Folinsyre klinisk forsøg: Opfølgning af børn (FAKTA 4 barn)
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Folic Acid Clinical Trial (FACT) blev udviklet til endeligt at bestemme effekten af højdosis folinsyretilskud under graviditet på forebyggelsen af præeklampsi i et randomiseret kontrolleret forsøg (RCT) design.
Det primære formål med FACT 4 Child-undersøgelsen er at undersøge effekten af modertilskud af folinsyre under graviditeten på risikoen for sociale svækkelser, såvel som eksekutiv funktion, følelsesmæssige og adfærdsmæssige problemer forbundet med Autisme Spektrum Forstyrrelser (ASD) og andre udviklingsforstyrrelser , og død hos afkom i alderen 4-6 år af mødre rekrutteret til det CIHR-finansierede FACT.
Effekten af folinsyretilskud gennem hele graviditeten kan potentielt have en indvirkning på både moderen og hendes afkom, hvilket fremhæver vigtigheden og relevansen af denne undersøgelse for behandlingen af kvinder med præeklampsi. Resultaterne af denne undersøgelse vil give plejepersonale mulighed for at have beviser for potentielle virkninger af høje doser folinsyre, som derefter kan diskuteres; giver kvinder mulighed for at træffe et informeret valg om deres ledelse og omsorg.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Kontakter og lokationer
Studiesteder
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New South Wales
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Penrith, New South Wales, Australien, 2750
- Nepean
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Queensland
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Douglas, Queensland, Australien, 4814
- Townsville
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Ipswich, Queensland, Australien, 4305
- Ipswich
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South Australia
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Adelaide, South Australia, Australien
- Women's and Children's Hospital
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Victoria
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Parkville, Victoria, Australien, 3052
- Royal Women's
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St Albans, Victoria, Australien, 3021
- Sunshine
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Alberta
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Calgary, Alberta, Canada, T2N2T9
- Calgary Foothills Medical Center
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Edmonton, Alberta, Canada, T5H 3V9
- Edmonton Lois Hole Hospital for Women
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British Columbia
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Vancouver, British Columbia, Canada, V6Z 2K5
- St-Paul's Hospital
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Manitoba
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Winnipeg, Manitoba, Canada, R3E 3P4
- Winnipeg University of Manitoba
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New Brunswick
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Fredericton, New Brunswick, Canada, E3B 5N5
- Fredericton Dr. Everett Chalmers Regional Hospital
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Moncton, New Brunswick, Canada, E1C 6Z8
- Moncton Hospital
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Newfoundland and Labrador
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St John's, Newfoundland and Labrador, Canada, A1B 3V6
- St-John's Women's Health Centre
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Ontario
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Hamilton, Ontario, Canada, L8S 4K1
- Hamilton McMaster University
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Kingston, Ontario, Canada, K7L 2V7
- Kingston
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London, Ontario, Canada, N6A 5W9
- London
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Ottawa, Ontario, Canada, K1Y 4E9
- The Ottawa Hospital, Civic Campus
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Ottawa, Ontario, Canada, K1H 8L6
- The Ottawa Hospital, General Campus
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Toronto, Ontario, Canada, M4N 3M5
- Sunnybrook Health Sciences
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Quebec
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Montreal, Quebec, Canada, G1V 4G2
- Quebec City (CHUL) Centre Hospitalier Universitaire
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Montreal, Quebec, Canada, H3T 1C5
- Sainte-Justine
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Montreal, Quebec, Canada, H3T 1M5
- St-Mary's Hospital
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Montreal, Quebec, Canada
- St-Luc
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Saskatchewan
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Regina, Saskatchewan, Canada, S4P 0W5
- Regina Qu'Appelle Health Region
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Blackburn, Det Forenede Kongerige, BB2 3HH
- Blackburn
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Burnley, Det Forenede Kongerige, BB10 2PQ
- Burnley
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Carlisle, Det Forenede Kongerige
- Cumberland Infirmary Carlisle
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Crumpsall, Det Forenede Kongerige, M8 5RB
- North Manchester
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Durham, Det Forenede Kongerige
- North Durham
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London, Det Forenede Kongerige
