Evidence map›Paper›PMID 35761377›Full record

ArticleMolecular autism2022

Infants later diagnosed with autism have lower canonical babbling ratios in the first year of life.

L D Yankowitz, V Petrulla, S Plate, B Tunc, W Guthrie, S S Meera, K Tena, J Pandey, M R Swanson, J R Pruett and 13 more

Registry-linked trialAbstract read
In one paragraph

Article in Molecular autism, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07472829 (Research on Speech Development Trajectories and Predictive Models in Children With Autism Spectrum Disorder), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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.

NCT07472829 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Research on Speech Development Trajectories and Predictive Models in Children With Autism Spectrum Disorder

Typeobservational_patient_registrySponsorChildren's Hospital of Chongqing Medical UniversityRan2026 to 2027Enrolled120ConditionsSpeech, Autism Spectrum Disorder (ASD)ArmsApproaches to ASD social intervention
3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
  2. Receptive-Expressive Language Phenotypes in Infants and Toddlers With Autism Features.Autism research : official journal of the International Society for Autism Research · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Canonical babbling trajectories across the first year of life in autism and typical development.Autism : the international journal of research and practice · 2024
    Article
  10. Vocal Characteristics of Children With Cerebral Palsy and Anarthria.Journal of speech, language, and hearing research : JSLHR · 2024
    Article
  11. Article
  12. Article
  13. Sex and gender in neurodevelopmental conditions.Nature reviews. Neurology · 2023
    Review
  14. Review
  15. Article
  16. Article
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

23 authors.

L D YankowitzCenter for Autism Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA. lisayank@sas.upenn.edu.ORCID 0000-0003-2604-5840
V PetrullaCenter for Autism Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
S PlateCenter for Autism Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
B TuncCenter for Autism Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
W GuthrieCenter for Autism Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
S S MeeraNational Institute of Mental Health and Neurosciences, Bangalore, India.
K TenaCenter for Autism Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
J PandeyCenter for Autism Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
M R SwansonDepartment of Psychology, University of Texas at Dallas, Richardson, TX, USA.
J R PruettDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
M ColaCenter for Autism Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
A RussellCenter for Autism Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
N MarrusDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
H C HazlettUniversity of North Carolina, Chapel Hill, NC, USA.
K BotteronDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
J N ConstantinoDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
S R DagerUniversity of Washington, Seattle, WA, USA.
A EstesUniversity of Washington, Seattle, WA, USA.
L ZwaigenbaumDepartment of Pediatrics, University of Alberta, Edmonton, Canada.
J PivenUniversity of North Carolina, Chapel Hill, NC, USA.
R T SchultzCenter for Autism Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
J Parish-MorrisCenter for Autism Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
IBIS Network

Funding

Cellular and molecular mechanisms governing cortical surface area overgrowth in iPSC-derived neural cells from longitudinally characterized individuals with autismR01HD055741 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph Piven · 2007 to 2026
$52.6M
MRI-Based Presymptomatic Prediction of ASD, and Early Infant to School-Age Brain-Behavior Trajectories, Mechanisms, and Related OutcomesR01MH118362 · NIMH · WASHINGTON UNIVERSITY · PI John R Pruett · 2019 to 2026
$16.3M
WUIDDRC Supplement-Supporting the health and well-being of children with intellectual and developmental disability during COVID-19 pandemicP50HD103525 · NICHD · WASHINGTON UNIVERSITY · PI JOSEPH D DOUGHERTY, Natasha Marrus · 2020 to 2026
$15.5M
Preclinical CoreP50HD103573 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GABRIEL S DICHTER · 2020 to 2026
$9.7M
The Intellectual and Developmental Disabilities Research Center (IDDRC) at CHOP/PennP50HD105354 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI ERIC D MARSH, ROBERT Thomas SCHULTZ · 2021 to 2026
$9.2M
Infant Vocalizations as Early Markers of Autism Spectrum DisorderR03DC017944 · NIDCD · CHILDREN'S HOSP OF PHILADELPHIA · PI PARISH-MORRIS, JULIA · 2019 to 2020
$176k
NICHD NIH HHS P50 HD103525NICHD NIH HHS P50 HD103573NICHD NIH HHS P50 HD105354NICHD NIH HHS R01 HD055741NIDCD NIH HHS R03 DC017944NIMH NIH HHS R01 MH118362
6 · The paper itself

Abstract

backgroundCanonical babbling-producing syllables with a mature consonant, full vowel, and smooth transition-is an important developmental milestone that typically occurs in the first year of life. Some studies indicate delayed or reduced canonical babbling in infants at high familial likelihood for autism spectrum disorder (ASD) or who later receive an ASD diagnosis, but evidence is mixed. More refined characterization of babbling in the first year of life in infants with high likelihood for ASD is needed.

methodsVocalizations produced at 6 and 12 months by infants (n = 267) taking part in a longitudinal study were coded for canonical and non-canonical syllables. Infants were categorized as low familial likelihood (LL), high familial likelihood diagnosed with ASD at 24 months (HL-ASD) or not diagnosed (HL-Neg). Language delay was assessed based on 24-month expressive and receptive language scores. Canonical babble ratio (CBR) was calculated by dividing the number of canonical syllables by the number of total syllables. Generalized linear (mixed) models were used to assess the relationship between group membership and CBR, controlling for site, sex, and maternal education. Logistic regression was used to assess whether canonical babbling ratios at 6 and 12 months predict 24-month diagnostic outcome.

resultsNo diagnostic group differences in CBR were detected at 6 months, but HL-ASD infants produced significantly lower CBR than both the HL-Neg and LL groups at 12 months. HL-Neg infants with language delay also showed reduced CBR at 12 months. Neither 6- nor 12-month CBR was significant predictors of 24-month diagnostic outcome (ASD versus no ASD) in logistic regression. LIMITATIONS: Small numbers of vocalizations produced by infants at 6 months may limit the reliability of CBR estimates. It is not known if results generalize to infants who are not at high familial likelihood, or infants from more diverse racial and socioeconomic backgrounds.

conclusionsLower canonical babbling ratios are apparent by the end of the first year of life in ASD regardless of later language delay, but are also observed for infants with later language delay without ASD. Canonical babbling may lack specificity as an early marker when used on its own.

Indexed as

Autism Spectrum DisorderAutistic DisorderLanguage Development DisordersHumansInfantLongitudinal StudiesReproducibility of Results

Identifiers

PMID35761377
PMCPMC9235227

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Registered trials

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.