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Autism risk increases past the maternal age of 16 and the paternal age of 18, respectively.

RSDevotion1

February 20, 2023
74 upvotes
/r/BlackPillScience
https://doi.org/10.1093/ije/dyt262
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Title Autism risk increases past the maternal age of 16 and the paternal age of 18, respectively.
Author

RSDevotion1

Upvotes 74
Comments 36
Date February 20, 2023 12:23 AM UTC
(3 years ago)
Subreddit Posted in /r/BlackPillScience
Original Link https://old.reddit.com/r/BlackPillScience/comments/116spku/autism_risk_increases_past_the_maternal_age_of_16/
Archive Link https://theredarchive.com/r/BlackPillScience/autism-risk-increases-past-the-maternal-age-of-16.1152044
https://theredarchive.com/post/1152044
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Comments

[–]TheConstructorFL 16 points17 points18 points 3 years ago (2 children) | Copy Link

Same with Schizophrenia, Mental Retardation, Depression etc. Source: https://www.nature.com/articles/s41380-022-01753-x

[–]RSDevotion1[S] 7 points8 points9 points 3 years ago* (0 children) | Copy Link

Not the same, apparently:

Paternal age had a U-shaped relationship with offspring’s MDD, ED, SUD, and anxiety. A very young maternal age (<20 years) was associated with markedly higher risk in offspring’s SUD, MR, and suicide.

But a study that doesn't separate pre-maturation and post-maturation pregnancies (by maternal age) is weak.

Edit: The trend for autism is similar in that study. Notably, mental retardation seems to negatively correlate with maternal age, but that could be explained by less intelligent females breeding earlier. Overall, that particular study lacks multiple, obvious controls.

Graph

[–]PikaPikaDude 19 points20 points21 points 3 years ago (8 children) | Copy Link

Important to look at actual graphs here.

Risk is not zero at maternal 16 and increase up to 30 is limited. After 30 it goes up faster to make a 45yo have approximately twice the risk a 16yo has.

For fathers, it's also not zero at 18. Increase is more linear constant, but not as fast. Twice the risk of an 18yo isn't even reached at 60 there.

In general, it confirms what was already known about autism risk by parental age. And it's also not a secret the best time for a woman to have children is before 30. 30-35 is still ok and after that risks get much higher. For men the risk cut off isn't as sudden, perhaps an evolutionary adaptation to mitigate risks form parenthood at later ages.

[–]RSDevotion1[S] 6 points7 points8 points 3 years ago (7 children) | Copy Link

The OP title still stands. The obvious point is that humans (and most mammals, arguably) breed the healthiest offspring at sexual maturation (rather than after).

[–]randomcommentt 1 point2 points3 points 3 years ago (1 child) | Copy Link

Eh, I'd be much more careful with such conclusions, especially as the authors themselves do not interpret their data in this way -- probably meaning the conclusion would be inaccurate.

For example, it is not hard to imagine that teenage parents are poorer/lower educated and less likely to go test their child for autism. "access to getting diagnosed" is an important factor, which is frequently overlooked (more of a thing when comparing number of diagnoses over time or between different countries).

I haven't checked, but it may be that the sample of teenage parents may just be small, meaning the averages et cetera for that group may not be representative.

[–]RSDevotion1[S] 3 points4 points5 points 3 years ago (0 children) | Copy Link

We used penalized cubic regression smoothing splines implemented in GAMs to model the associations of parental age with ASD.20 Models were adjusted for potential confounders a priori identified by literature4,21 or in our analyses as predictive of ASD.22,23 Model covariates included offspring sex, birth year, co-parental age, parity, maternal and paternal psychiatric history, occupational class, family income and maternal country of birth. To account for clustering in sibships, random effects modelling was used. Random effects for the birth mother were implemented in the GAMs as penalized regression terms, with smoothing parameter estimation by maximum likelihood.24 Marginal estimates of odds ratios (ORs) and age-specific prevalence rates were estimated from the GAMs using a G-computation approach.25 These estimates can be interpreted as relevant for a sample assuming the covariate pattern of the sample in the study (e.g. 51.3% male children, 74.9% of mothers from Sweden, see Table 1).26 For computational efficiency, 95% confidence intervals (CIs) were estimated from posterior simulation of model parameters.20 To minimize instability in estimates at extreme parental ages (i.e. beyond the 0.1% and 99.9%; fathers <18 years or >59 years of age, mothers <16 years or >45 years of age), GAMs were fit excluding these observations.

[–]CurvyAnna 1 point2 points3 points 3 years ago (4 children) | Copy Link

Pretty narrow definition of "healthy". Children born to teenage parents are more likely to live in poverty and not have their emotional needs met due to parental immaturity. Babies are not served in the long run by being raised by babies.