- Guy's and St. Thomas
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Middlesbrough, Det Forenede Kongerige, TS4 3BW
- South Tees Hospital
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Newcastle upon Tyne, Det Forenede Kongerige, NE1 4LP
- Newcastle Upon Tyne Hospitals
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North Shields, Det Forenede Kongerige, NE29 8NH
- North Tyneside General Hospital
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Norwich, Det Forenede Kongerige
- Norfolk & Norwich
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Nottingham, Det Forenede Kongerige, NG5 1PB
- Nottingham City Hospital
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Nottingham, Det Forenede Kongerige, NG7 2UH
- Nottingham Queens Medical Centre
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Oldham, Det Forenede Kongerige, OL1 2JH
- Oldham
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Stockton, Det Forenede Kongerige, TS19 9AH
- North Tees Hospital
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Sunderland, Det Forenede Kongerige, SR4 7TP
- Sunderland Royal Hospital
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Uxbridge, Det Forenede Kongerige, UB8 3NN
- Hillingdon Hospital
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Warrington, Det Forenede Kongerige
- Warrington Hospital
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Whitehaven, Det Forenede Kongerige
- West Cumberland Hospital
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Whitley Bay, Det Forenede Kongerige
- 49 Marine Avenue
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Wolverhampton, Det Forenede Kongerige
- Royal Wolverhampton - New Cross Hospital
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Cambridgeshire
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Huntingdon, Cambridgeshire, Det Forenede Kongerige, PE29 6NT
- Hinchingbrooke
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Cheshire
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Crewe, Cheshire, Det Forenede Kongerige, CW1 4QJ
- Leighton
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County Durham
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Darlington, County Durham, Det Forenede Kongerige, DL3 6HX
- Darlington Memorial Hospital
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Lancashire
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Bury, Lancashire, Det Forenede Kongerige, BL9 7TD
- Fairfield
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Rochdale, Lancashire, Det Forenede Kongerige, OL12 0NB
- Rochdale
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Lincolnshire
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Lincoln, Lincolnshire, Det Forenede Kongerige, LN2 4AX
- Lincolnshire
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Middlesex
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Isleworth, Middlesex, Det Forenede Kongerige, TW7 6AF
- West Middlesex University Hospital
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Northumberland
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Ashington, Northumberland, Det Forenede Kongerige, NE63 9JJ
- Wansbeck General Hospital
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Tooting
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London, Tooting, Det Forenede Kongerige, SW17 0QT
- St George's Hospital
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Tyne And Wear
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Gateshead, Tyne And Wear, Det Forenede Kongerige, NE9 6SX
- Gateshead Queen Elizabeth Hospital
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South Shields, Tyne And Wear, Det Forenede Kongerige, NE34 0PL
- South Tyneside Distrcit Hospital
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Kingston, Jamaica
- Jubilee
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Kingston, Jamaica
- Spanishtown
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Kingston 7, Jamaica
- University of West Indies
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
Inklusionskriterier:
- Deltagerens evne til at forstå og overholde studiekrav
- Mor deltog i FACT
Ekskluderingskriterier:
- Bekræftet spontan opsigelse (abort) eller elektiv opsigelse eller dødfødt
- Bekræftet død af afkom 6 uger efter fødslen og/eller ved udskrivelse fra hospitalet
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Observationsmodeller: Kohorte
- Tidsperspektiver: Fremadrettet
Antal grupper/kohorter
Kohorter og interventioner
Gruppe / kohorteGruppe / kohorte |
Intervention / BehandlingIntervention / Behandling |
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Mor og barn
FACT 4 Child er opfølgningen efter fødslen af afkommet født af FACT-mødre, når disse børn er mellem 4 - 6 år.
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Denne undersøgelse involverer ikke en intervention.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Neurokognitiv funktionsnedsættelse
Tidsramme: Fra seks ugers alderen til datoen for dataindsamling taget på et tidspunkt i alderen 4 til 6 år.
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Det primære resultat er et konkurrerende sammensat endepunkt af neurokognitiv funktionsnedsættelse og død.
Neurokognitiv funktionsnedsættelse er et sammensat resultat relateret til sociale svækkelser, eksekutiv funktion, følelsesmæssige og adfærdsmæssige problemer, som er blevet forbundet med autismespektrumforstyrrelser (ASD).
