Autism & Developmental

Maternal Systemic Lupus Erythematosus, Rheumatoid Arthritis, and Risk for Autism Spectrum Disorders in Offspring: A Meta-analysis.

Zhu et al. (2020) · Journal of autism and developmental disorders 2020
★ The Verdict

Moms with lupus or rheumatoid arthritis have a small but real uptick in autism odds for their kids.

✓ Read this if BCBAs who assess toddlers and take prenatal histories in clinics or early-intervention teams.
✗ Skip if Practitioners focused only on adult skill acquisition or severe problem behavior.

01Research in Context

01

What this study did

Zhu et al. (2020) pooled seven earlier studies. They asked: do moms with lupus or rheumatoid arthritis have babies who later get an autism diagnosis?

They ran a meta-analysis. That means they combined the numbers to get one clearer answer.

02

What they found

Kids whose moms had rheumatoid arthritis had slightly higher odds of autism. The same was true for lupus in Western countries.

The rise was small but real. It shows up across several studies, not just one.

03

How this fits with other research

Lyall et al. (2014) saw a similar small bump years earlier. Their study looked at both autism and other delays. The new meta zooms in on autism only and adds more data.

Xu et al. (2014) found almost the same size risk for moms with diabetes. This tells us different prenatal health issues can raise odds a little.

Braunschweig et al. (2012) went deeper. They linked actual maternal antibodies to brain proteins with worse language. Zhixian’s big-picture numbers line up with that lab finding.

04

Why it matters

When you take a prenatal history, note autoimmune diagnoses. Tell pediatricians so they can watch language and social milestones a bit closer. The risk is still low, but early looks never hurt.

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→ Action — try this Monday

Add a checkbox for maternal RA or lupus on your intake form and flag those files for closer developmental tracking.

02At a glance

Intervention
not applicable
Design
meta analysis
Sample size
4543321
Population
autism spectrum disorder
Finding
positive
Magnitude
small

03Original abstract

This study assessed the relationships between maternal systemic lupus erythematosus (SLE) or rheumatoid arthritis (RA) and risk for autism spectrum disorders (ASDs) in offspring. Seven observational studies, including 25,005 ASD cases and 4,543,321 participants, were included for meta-analysis. Pooled results by using random-effects models suggested that maternal RA was associated with an increased risk for ASDs [odds ratio (OR) 1.39, 95% confidence interval (CI) 1.16-1.67], while maternal SLE was associated with an increased risk for ASDs only in western population (OR 1.91, 95% CI 1.02-3.57). Further study is warranted to confirm these results.

Journal of autism and developmental disorders, 2020 · doi:10.1007/s10803-020-04400-y