[–]RSDevotion1[S] 2 points3 points4 points 3 years ago (2 children) | Copy Link

My comment was assuming that environmental factors (such as poverty) are controlled for.

[–]randomcommentt 0 points1 point2 points 3 years ago (1 child) | Copy Link

Seems bit of a stretch that they are able to control for it. Age is a huge factor in determining wage, education and such when comparing 16/18 year olds versus people in their 30s.

Controlling for income actually gives other issues. Then you are probably comparing teenagers from a wealthy family versus adults from a socially poorer background.

[–]RSDevotion1[S] 1 point2 points3 points 3 years ago (0 children) | Copy Link

https://www.reddit.com/r/BlackPillScience/comments/116spku/autism_risk_increases_past_the_maternal_age_of_16/j9cwor7/

[–]RSDevotion1[S] 5 points6 points7 points 3 years ago* (3 children) | Copy Link

The sample consisted of 417 303 Swedish children born 1984–2003. ASD case status (N = 4746) was ascertained using national and regional registers. Smoothing splines in generalized additive models were used to estimate associations of parental age with ASD.

Graph

[–][deleted] 1 point2 points3 points 3 years ago (2 children) | Copy Link

There is basically zero significant probability change before the age of 35 for mothers and it's similar for men. The title is wrong.

[–]RSDevotion1[S] 2 points3 points4 points 3 years ago (1 child) | Copy Link

The odds of ASD were unaffected by maternal ages younger than 29 years, but thereafter increased in a non-linear fashion with each advancing year of maternal age (Figure 2). Pooled ORs were 1.07 (95% CI: 1.04–1.11) for mothers aged 30–34 and 1.32 (95% CI: 1.27–1.38) for ages 35–39, increasing to 1.75 (95% CI: 1.63–1.89) for ages 40–45 compared with the 29-year-old reference group (Table 2). Maternal ages beyond 30 years were associated with a greater risk of ASD with ID, compared with without ID, such that the pooled OR was 2.04 (95% CI: 1.82–2.30) for mothers aged 40–45 and 1.54 (95% CI: 1.41–1.68) for these subtypes, respectively.

In contrast, advancing paternal age was associated with an increasing risk of ASD in an approximately linear fashion, such that the youngest fathers had the lowest risk (Figure 2). Compared with 32-year-old fathers, 18–19- and 25–28-year-old fathers had a 0.84 (95% CI: 0.78–0.90) and 0.93 (95% CI: 0.90–0.96) odds of a child with ASD, whereas 40–44- and 55–59-year-old fathers had a 1.14 (95% CI: 1.10–1.18) and 1.39 (95% CI: 1.29–1.50) odds of a child with ASD. Advancing paternal age was associated with a greater risk of ASD with, than without, ID, such that the oldest fathers aged 55–59 years had 1.52 (95% CI: 1.36–1.70) and 1.19 (95% CI: 1.08–1.31) odds of a child with these subcategories, respectively.

Significance was only not found in mothers younger than 29, but the raw data still support an increased risk past the age of 16 (albeit insignificant until age 29).

[–][deleted] 1 point2 points3 points 3 years ago (0 children) | Copy Link

  1. If it's not significant, then there is no proof of an increased risk of autism past the age of 16. And even if it's slightly significant at a 95% CI, it's still weak evidence, so you shouldn't conclude that you found an increased risk past the age of 29.

  2. There is no significant difference between 16 year old mothers and 32 year old mothers as you can see in the graph you posted which was my point.

The analysis of the data by the authors is trash. You pretty much only see a significant increase in risk past the age of 35.

[–]CornellWest1 points 3 years ago* [recovered] (2 children) | Copy Link

I don't think this paper establishes a relationship between paternal age and risk of ASD. If you look at the graph in figure 2 the effect is pretty weak to begin with. Referencing u/PikaPikaDude elsewhere in this thread:

For fathers, it's also not zero at 18. Increase is more linear constant, but not as fast. Twice the risk of an 18yo isn't even reached at 60 there.

Then from the paper itself:

In analyses stratified by co-parental age, increased risk due to advancing paternal age was evident only with mothers ≤35 years. In contrast, advancing maternal age increased risk regardless of paternal age.

This could indicate that the overall paternal effect has a component that is due to selection bias. Men tend to have children with women closer to their own age so there is there is some amount of misattributed risk being imported from the mother's side for older fathers.

Selection bias may not fully explain the paternal effect but it could be significant given that the paternal effect disappears entirely when the mother is over 35. A 38 year old father of a child with 35 year old woman has the same risk as an 18 year old father but the 38yo-35yo pairing will be far more common in the population so it will be overweighted.