Det vil blive defineret ved en unormal score på et af tre standardiserede og validerede vurderingsværktøjer: SRS-2 BRIEF-P eller CBCL, som vil blive administreret til forældre til børn i alderen 4-6 år.
Dødsfald rapporteret mellem 6 uger og 4-6 års alderen vil blive registreret som en konkurrerende begivenhed og behandlet som en del af det primære endepunkt.
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Fra seks ugers alderen til datoen for dataindsamling taget på et tidspunkt i alderen 4 til 6 år.
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Alvorlig sygelighed
Tidsramme: Fra seks ugers alderen til datoen for dataindsamling taget på et tidspunkt i alderen 4 til 6 år.
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Sekundære resultater, der skal vurderes i FACT 4 Child omfatter alvorlig sygelighed af FACT-afkom, opfanget af Mother-Child Health Survey i en alder af 4 - 6 år, inklusive forekomst af: Alvorlig sygelighed defineret af enhver sygdom i de foregående år, som har nødvendiggjort indlæggelse eller medicin/behandling i >2 måneder
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Fra seks ugers alderen til datoen for dataindsamling taget på et tidspunkt i alderen 4 til 6 år.
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Mark Walker, MD, The Ottawa Hospital
Publikationer og nyttige links
Generelle publikationer
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- Constantino JN, Davis SA, Todd RD, Schindler MK, Gross MM, Brophy SL, Metzger LM, Shoushtari CS, Splinter R, Reich W. Validation of a brief quantitative measure of autistic traits: comparison of the social responsiveness scale with the autism diagnostic interview-revised. J Autism Dev Disord. 2003 Aug;33(4):427-33. doi: 10.1023/a:1025014929212.
- Wigham S, McConachie H, Tandos J, Le Couteur AS; Gateshead Millennium Study core team. The reliability and validity of the Social Responsiveness Scale in a UK general child population. Res Dev Disabil. 2012 May-Jun;33(3):944-50. doi: 10.1016/j.ridd.2011.12.017. Epub 2012 Jan 25.
- Gioia GA, Isquith PK, Retzlaff PD, Espy KA. Confirmatory factor analysis of the Behavior Rating Inventory of Executive Function (BRIEF) in a clinical sample. Child Neuropsychol. 2002 Dec;8(4):249-57. doi: 10.1076/chin.8.4.249.13513.
- Wolff GL, Kodell RL, Moore SR, Cooney CA. Maternal epigenetics and methyl supplements affect agouti gene expression in Avy/a mice. FASEB J. 1998 Aug;12(11):949-57.
- Amir RE, Van den Veyver IB, Wan M, Tran CQ, Francke U, Zoghbi HY. Rett syndrome is caused by mutations in X-linked MECP2, encoding methyl-CpG-binding protein 2. Nat Genet. 1999 Oct;23(2):185-8. doi: 10.1038/13810.
- ACOG Committee on Practice Bulletins--Obstetrics. ACOG practice bulletin. Diagnosis and management of preeclampsia and eclampsia. Number 33, January 2002. Obstet Gynecol. 2002 Jan;99(1):159-67. doi: 10.1016/s0029-7844(01)01747-1.
- Buescher AV, Cidav Z, Knapp M, Mandell DS. Costs of autism spectrum disorders in the United Kingdom and the United States. JAMA Pediatr. 2014 Aug;168(8):721-8. doi: 10.1001/jamapediatrics.2014.210.
- McQuiston S, Kloczko N. Speech and language development: monitoring process and problems. Pediatr Rev. 2011 Jun;32(6):230-8; quiz 239. doi: 10.1542/pir.32-6-230. No abstract available.
- Waddell C, McEwan K, Shepherd CA, Offord DR, Hua JM. A public health strategy to improve the mental health of Canadian children. Can J Psychiatry. 2005 Mar;50(4):226-33. doi: 10.1177/070674370505000406.
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- Oakley GP Jr. Elimination of folic acid-preventable neural tube defects. Am J Prev Med. 2008 Dec;35(6):606-7. doi: 10.1016/j.amepre.2008.09.017. No abstract available.
