ASD autism hydroxy-vitamin D intellectual disability vitamin D
Vitamin D deficiency has been increasing concurrently with prevalence of
autism spectrum disorders (ASD), and emerging evidence suggests vitamin D is
involved in brain development. Most prior studies of ASD examined vitamin D
levels in children already diagnosed, but a few examined levels during perinatal
development, the more likely susceptibility period. Therefore, we examined
newborn vitamin D levels in a case-control study conducted among births in
2000–2003 in southern California. Children with ASD (N=563) or
Intellectual Disability (ID) (N=190) were identified from the Department of
Developmental Services and compared to population controls (N=436) identified
from birth certificates. 25-hydroxyvitamin D (25(OH)D) was measured in archived
newborn dried blood spots by a sensitive assay, and corrected to sera
equivalents. We categorized 25(OH)D levels as deficient (<50nmol/L),
insufficient (50–74 nmol/L), and sufficient (≥75 nmol/L), and also
examined continuous levels, using logistic regression. The adjusted odds ratios
(AOR) and 95% confidence intervals (CI) for ASD were 0.96 (0.64–1.4) for
25(OH)D deficiency (14% of newborns) and 1.2 (0.86–1.6) for insufficiency
(26% of newborns). The AORs for continuous 25(OH)D (per 25nmol/L) were 1.0
(0.91–1.09) for ASD and 1.14 (1.0–1.30) for ID. Thus, in this
relatively large study of measured newborn vitamin D levels, our results do not
support the hypothesis of lower 25(OH)D being associated with higher risk of ASD
(or ID), although we observed suggestion of interactions with sex and
race/ethnicity. 25(OH)D levels were relatively high (median 84 nmol/L in
controls) so results may differ in populations with higher prevalence of low
vitamin D levels.
Lay Summary:
We studied whether vitamin D levels measured at birth were related to
whether a child later developed autism (or low IQ). Our results did not show
that children with autism, or low IQ, overall had lower vitamin D levels at
birth than children without autism. Vitamin D levels were fairly high, on
average, in these children born in Southern California.