There could also be a second kind of selection bias if men with a genetic predisposition to ASD tend to have children a bit later in life. This would misattribute risk on to fathers that don't have that predisposition. From [2]:

It is possible that the connection runs the other way: Men who are likely to father a child with autism may have children relatively late in life. These men may have autism traits that delay their ability to find a partner.

A followup study could improve by controlling for existing family history of ASD in both parents.

If these biases were removed, it's possible that the slope for the paternal age graph could be near zero.

It's less likely, but I also wouldn't be surprised if the true slope was negative and that older fathers tend to be a bit less likely to produce ASD offspring. The reason is that it's fairly well established that older fathers are more likely to produce daughters and ASD is 4x less likely in women[3]. This may even explain the slight negative slope in figure 3b which is the paternal graph for the segment where the mother is over 35.

[1] Autism Spectrum Disorder, Family Health History, and Genetics

[2] The link between parental age and autism, explained

[3] Why Are Older Parents More Likely to Have Daughters?

. . .

Edit: One other observation. The paper, by leading with separate maternal and paternal graphs, is implying those variables are separable. But they aren't usefully separable because there is no paternal effect after the mother's age reaches 35. Further, the paternal graph x axis ranges 18-60 for men but 15-45 for women. I understand why, but this visually magnifies the slope for the men's graph. For these reasons, the paper is a misleading (I assume unintentionally). A better graph would have maternal age on one axis and paternal age on the other axis and several lines of fixed risk increase. For example, at what age pairings is there a 10%, 20%, or 100% increase in risk of ASD?

. . .

Edit 2: I wrote that the paper seemed misleading but unintentionally so. But then I noticed this on my second read:

we conducted stratified analyses at parental ages typically recognized as older (mothers: ≤35 vs > 35 years; fathers: ≤40 vs >40 years)

I can't really think of a reason for cherry-picking statistics on a "typically recognized" basis other than to emphasize a particular conclusion we are supposed to be coming to. It also cements my impression that the proposed effect is hard to measure.

[–]RSDevotion1[S] 2 points3 points4 points 3 years ago* (1 child) | Copy Link

Fair points, but this other study actually found that de novo mutations were influenced stronger by paternal age than maternal age:

Graph

https://elifesciences.org/articles/46922

[–]IshTheWhale 1 point2 points3 points 3 years ago (6 children) | Copy Link

My mom had me at 19 and my dad at 26 and I still ended up autistic. How did that happen?

[–]I_Am_Health 0 points1 point2 points 3 years ago (4 children) | Copy Link

Were heavy metals put into your body at birth and during childhood?

[–]IshTheWhale 0 points1 point2 points 3 years ago (3 children) | Copy Link

I don't know tbh. Was born in a Latin American country then moved to the U.S. at an early age.

[–]yuzunomi 1 point2 points3 points 2 years ago (2 children) | Copy Link

You can't tell.

If you used any plate that wasn't American standard or European, that is Corella or etc. That is 95% of all ceramic plates in existence, then you probably have minute lead poisoning. Sorry to break it to you. And I'm not kidding.

[–]Real-Hovercraft4305 0 points1 point2 points 2 years ago (1 child) | Copy Link

my parents had the same age and I was born in 2003 and raised in USA, San Diego. what possibles causes are there for my autism?

[–]yuzunomi 1 point2 points3 points 2 years ago (0 children) | Copy Link

old age u curve ugh probably chemicals etc. u gotta know its searchable on google dont ask reddit if you can google it. chatgpt is completely stupid. I used it for a while and realised it's fucking stupid in all aspects and too stubborn to listen to anything other than bullshit everythting up. It slcan't even add properly. It's a stupid letter bot.

[–]verysatisfiedredditr 0 points1 point2 points 3 years ago (0 children) | Copy Link

different possible factors, some covered in this book http://libgen.rs/book/index.php?md5=B2D93D579604B0250A3C879F6D0B1368

[–]DarthRevan6969 1 point2 points3 points 3 years ago (0 children) | Copy Link

Wow that's crazy tbh wonder what would happen if the strongest tallest fittest best looking etc. humans just bred at those ages gor the next 10 generations massive gigachads and stacies for the future.

[–]Aesthetik_1 5 points6 points7 points 3 years ago (2 children) | Copy Link

Yeah that's not an attempt to rationalize pedophilia at all lol

[–]RSDevotion1[S] 6 points7 points8 points 3 years ago (0 children) | Copy Link

I'm not sure what you're suggesting, but the study only examined post-pubescent parents, as per the graph.

[–]bildramer 5 points6 points7 points 3 years ago (0 children) | Copy Link

Reality exists, facts exist, some facts are not going to be pleasant and anodyne and maximally consistent with your preferences. Not everything is created in order to help you believe and do what you want to believe and do. Even if that's what OP wants, that doesn't make his position weaker - you still need to argue against it.