- Wilson RD; GENETICS COMMITTEE; MOTHERISK. RETIRED: Pre-conceptional vitamin/folic acid supplementation 2007: the use of folic acid in combination with a multivitamin supplement for the prevention of neural tube defects and other congenital anomalies. J Obstet Gynaecol Can. 2007 Dec;29(12):1003-1013. doi: 10.1016/S1701-2163(16)32685-8. Erratum In: J Obstet Gynaecol Can. 2008 Mar;30(3):193. Goh, Ingrid [corrected to Goh, Y Ingrid]. English, French.
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- Schmidt RJ, Tancredi DJ, Ozonoff S, Hansen RL, Hartiala J, Allayee H, Schmidt LC, Tassone F, Hertz-Picciotto I. Maternal periconceptional folic acid intake and risk of autism spectrum disorders and developmental delay in the CHARGE (CHildhood Autism Risks from Genetics and Environment) case-control study. Am J Clin Nutr. 2012 Jul;96(1):80-9. doi: 10.3945/ajcn.110.004416. Epub 2012 May 30.
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- Chatzi L, Papadopoulou E, Koutra K, Roumeliotaki T, Georgiou V, Stratakis N, Lebentakou V, Karachaliou M, Vassilaki M, Kogevinas M. Effect of high doses of folic acid supplementation in early pregnancy on child neurodevelopment at 18 months of age: the mother-child cohort 'Rhea' study in Crete, Greece. Public Health Nutr. 2012 Sep;15(9):1728-36. doi: 10.1017/S1368980012000067. Epub 2012 Feb 8.
- Roth C, Magnus P, Schjolberg S, Stoltenberg C, Suren P, McKeague IW, Davey Smith G, Reichborn-Kjennerud T, Susser E. Folic acid supplements in pregnancy and severe language delay in children. JAMA. 2011 Oct 12;306(14):1566-73. doi: 10.1001/jama.2011.1433.
- Steenweg-de Graaff J, Roza SJ, Steegers EA, Hofman A, Verhulst FC, Jaddoe VW, Tiemeier H. Maternal folate status in early pregnancy and child emotional and behavioral problems: the Generation R Study. Am J Clin Nutr. 2012 Jun;95(6):1413-21. doi: 10.3945/ajcn.111.030791. Epub 2012 May 9.
- Roza SJ, van Batenburg-Eddes T, Steegers EA, Jaddoe VW, Mackenbach JP, Hofman A, Verhulst FC, Tiemeier H. Maternal folic acid supplement use in early pregnancy and child behavioural problems: The Generation R Study. Br J Nutr. 2010 Feb;103(3):445-52. doi: 10.1017/S0007114509991954. Epub 2009 Sep 22.
- Julvez J, Fortuny J, Mendez M, Torrent M, Ribas-Fito N, Sunyer J. Maternal use of folic acid supplements during pregnancy and four-year-old neurodevelopment in a population-based birth cohort. Paediatr Perinat Epidemiol. 2009 May;23(3):199-206. doi: 10.1111/j.1365-3016.2009.01032.x. Epub 2009 Mar 11.
- Beard CM, Panser LA, Katusic SK. Is excess folic acid supplementation a risk factor for autism? Med Hypotheses. 2011 Jul;77(1):15-7. doi: 10.1016/j.mehy.2011.03.013. Epub 2011 Mar 31.
- King CR. A novel embryological theory of autism causation involving endogenous biochemicals capable of initiating cellular gene transcription: a possible link between twelve autism risk factors and the autism 'epidemic'. Med Hypotheses. 2011 May;76(5):653-60. doi: 10.1016/j.mehy.2011.01.024. Epub 2011 Mar 8.
- Salbaum JM, Kappen C. Genetic and epigenomic footprints of folate. Prog Mol Biol Transl Sci. 2012;108:129-58. doi: 10.1016/B978-0-12-398397-8.00006-X.
- Fenech M. Folate (vitamin B9) and vitamin B12 and their function in the maintenance of nuclear and mitochondrial genome integrity. Mutat Res. 2012 May 1;733(1-2):21-33. doi: 10.1016/j.mrfmmm.2011.11.003. Epub 2011 Nov 7.
- LaSalle JM. A genomic point-of-view on environmental factors influencing the human brain methylome. Epigenetics. 2011 Jul;6(7):862-9. doi: 10.4161/epi.6.7.16353. Epub 2011 Jul 1.
