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Associations between Prenatal Education, Breastfeeding and Autistic-Like Behaviors in Pre-Schoolers

This study aimed to investigate the association between prenatal education and autistic-like behaviors of preschoolers as well as the mediating role of breastfeeding in their associations. A cross-sectional study via a structured questionnaire was conducted with 67,578 preschool children and parents...

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Autores principales: Chen, Jing, Strodl, Esben, Huang, Li-Hua, Chen, Jing-Yi, Liu, Xin-Chen, Yang, Jian-Hui, Chen, Wei-Qing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7916179/
https://www.ncbi.nlm.nih.gov/pubmed/33572414
http://dx.doi.org/10.3390/children8020124
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author Chen, Jing
Strodl, Esben
Huang, Li-Hua
Chen, Jing-Yi
Liu, Xin-Chen
Yang, Jian-Hui
Chen, Wei-Qing
author_facet Chen, Jing
Strodl, Esben
Huang, Li-Hua
Chen, Jing-Yi
Liu, Xin-Chen
Yang, Jian-Hui
Chen, Wei-Qing
author_sort Chen, Jing
collection PubMed
description This study aimed to investigate the association between prenatal education and autistic-like behaviors of preschoolers as well as the mediating role of breastfeeding in their associations. A cross-sectional study via a structured questionnaire was conducted with 67,578 preschool children and parents from Longhua District of Shenzhen, China. Hierarchical logistic regression models were performed to explore the associations between maternal participation in prenatal education and autistic-like behaviors in preschoolers, as well as the mediating effect of breastfeeding in the associations. After controlling for potential confounders, logistic regression analysis indicated that maternal participation in prenatal education could significantly increase the prevalence of breastfeeding, and the strength of the association was enhanced with the increase frequency of prenatal education visits (ORs ranging from 1.191 to 1.899). While both maternal participation in prenatal education (ORs ranging from 0.732 to 0.798) and breastfeeding (OR = 0.773) were significantly associated with the lower presence of autistic-like behaviors in preschoolers. The crossover analysis indicated that children with both maternal prenatal education and breastfeeding had the lower risk of presence of autistics-like behaviors (OR = 0.569). Furthermore, mediation analysis illustrated that breastfeeding mediated the association between maternal participation in prenatal education and the presence of autistic-like behaviors in preschoolers, with a mediating effect of approximately 14.3%. Our findings suggest that maternal participation in prenatal education is significantly associated with a decreased risk of autistic-like behaviors in preschool children through increased breastfeeding in the mothers who attended prenatal education.
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spelling pubmed-79161792021-03-01 Associations between Prenatal Education, Breastfeeding and Autistic-Like Behaviors in Pre-Schoolers Chen, Jing Strodl, Esben Huang, Li-Hua Chen, Jing-Yi Liu, Xin-Chen Yang, Jian-Hui Chen, Wei-Qing Children (Basel) Article This study aimed to investigate the association between prenatal education and autistic-like behaviors of preschoolers as well as the mediating role of breastfeeding in their associations. A cross-sectional study via a structured questionnaire was conducted with 67,578 preschool children and parents from Longhua District of Shenzhen, China. Hierarchical logistic regression models were performed to explore the associations between maternal participation in prenatal education and autistic-like behaviors in preschoolers, as well as the mediating effect of breastfeeding in the associations. After controlling for potential confounders, logistic regression analysis indicated that maternal participation in prenatal education could significantly increase the prevalence of breastfeeding, and the strength of the association was enhanced with the increase frequency of prenatal education visits (ORs ranging from 1.191 to 1.899). While both maternal participation in prenatal education (ORs ranging from 0.732 to 0.798) and breastfeeding (OR = 0.773) were significantly associated with the lower presence of autistic-like behaviors in preschoolers. The crossover analysis indicated that children with both maternal prenatal education and breastfeeding had the lower risk of presence of autistics-like behaviors (OR = 0.569). Furthermore, mediation analysis illustrated that breastfeeding mediated the association between maternal participation in prenatal education and the presence of autistic-like behaviors in preschoolers, with a mediating effect of approximately 14.3%. Our findings suggest that maternal participation in prenatal education is significantly associated with a decreased risk of autistic-like behaviors in preschool children through increased breastfeeding in the mothers who attended prenatal education. MDPI 2021-02-09 /pmc/articles/PMC7916179/ /pubmed/33572414 http://dx.doi.org/10.3390/children8020124 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Chen, Jing
Strodl, Esben
Huang, Li-Hua
Chen, Jing-Yi
Liu, Xin-Chen
Yang, Jian-Hui
Chen, Wei-Qing
Associations between Prenatal Education, Breastfeeding and Autistic-Like Behaviors in Pre-Schoolers
title Associations between Prenatal Education, Breastfeeding and Autistic-Like Behaviors in Pre-Schoolers
title_full Associations between Prenatal Education, Breastfeeding and Autistic-Like Behaviors in Pre-Schoolers
title_fullStr Associations between Prenatal Education, Breastfeeding and Autistic-Like Behaviors in Pre-Schoolers
title_full_unstemmed Associations between Prenatal Education, Breastfeeding and Autistic-Like Behaviors in Pre-Schoolers
title_short Associations between Prenatal Education, Breastfeeding and Autistic-Like Behaviors in Pre-Schoolers
title_sort associations between prenatal education, breastfeeding and autistic-like behaviors in pre-schoolers
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7916179/
https://www.ncbi.nlm.nih.gov/pubmed/33572414
http://dx.doi.org/10.3390/children8020124
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