[–]tinyhermione 0 points1 point2 points 3 years ago* (4 children) | Copy Link

What does this tell us?

If the main goal of society was to prevent autism, teenagers should only be allowed to have children with other teenagers, and no one else should have kids. We should also add that anyone with ASD in their family should probably not have kids at all, since it's got a strong genetic component.

However teenage parenthood is associated with a worse outcome for the child overall. And autism isn't that common in the first place. So in reality: not much.

Edit: "The odds of ASD was unaffected by maternal age under 29". They saw no increased risk till the mother turned 30. Then after the risk increase was small, till after 40. After 40, few women have kids anyways.

For men the risk increases from 18 and onwards, but slower.

[–]RSDevotion1[S] 2 points3 points4 points 3 years ago* (3 children) | Copy Link

However teenage parenthood is associated with a worse outcome for the child overall.

Source?

And autism isn't that common in the first place.

Genetic mutations extend beyond autism.

[–]tinyhermione 0 points1 point2 points 3 years ago* (2 children) | Copy Link

Did you note how the article specifically said "the odds of ASD was unaffected by maternal age under 29"?

Which genetic mutations? Bc genetic mutations are all rare.

It is well documented that children who are born to teenage mothers have worse outcomes, including worse health, less schooling, and lower earnings in adulthood. Adolescent mothers have a higher risk of eclampsia, puerperal endometritis, cephalon pelvic disproportion and systemic infections. There's a higher risk of preterm labor, low birth weight, low Apgar scores, fetal distress, obstructed labor, NICU admission, stillbirth and perinatal death.

What are you trying to get at though? Do you believe only teenagers should have children?

https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(22)00039-6/fulltext

https://scholar.google.com/scholar?hl=no&as_sdt=0%2C5&q=teenage+mother+outcomes&oq=teenage+mother+out#d=gs_qabs&t=1677051954980&u=%23p%3D5ysk3LXXk08J

https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-020-03022-7

https://bmjopen.bmj.com/content/8/3/e016258

https://www.cambridge.org/core/journals/development-and-psychopathology/article/abs/teen-childbearing-and-offspring-internalizing-symptoms-the-mediating-role-of-child-maltreatment/22BBF3BBD6C0AD791A45011DBFE1D6FF

https://pjmhsonline.com/index.php/pjmhs/article/view/1292

https://scholar.google.com/scholar?hl=no&as_sdt=0%2C5&q=teenage+mother+outcomes&oq=#d=gs_qabs&t=1677052415834&u=%23p%3D5ysk3LXXk08J

https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy

[–]RSDevotion1[S] 1 point2 points3 points 3 years ago (1 child) | Copy Link

Did you note how the article specifically said "the odds of ASD was unaffected by maternal age under 29"?

https://www.reddit.com/r/BlackPillScience/comments/116spku/autism_risk_increases_past_the_maternal_age_of_16/j9cttk0/

Which genetic mutations? Bc genetic mutations are all rare.

Observably rare mutations are rare. Mutations are a frequent occurrence, but not all of them are substantially phenotypically observable. Something as simple as a speech impediment could be an age-related de novo mutation.

https://bmcmedgenet.biomedcentral.com/articles/10.1186/s12881-017-0479-3

It is well documented that children who are born to teenage mothers have worse outcomes, including worse health, less schooling, and lower earnings in adulthood. Adolescent mothers have a higher risk of eclampsia, puerperal endometritis, cephalon pelvic disproportion and systemic infections. There's a higher risk of preterm labor, low birth weight, low Apgar scores, fetal distress, obstructed labor, NICU admission, stillbirth and perinatal death.

Can you specifically link any studies that eliminate pubescent pregnancies (under the age of 16) and control for obvious environmental variables?

[–]tinyhermione -1 points0 points1 point 3 years ago* (0 children) | Copy Link

My quote was a quote from the article you linked.

Where are you going with this? What are you trying to show? If you wanted to say grown men should be allowed to date teenagers, then the study you linked said that it was better for ASD if they had their children with teenage boys.

Can you specifically link any studies that eliminate pubescent pregnancies (under the age of 16) and control for obvious environmental variables?

That sounds like a lot of work. Why don't you look for them?

[–]LesNuits 0 points1 point2 points 3 years ago (0 children) | Copy Link

Parents had me at 40 (both), wasn't fair from the start (yes I am autistic).

[–][deleted] 2 years ago (1 child) | Copy Link

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[–]JamesPuppy3000 0 points1 point2 points 2 years ago (0 children) | Copy Link

Wouldn't have children with woman who don't any autism in her family decrease the risk just a little bit?

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