Evidence map›Paper›PMID 36371219›Full record

ArticleMolecular autism2022

Maternal vitamin D during pregnancy and offspring autism and autism-associated traits: a prospective cohort study.

Paul Madley-Dowd, Christina Dardani, Robyn E Wootton, Kyle Dack, Tom Palmer, Rupert Thurston, Alexandra Havdahl, Jean Golding, Deborah Lawlor, Dheeraj Rai

Abstract 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. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Vitamin D and Vitamin BDiseases (Basel, Switzerland) · 2026
    Review
  7. Review
  8. Article
  9. Article
  10. The Autism Spectrum Disorder and Its Possible Origins in Pregnancy.International journal of environmental research and public health · 2024
    Review
  11. 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

10 authors.

Paul Madley-DowdCentre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Oakfield House, Oakfield Grove, Bristol, BS8 2BN, UK. p.madley-dowd@bristol.ac.uk.ORCID 0000-0003-2932-9486
Christina DardaniCentre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Oakfield House, Oakfield Grove, Bristol, BS8 2BN, UK.ORCID 0000-0002-2019-7897
Robyn E WoottonMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.ORCID 0000-0003-3961-3202
Kyle DackCentre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Oakfield House, Oakfield Grove, Bristol, BS8 2BN, UK.ORCID 0000-0003-0319-590X
Tom PalmerMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.ORCID 0000-0003-4655-4511
Rupert ThurstonSwansea Bay University Health Board, Port Talbot, UK.
Alexandra HavdahlNic Waals Institute, Lovisenberg Diaconal Hospital, Oslo, Norway.ORCID 0000-0002-9268-0423
Jean GoldingCentre for Academic Child Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.ORCID 0000-0003-2826-3307
Deborah LawlorMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.ORCID 0000-0002-6793-2262
Dheeraj RaiCentre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Oakfield House, Oakfield Grove, Bristol, BS8 2BN, UK.ORCID 0000-0002-7239-3523

Funding

Department of Health BRC-1215-2011Department of Health NF-0616-10102Medical Research Council G0701603Medical Research Council G9815508Medical Research Council MC_PC_15018Medical Research Council MC_PC_19009Medical Research Council MC_UU_00011/1Medical Research Council MC_UU_00011/3Medical Research Council MC_UU_00011/6South-Eastern Norway Regional Health Authority 2020024Wellcome TrustWellcome Trust 203776/Z/16/AWellcome Trust 215379/Z/19/ZWellcome Trust 217065/Z/19/ZWellcome Trust WT088806
6 · The paper itself

Abstract

backgroundThere has been a growing interest in the association between maternal levels of vitamin D during pregnancy and offspring autism. However, whether any associations reflect causal effects is still inconclusive.

methodsWe used data from a UK-based pregnancy cohort study (Avon Longitudinal Study of Parents and Children) comprising 7689 births between 1991 and 1992 with maternal blood vitamin D levels recorded during pregnancy and at least one recorded outcome measure, including autism diagnosis and autism-associated traits. The association between each outcome with seasonal and gestational age-adjusted maternal serum 25-hydroxyvitamin D during pregnancy was estimated using confounder-adjusted regression models. Multiple imputation was used to account for missing data, and restricted cubic splines were used to investigate nonlinear associations. Mendelian randomization was used to strengthen causal inference.

resultsNo strong evidence of an association between maternal serum 25-hydroxyvitamin D during pregnancy and any offspring autism-associated outcome was found using multivariable regression analysis (autism diagnosis: adjusted OR = 0.98, 95% CI = 0.90-1.06), including with multiple imputation (autism diagnosis: adjusted OR = 0.99, 95% CI = 0.93-1.06), and no evidence of a causal effect was suggested by Mendelian randomization (autism diagnosis: causal OR = 1.08, 95% CI = 0.46-2.55). Some evidence of increased odds of autism-associated traits at lower levels of maternal serum 25-hydroxyvitamin D was found using spline analysis. LIMITATIONS: Our study was potentially limited by low power, particularly for diagnosed autism cases as an outcome. The cohort may not have captured the extreme lows of the distribution of serum 25-hydroxyvitamin D, and our analyses may have been biased by residual confounding and missing data.

conclusionsThe present study found no strong evidence of a causal link between maternal vitamin D levels in pregnancy and offspring diagnosis or traits of autism.

Indexed as

Autistic DisorderChildCohort StudiesFemaleHumansLongitudinal StudiesPregnancyProspective StudiesVitamin DVitamin DALSPACAutismMendelian randomizationPregnancyVitamin D

Identifiers

PMID36371219
PMCPMC9652971

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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.