Osaka Hamamatsu Joint Research Center for Child Mental Development, and Department of Psychiatry and Neurology, Hamamatsu University School of Medicine, Hamamatsu, Japan
Osaka Hamamatsu Joint Research Center for Child Mental Development, Hamamatsu University School of Medicine, Hamamatsu, Japan
Osaka Hamamatsu Joint Research Center for Child Mental Development, Hamamatsu University School of Medicine, Hamamatsu, and Faculty of Sociology, Chukyo University, Nagoya, Japan
Department of Psychiatry and Neurology, Hamamatsu University School of Medicine, Hamamatsu, Japan
Osaka Hamamatsu Joint Research Center for Child Mental Development, Hamamatsu University School of Medicine, Hamamatsu, Japan
Department of Psychiatry and Neurology, Hamamatsu University School of Medicine, Hamamatsu, Japan
Osaka Hamamatsu Joint Research Center for Child Mental Development, Hamamatsu University School of Medicine, Hamamatsu, Japan
Department of Psychiatry and Neurology, Hamamatsu University School of Medicine, Hamamatsu, Japan
Aichi Children's Health and Medical Center, Obu, Japan
Department of Psychiatry and Neurology, Hamamatsu University School of Medicine, Hamamatsu, Japan
Osaka Hamamatsu Joint Research Center for Child Mental Development and Department of Psychiatry and Neurology, Hamamatsu University School of Medicine, Hamamatsu, Japan, and Division of Psychological Medicine, Institute of Psychiatry, London, UK
Correspondence: Nori Takei, Osaka Hamamatsu Joint Research Center for Child Mental Development (OHJRC–CMD), Hamamatsu University School of Medicine, Handayama 1 Higashiku, Hamamatsu 431-3192, Japan. Email: ntakei{at}hama-med.ac.jp
None. Funding detailed in Acknowledgements.
Background
Previous studies have reported the association between advanced paternal age at birth and the risk of autistic-spectrum disorder in offspring, including offspring with intellectual disability.
Aims
To test whether an association between advanced paternal age at birth is found in offspring with high-functioning autistic-spectrum disorder (i.e. offspring without intellectual disability).
Method
A case–control study was conducted in Japan. The participants
consisted of individuals with full-scale IQ
70, with a DSM–IV
autistic disorder or related diagnosis. Unrelated healthy volunteers were
recruited as controls. Parental ages were divided into tertiles (i.e. three
age classes). Odds ratios and 95% confidence intervals were estimated using
logistic regression analyses, with an adjustment for age, gender and birth
order.
Results
Eighty-four individuals with autistic-spectrum disorder but without intellectual disability and 208 healthy controls were enrolled. Increased paternal, but not maternal, age was associated with an elevated risk of high-functioning autistic-spectrum disorder. A one-level advance in paternal age class corresponded to a 1.8-fold increase in risk, after adjustment for covariates.
Conclusions
Advanced paternal age is associated with an increased risk for high-functioning autistic-spectrum disorder.
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