scholarly journals Prenatal antibiotic exposure and risk of attention-deficit/hyperactivity disorder: a population-based cohort study

2020 ◽  
Vol 192 (20) ◽  
pp. E527-E535
Author(s):  
Amani F. Hamad ◽  
Silvia Alessi-Severini ◽  
Salaheddin Mahmud ◽  
Marni Brownell ◽  
I fan Kuo

2019 ◽  
Vol 188 (11) ◽  
pp. 1923-1931 ◽  
Author(s):  
Amani F Hamad ◽  
Silvia Alessi-Severini ◽  
Salaheddin M Mahmud ◽  
Marni Brownell ◽  
I fan Kuo

Abstract Early childhood antibiotic exposure induces changes in gut microbiota reportedly associated with the development of attention-deficit/hyperactivity disorder (ADHD). We conducted a population-based cohort study to examine the association between antibiotic use in the first year of life and ADHD risk. We included children born in Manitoba, Canada, between 1998 and 2017. Exposure was defined as having filled 1 or more antibiotic prescriptions during the first year of life. ADHD diagnosis was identified in hospital abstracts, physician visits, or drug dispensations. Risk of developing ADHD was estimated using Cox proportional hazards regression in a high-dimensional propensity score–matched cohort (n = 69,738) and a sibling cohort (n = 67,671). ADHD risk was not associated with antibiotic exposure in the matched-cohort (hazard ratio = 1.02, 95% confidence interval: 0.97, 1.08) or in the sibling cohort (hazard ratio = 0.96, 95% confidence interval: 0.89, 1.03). In secondary analyses of the matched cohort, ADHD risk increase was observed in those exposed to 4 or more antibiotic courses or a duration longer than 3 weeks. These associations were not observed in the sibling cohort. We concluded that antibiotic exposure in the first year of life does not pose an ADHD risk on a population level.



2020 ◽  
Author(s):  
Vincent Chin-Hung Chen ◽  
Hsiang-Lin Chan ◽  
Shu-I Wu ◽  
Mong-Liang Lu ◽  
Michael E Dewey ◽  
...  


2019 ◽  
Vol 180 (1) ◽  
pp. 37-43 ◽  
Author(s):  
Tsung-Hsien Chang ◽  
Ying-Hsuan Tai ◽  
Ying-Xiu Dai ◽  
Yun-Ting Chang ◽  
Tzeng-Ji Chen ◽  
...  


2004 ◽  
Vol 79 (9) ◽  
pp. 1124-1131 ◽  
Author(s):  
Jennifer L. St. Sauver ◽  
William J. Barbaresi ◽  
Slavica K. Katusic ◽  
Robert C. Colligan ◽  
Amy L. Weaver ◽  
...  






2014 ◽  
Vol 56 (4) ◽  
pp. 460-467 ◽  
Author(s):  
Chang-Ching Wei ◽  
Chun-Hung Chang ◽  
Cheng-Li Lin ◽  
Shih-Ni Chang ◽  
Tsai-Chung Li ◽  
...  


2020 ◽  
pp. 1-9
Author(s):  
Vincent Chin-Hung Chen ◽  
Hsiang-Lin Chan ◽  
Shu-I Wu ◽  
Mong-Liang Lu ◽  
Michael E. Dewey ◽  
...  

Background Little is known about methylphenidate (MPH) use and mortality outcomes. Aims To investigate the association between MPH use and mortality among children with an attention-deficit hyperactivity disorder (ADHD) diagnosis. Method This population-based cohort study analysed data from Taiwan's National Health Insurance Research Database (NHIRD). A total of 68 096 children and adolescents aged 4–17 years with an ADHD diagnosis and prescribed MPH between 2000 and 2010 were compared with 68 096 without an MPH prescription, matched on age, gender and year of first ADHD diagnosis. All participants were followed to death, migration, withdrawal from the National Health Insurance programme or 31 December 2013. MPH prescriptions were measured on a yearly basis during the study period, and the association between MPH use and mortality was analysed using a repeated-measures time-dependent Cox regression model. The outcome measures included all-cause, unnatural-cause (including suicide, accident and homicide) and natural-cause mortality, obtained from linkage to the National Mortality Register in Taiwan. Results The MPH group had lower unadjusted all-cause, natural-, unnatural- and accident-cause mortality than the comparison group. After controlling for potential confounders, MPH use was associated with a significantly lower all-cause mortality (adjusted hazard ratio AHR = 0.81, 95% CI 0.67–0.98, P = 0.027), delayed use of MPH was associated with higher mortality (AHR = 1.05, 95% CI 1.01–1.09) and longer MPH use was associated with lower mortality (AHR = 0.83, 95% CI 0.70–0.98). Conclusions MPH use is associated with a reduced overall mortality in children with ADHD in this cohort study, but unmeasured confounding cannot be excluded absolutely.



2011 ◽  
pp. P3-695-P3-695
Author(s):  
Roxana L Aguirre ◽  
Slavica K Katusic ◽  
Robert G Voigt ◽  
Cynthia L Leibson ◽  
William J Barbaresi ◽  
...  


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