- Chang CM, Yu CC, Lu HT, Chou YF, Huang RF. Folate deprivation promotes mitochondrial oxidative decay: DNA large deletions, cytochrome c oxidase dysfunction, membrane depolarization and superoxide overproduction in rat liver. Br J Nutr. 2007 May;97(5):855-63. doi: 10.1017/S0007114507666410.
- Blaise SA, Alberto JM, Audonnet-Blaise S, Gueant JL, Daval JL. Influence of preconditioning-like hypoxia on the liver of developing methyl-deficient rats. Am J Physiol Endocrinol Metab. 2007 Dec;293(6):E1492-502. doi: 10.1152/ajpendo.00255.2007. Epub 2007 Aug 28.
- Ferguson SA, Berry KJ, Hansen DK, Wall KS, White G, Antony AC. Behavioral effects of prenatal folate deficiency in mice. Birth Defects Res A Clin Mol Teratol. 2005 Apr;73(4):249-52. doi: 10.1002/bdra.20111.
- Kerek R, Geoffroy A, Bison A, Martin N, Akchiche N, Pourie G, Helle D, Gueant JL, Bossenmeyer-Pourie C, Daval JL. Early methyl donor deficiency may induce persistent brain defects by reducing Stat3 signaling targeted by miR-124. Cell Death Dis. 2013 Aug 8;4(8):e755. doi: 10.1038/cddis.2013.278.
- Moretti P, Sahoo T, Hyland K, Bottiglieri T, Peters S, del Gaudio D, Roa B, Curry S, Zhu H, Finnell RH, Neul JL, Ramaekers VT, Blau N, Bacino CA, Miller G, Scaglia F. Cerebral folate deficiency with developmental delay, autism, and response to folinic acid. Neurology. 2005 Mar 22;64(6):1088-90. doi: 10.1212/01.WNL.0000154641.08211.B7.
- Neul JL. The relationship of Rett syndrome and MECP2 disorders to autism. Dialogues Clin Neurosci. 2012 Sep;14(3):253-62. doi: 10.31887/DCNS.2012.14.3/jneul.
- Padmanabhan N, Jia D, Geary-Joo C, Wu X, Ferguson-Smith AC, Fung E, Bieda MC, Snyder FF, Gravel RA, Cross JC, Watson ED. Mutation in folate metabolism causes epigenetic instability and transgenerational effects on development. Cell. 2013 Sep 26;155(1):81-93. doi: 10.1016/j.cell.2013.09.002.
- James SJ, Melnyk S, Jernigan S, Pavliv O, Trusty T, Lehman S, Seidel L, Gaylor DW, Cleves MA. A functional polymorphism in the reduced folate carrier gene and DNA hypomethylation in mothers of children with autism. Am J Med Genet B Neuropsychiatr Genet. 2010 Sep;153B(6):1209-20. doi: 10.1002/ajmg.b.31094.
- Whitrow MJ, Moore VM, Rumbold AR, Davies MJ. Effect of supplemental folic acid in pregnancy on childhood asthma: a prospective birth cohort study. Am J Epidemiol. 2009 Dec 15;170(12):1486-93. doi: 10.1093/aje/kwp315. Epub 2009 Oct 30.
- Crider KS, Cordero AM, Qi YP, Mulinare J, Dowling NF, Berry RJ. Prenatal folic acid and risk of asthma in children: a systematic review and meta-analysis. Am J Clin Nutr. 2013 Nov;98(5):1272-81. doi: 10.3945/ajcn.113.065623. Epub 2013 Sep 4.
- Martinussen MP, Risnes KR, Jacobsen GW, Bracken MB. Folic acid supplementation in early pregnancy and asthma in children aged 6 years. Am J Obstet Gynecol. 2012 Jan;206(1):72.e1-7. doi: 10.1016/j.ajog.2011.07.033. Epub 2011 Jul 29.
- Toriello HV; Policy and Practice Guideline Committee of the American College of Medical Genetics. Policy statement on folic acid and neural tube defects. Genet Med. 2011 Jun;13(6):593-6. doi: 10.1097/GIM.0b013e31821d4188.
