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Current Pediatric Reviews

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ISSN (Print): 1573-3963
ISSN (Online): 1875-6336

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Meta-Analysis

The Association between Assisted Reproductive Technology and the Risk of Autism Spectrum Disorders among Offspring: A Meta-analysis

Author(s): Ensiyeh Jenabi, Saeid Bashirian, Salman Khazaei, Abdollah Farhadi Nasab and Azam Maleki*

Volume 19, Issue 1, 2023

Published on: 31 May, 2022

Page: [83 - 89] Pages: 7

DOI: 10.2174/1573396318666220410231435

Price: $65

Abstract

Background: This review aimed to determine the association between assisted reproductive technology (ART) and increased chances of having an autistic child.

Methods: The Web of Science, PubMed, and Scopus databases were systematically searched for studies published until December 2020 with the restricted English language. The Newcastle-Ottawa Scale (NOS) for cohort and case-control studies has been used for the evaluation of quality in individual studies. We evaluated the heterogeneity among the studies using I-squared. Publication bias was assessed using the funnel plot and Egger’s and Begg’s tests. We presented results using odds ratio (OR) and relative ratio (RR) estimates with its 95% confidence intervals (CI) using a randomeffects model.

Results: In total, 18 articles were included in the present study. The overall findings of the present meta-analysis show that the use of ART didn’t associate with the risk of autism spectrum disorders (ASD) among offspring based on OR and RR (OR = 1.04, 95% CI: 0.88-1.21) and (RR = 1 .26, 95% CI: 0.96- 1 .55), respectively. We showed a significant association between ART and the risk of ASD in Asia than in the other regions without heterogeneity.

Conclusion: Our result showed that the risk of ASD was not increased in children born from ART. Possible interaction between ART and other regions with increased risk of ASD is important to point and future studies of this topic were recommended.

Keywords: Assisted reproductive technology, autism spectrum disorders, meta-analysis, heterogeneity, psychiatric disorders, infertility.

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Graphical Abstract

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