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Table 1 Number of reported perinatal and postnatal risk factors as exposures stratified by neurodevelopmental disorders and concordance

From: Nonshared environmental factors in the aetiology of autism and other neurodevelopmental conditions: a monozygotic co-twin control study

 

ASD

ADHD

Other NDCs

ID

TD

Concordant 13 pairsa

Discordant 23 pairsb affected/unaffected

Concordant 14 pairs

Discordant 15 pairs affected/unaffected

Concordant 8 pairs

Discordant 14 pairs affected/unaffected

Concordant 3 pairs

Discordant 7 pairs affected/unaffected

Concordant 51 pairs

Perinatal risks

Perinatal risk load Mean (SD)

1.46 (1.65)

2.22 (1.93)/1.48 (1.53)

1.00 (1.52)

2.13 (2.10)/1.73 (1.79)

0.75 (1.24)

1.79 (1.63)/1.36 (1.55)

1.83 (1.72)

2.86 (2.48), 2.57 (2.37)

1.10 (1.20)

Birth weight ≤ 2000 g (n = 51)

23.1%

47.8/39.1%

10.7%

28.6/28.6%

12.5%

35.7/28.6%

0%

57.1/57.1%

11.8%

Growth discordance ≥ 18% (n = 28)

7.7%

26.1/0%

7.1%

28.6/0%

0%

28.6/14.4%

0%

42.9/14.3%

10.8%

Convulsions (n = 9)

11.5%

13.0/4.3%

7.1%

14.3/14.3%

0%

0/0%

33.3%

28.6/14.3%

2%

Oxygen therapy (n = 63)

42.3%

34.8/30.4%

17.9%

50.0/28.6%

12.5%

28.6/42.9%

50.0%

57.1/57.1%

20.6%

Phototherapy (n = 91)

38.5%

52.2/47.8%

28.6%

50.0/50.0%

37.5%

42.9/35.7%

50.0%

57.1/57.1%

38.2%

Breech position (n = 36)

7.7%

30.4/17.4%

14.3%

28.6/35.7%

0%

28.6/0%

16.7%

0/14.3%

15.7%

Medication (n = 26)

15.4%

17.4/8.7%

14.3%

21.4/21.4%

12.5%

14.3/14.3%

33.3%

42.9/42.9%

5.9%

Postnatal risks

Postnatal risk load Mean (SD)

0.88 (1.03)

1.61 (1.37)/1.09 (1.24)

1.00 (0.98)

1.20 (1.70)/0.87 (1.30)

1.25 (1.00)

0.64 (1.08)/ 0.50 (0.85)

2.50 (1.05)

1.71 (2.29), 1.29 (1.60)

0.72 (0.83)

Measles (n = 2)

0%

0/0%

0%

0/0%

0%

0/0%

0%

0/0%

2%

Jaundice (n = 20)

19.2%

21.7/21.7%

0%

14.3/21.4%

7.1%

7.1/7.1%

33.3%

28.6/28.6%

13.7%

Mumps (n = 2)

0%

0/4.3%

0%

0%

0%

0/7.1%

0%

0/0%

0%

Scarlet fever (n = 20)

19.2%

13.0/13.0%

17.9%

14.3/14.3%

12.5%

7.1/14.3%

33.3%

14.3/14.3%

4.9%

Asthma (n = 47)

11.5%

30.4/30.4%

21.4%

35.7/28.6%

50.0%

0/7.1%

33.3%

28.6/14.3%

15.7%

Frequent ear infections (n = 50)

15.4%

43.5/26.1%

28.6%

14.3/7.1%

37.5%

28.6/14.3%

66.7%

42.9/42.9%

17.6%

Head injury (n = 27)

3.8%

21.7/8.7%

17.9%

14.3/14.3%

18.8%

14.3/0%

16.7%

14.3/14.3%

13.7%

Convulsions (n = 9)

11.5%

17.4/0%

10.7%

21.4/0%

6.3%

0/0%

33.3%

28.6/0%

1.0%

Heart disease (n = 7)

7.7%

13.0/4.3%

3.6%

14.3/7.1%

0%

7.1/0%

33.3%

14.3/14.3%

1.0%

  1. ADHD = attention-deficit/hyperactivity disorder, ASD = autism spectrum disorder, CI = confidence interval, ID = intellectual disability, NDCs = neurodevelopmental conditions (other NDCs includes e.g., communication disorders, specific learning disorders or motor disorders), TD = typically developing
  2. a13 pairs = 26 individuals, b23 discordant pairs = 23 affected twins where their co-twin (i.e., 23 individuals) is not affected