- Keating E, Goncalves P, Campos I, Costa F, Martel F. Folic acid uptake by the human syncytiotrophoblast: interference by pharmacotherapy, drugs of abuse and pathological conditions. Reprod Toxicol. 2009 Dec;28(4):511-20. doi: 10.1016/j.reprotox.2009.07.001. Epub 2009 Jul 16.
- Cooney CA, Dave AA, Wolff GL. Maternal methyl supplements in mice affect epigenetic variation and DNA methylation of offspring. J Nutr. 2002 Aug;132(8 Suppl):2393S-2400S. doi: 10.1093/jn/132.8.2393S.
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- Mann JR, McDermott S, Bao H, Hardin J, Gregg A. Pre-eclampsia, birth weight, and autism spectrum disorders. J Autism Dev Disord. 2010 May;40(5):548-54. doi: 10.1007/s10803-009-0903-4.
- Johnson S, Wolke D. Behavioural outcomes and psychopathology during adolescence. Early Hum Dev. 2013 Apr;89(4):199-207. doi: 10.1016/j.earlhumdev.2013.01.014. Epub 2013 Feb 27.
- Movsas TZ, Paneth N. The effect of gestational age on symptom severity in children with autism spectrum disorder. J Autism Dev Disord. 2012 Nov;42(11):2431-9. doi: 10.1007/s10803-012-1501-4.
- Asztalos EV, Murphy KE, Willan AR, Matthews SG, Ohlsson A, Saigal S, Armson BA, Kelly EN, Delisle MF, Gafni A, Lee SK, Sananes R, Rovet J, Guselle P, Amankwah K, Saleem M, Sanchez J; MACS-5 Collaborative Group. Multiple courses of antenatal corticosteroids for preterm birth study: outcomes in children at 5 years of age (MACS-5). JAMA Pediatr. 2013 Dec;167(12):1102-10. doi: 10.1001/jamapediatrics.2013.2764.
- Gioia GA. Isquith PK GP, Kenworthy L. Behavior Rating Inventory of Executive Function (BRIEF). Odessa, Fl: Psychological Assessment Resources, 2000.
- Achenbach TM, Dumenci, L., & Rescorla, L. A. Ten-Year Comparisons of Problems and Competencies for National Samples of Youth: Self, Parent, and Teacher Reports. Journal of Emotional and Behavioral Disorders 2002;10:194-203.
- Charman T, Baird G, Simonoff E, Loucas T, Chandler S, Meldrum D, Pickles A. Efficacy of three screening instruments in the identification of autistic-spectrum disorders. Br J Psychiatry. 2007 Dec;191:554-9. doi: 10.1192/bjp.bp.107.040196.
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- Duarte CS, Bordin IA, de Oliveira A, Bird H. The CBCL and the identification of children with autism and related conditions in Brazil: pilot findings. J Autism Dev Disord. 2003 Dec;33(6):703-7. doi: 10.1023/b:jadd.0000006005.31818.1c.
- Constantino JN, & Gruber, C. P. Social Responsiveness Scale (SRS): Manual. Los Angeles: Western Psychological Services, 2005.
- Wilkinson LA. A best practice guide to assessment and intervention for autism and Asperger syndrome in schools. London: Jessica Kingsley Publishers, 2010.
- Bolte S, Poustka F, Constantino JN. Assessing autistic traits: cross-cultural validation of the social responsiveness scale (SRS). Autism Res. 2008 Dec;1(6):354-63. doi: 10.1002/aur.49.
- Fombonne E, Marcin C, Bruno R, Tinoco CM, Marquez CD. Screening for autism in Mexico. Autism Res. 2012 Jun;5(3):180-9. doi: 10.1002/aur.1235. Epub 2012 May 11.
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Yderligere relevante MeSH-vilkår
- Urogenitale sygdomme
- Psykiske lidelser
- Kvinders urogenitale sygdomme og graviditetskomplikationer
- Graviditetskomplikationer
- Adfærdsmæssige symptomer
- Hypertension, graviditetsinduceret
- Neuroudviklingsforstyrrelser
- Børns udviklingsforstyrrelser, gennemgående
- Problemadfærd
- Autismespektrumforstyrrelse
- Eklampsi
- Præeklampsi
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