Evidence map›Paper›PMID 36372095›Full record

ArticleThe Journal of pediatrics2023

Parental Age and Childhood Risk for Cerebral Palsy in California.

Lifang Zhou, Qi Meng, Ondine S von Ehrenstein, Jingyuan Xiao, Yu Gao, Yvonne W Wu, Beate Ritz, Zeyan Liew

Open access · greenAbstract read
In one paragraph

Article in The Journal of pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

8 authors at 5 institutions in 2 countries.

Lifang ZhouZhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China; Yale Center for Perinatal, Pediatric, and Environmental Epidemiology, Yale School of Public Health, New Haven, CT.
Qi MengDepartment of Epidemiology, Fielding School of Public Health, UCLA, Los Angeles, CA.
Ondine S von EhrensteinDepartment of Epidemiology, Fielding School of Public Health, UCLA, Los Angeles, CA; Department of Community Health Sciences, Fielding School of Public Health, UCLA, Los Angeles, CA.
Jingyuan XiaoYale Center for Perinatal, Pediatric, and Environmental Epidemiology, Yale School of Public Health, New Haven, CT; Department of Environmental Health Sciences, Yale School of Public Health, New Haven, CT.
Yu GaoDepartment of Environmental Health, School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yvonne W WuDepartments of Neurology and Pediatrics, UCSF, San Francisco, CA.
Beate RitzDepartment of Epidemiology, Fielding School of Public Health, UCLA, Los Angeles, CA; Department of Neurology, School of Medicine, UCLA, Los Angeles, CA.
Zeyan LiewYale Center for Perinatal, Pediatric, and Environmental Epidemiology, Yale School of Public Health, New Haven, CT; Department of Environmental Health Sciences, Yale School of Public Health, New Haven, CT. Electronic address: zeyan.liew@yale.edu.
UCLA Health · USYale University · USProvidence Center · USShanghai Jiao Tong University · CNUniversity of California, Los Angeles · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Translational Research Support CoreP30ES007048 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Joseph Leo Wiemels · 1996 to 2026
$46.4M
Pesticide Exposure and Childhood AutismR21ES022389 · NIEHS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI VON EHRENSTEIN, ONDINE · 2014 to 2015
$407k
Pesticide Exposure and Cerebral PalsyR03ES025904 · NIEHS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RITZ, BEATE R. · 2015 to 2016
$154k
NCATS NIH HHS UL1 TR001863NIEHS NIH HHS P30 ES007048NIEHS NIH HHS R03 ES025904NIEHS NIH HHS R21 ES022389
6 · The paper itself

Abstract

objectiveTo investigate the associations between maternal or paternal age at the time of delivery and offspring's risk for cerebral palsy (CP) in California. STUDY

designWe conducted a population-based, case-control study that included 8736 singleton CP cases and 90 250 singleton controls, matched by sex and birth year, selected from California birth certificate records from 1994 to 2010. We estimated OR and 95% CIs for CP diagnosis according to maternal and paternal age recorded on the birth certificates. Causal mediation analysis was performed to estimate direct and indirect effects of parental ages on CP with preterm delivery as a potential mediator.

resultsChildren born to younger mothers (≤19 years) or older mothers (35-39 years; ≥40 years) had a greater risk of CP compared with children of mothers aged 25-29 years (ORs ranging from 1.13 to 1.59). Compared with paternal age 25-29 years, older paternal age (40-44 years; ≥45 years) also was associated with an increased risk for CP independent of maternal age. When analyzing jointly using both parents of ages 20-34 years as the reference, the greatest risk was estimated for older parents (≥35 years). Preterm birth was estimated to mediate 19%-34% of the total effects between maternal or paternal age and offspring CP risk.

conclusionsYoung maternal age and an older age in either or both parents were associated with a greater risk of CP in their children. Although preterm birth was a mediator, additional factors related to parental age need further exploration to explain risk of CP.

Indexed as

Cerebral PalsyPremature BirthCaliforniaCase-Control StudiesChildCohort StudiesFemaleHumansInfant, NewbornMaleParentsRisk Factorscerebral palsyepidemiologymaternal agepaternal age

Identifiers

PMID36372095
PMCPMC10121738
OpenAlexW4308923409

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.