immune activation in mice recapitulates features of attention-deficit/hyperactivity disorder (ADHD) in susceptible offspring.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Maternal Influenza and Offspring Neurodevelopment.Current issues in molecular biology · 2024
    Review
  10. Article
  11. Review
  12. Article
  13. A Potential Role for Neuroinflammation in ADHD.Advances in experimental medicine and biology · 2023
    Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Paracetamol (Acetaminophen) and the Developing Brain.International journal of molecular sciences · 2021
    Review
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

16 authors at 3 institutions in 2 countries.

Kristin GustavsonNorwegian Institute of Public Health, Oslo, Norway. kristin.gustavson@fhi.no.
Helga AskNorwegian Institute of Public Health, Oslo, Norway.
Eivind YstromNorwegian Institute of Public Health, Oslo, Norway.ORCID http://orcid.org/0000-0003-4390-6171
Camilla StoltenbergNorwegian Institute of Public Health, Oslo, Norway.
W Ian LipkinDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.ORCID http://orcid.org/0000-0002-8768-9386
Pål SurénNorwegian Institute of Public Health, Oslo, Norway.
Siri E HåbergCentre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway.
Per MagnusNorwegian Institute of Public Health, Oslo, Norway.
Gun Peggy KnudsenNorwegian Institute of Public Health, Oslo, Norway.
Espen EilertsenNorwegian Institute of Public Health, Oslo, Norway.
Michaeline BresnahanDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Heidi AaseNorwegian Institute of Public Health, Oslo, Norway.
Siri MjaalandNorwegian Institute of Public Health, Oslo, Norway.
Ezra S SusserDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Mady HornigDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.ORCID http://orcid.org/0000-0001-7572-3092
Ted Reichborn-KjennerudNorwegian Institute of Public Health, Oslo, Norway.
Norwegian Institute of Public Health · NOColumbia University · USNew York Psychoanalytic Society and Institute · US

Funding

Gene-Environment Interactions in an Autism Birth CohortU01NS047537 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LIPKIN, W. IAN · 2003 to 2013
$27.0M
Infection, fever and immunity and offspring ADHD in a population-based pregnancy/birth cohortR01HD090051 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SPANN, MARISA N · 2017 to 2021
$2.1M
NICHD NIH HHS R01 HD090051NINDS NIH HHS U01 NS047537
6 · The paper itself

Abstract

Maternal fever during pregnancy is associated with several adverse child outcomes. We investigated associations between maternal fever and ADHD among offspring, as well as the sub-dimensions of ADHD - inattention and hyperactivity/impulsivity. Data came from the Norwegian Mother and Child Cohort Study, including more than 114,000 children. Information about children's ADHD diagnoses was obtained from the Norwegian Patient Register. Mothers reported on inattention and hyperactivity/impulsivity symptoms in questionnaires at 8 years. Logistic regression analysis showed that children exposed to maternal fever in the first trimester received an ADHD diagnosis more often than unexposed children (Odds Ratio (OR) = 1.31, 95% confidence interval (CI) = 1.06-1.61). For children exposed twice or more in the first trimester, the OR was 2.64 (CI = 1.36-5.14). Linear regression analysis showed elevated inattention symptoms among children exposed to fever in the first (Cohen's d = 0.09, CI = 0.03-0.15) and second (Cohen's d = 0.05, CI = 0.01-0.09) trimester. Results were similar whether the mother had taken acetaminophen for their fever or not. Hyperactivity/impulsivity symptoms were not related to maternal fever. The results indicate that maternal fever in early pregnancy may be a risk factor for ADHD, and particularly for inattention problems. This risk is neither mitigated nor inflated by use of acetaminophen.

Indexed as

AcetaminophenAdultAttention Deficit Disorder with HyperactivityChildCohort StudiesFemaleFeverHumansInfantLogistic ModelsMaleNorwayOdds RatioPregnancyPregnancy Trimester, FirstPregnancy Trimester, SecondAcetaminophen

Identifiers

PMID31266998
PMCPMC6606630
OpenAlexW2956140235

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.