Evidence map›Paper›PMID 31863882›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2021

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

Minna Sucksdorff, Alan S Brown, Roshan Chudal, Heljä-Marja Surcel, Susanna Hinkka-Yli-Salomäki, Keely Cheslack-Postava, David Gyllenberg, Andre Sourander

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
4.3field-weighted citation impact, top 5% 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

34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Steroid hormone pathways, vitamin D and autism: a systematic review.Journal of neural transmission (Vienna, Austria : 1996) · 2023
    Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Minna SucksdorffUniversity of Turku, Finland; Turku University Hospital, Finland. Electronic address: minna.sucksdorff@utu.fi.
Alan S BrownColumbia University Medical Center, New York State Psychiatric Institute, New York, NY; Columbia University Mailman School of Public Health, New York, NY.
Roshan ChudalUniversity of Turku, Finland.
Heljä-Marja SurcelFaculty of Medicine, University of Oulu, and Biobank Borealis of Northern Finland, Oulu University Hospital, Oulu, Finland.
Susanna Hinkka-Yli-SalomäkiUniversity of Turku, Finland.
Keely Cheslack-PostavaColumbia University Medical Center, New York State Psychiatric Institute, New York, NY.
David GyllenbergUniversity of Turku, Finland; National Institute of Health and Welfare, Helsinki, and Helsinki University Central Hospital, Helsinki, Finland.
Andre SouranderUniversity of Turku, Finland; Turku University Hospital, Finland; Columbia University Medical Center, New York State Psychiatric Institute, New York, NY; INVEST Research Flagship, University of Turku, Finland. Electronic address: andsou@utu.fi.
University of Turku · FIColumbia University Irving Medical Center · USOulu University Hospital · FI

Funding

Prenatal Factors in Autism and other Psychiatric Outcomes in a National Birth CohortR01ES028125 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BROWN, ALAN STEWART · 2017 to 2021
$2.3M
NIEHS NIH HHS R01 ES028125
6 · The paper itself

Abstract

objectiveRecent 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.

methodIn 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.

resultsThere 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).

conclusionThis 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.

Indexed as

Attention Deficit Disorder with HyperactivityPrenatal Exposure Delayed EffectsVitamin D DeficiencyCase-Control StudiesFemaleFinlandHumansPregnancyVitamin DVitamin DADHDattention-deficit/hyperactivity disordermaternalprenatalvitamin D

Identifiers

PMID31863882
PMCPMC8330061
OpenAlexW2994697956

What OpenQuestion holds

Textmetadata
LicenceTDM
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.