Placental Changes and Neuropsychological Development in Children—A Systematic Review
Lodefalk, Maria ; Chelslín, Felix ; Patriksson Karlsson, Johanna and Hansson, Stefan R. LU
(2023)
In Cells
12(3).
- Abstract
Placental dysfunction may increase the offspring’s later-life disease risk. The objective of this systematic review was to describe associations between pathological placental changes and neuropsychological outcomes in children after the neonatal period. The inclusion criteria were human studies; original research; direct placental variables; neuropsychological outcomes; and analysis between their associations. The exclusion criterion was the offspring’s age—0–28 days or >19 years. The MEDLINE and EMBASE databases were last searched in May 2022. We utilized the ROBINS-I for the risk of bias assessment and performed a narrative synthesis. In total, 3252 studies were identified, out of which 16 were included (i.e., a total of 15,862... (More)
Placental dysfunction may increase the offspring’s later-life disease risk. The objective of this systematic review was to describe associations between pathological placental changes and neuropsychological outcomes in children after the neonatal period. The inclusion criteria were human studies; original research; direct placental variables; neuropsychological outcomes; and analysis between their associations. The exclusion criterion was the offspring’s age—0–28 days or >19 years. The MEDLINE and EMBASE databases were last searched in May 2022. We utilized the ROBINS-I for the risk of bias assessment and performed a narrative synthesis. In total, 3252 studies were identified, out of which 16 were included (i.e., a total of 15,862 participants). Half of the studies were performed on children with neonatal complications, and 75% of the studies reported an association between a placental change and an outcome; however, following the completion of the funnel plots, a risk of publication bias was indicated. The largest study described a small association between placental size and a risk of psychiatric symptoms in boys only. Inconsistency between the studies limited the evidence in this review. In general, no strong evidence was found for an association between pathological placental changes and childhood neuropsychological outcomes after the neonatal period. However, the association between placental size and mental health in boys indicates a placental sexual dimorphism, thereby suggesting an increased vulnerability for male fetuses.
(Less)
- author
- Lodefalk, Maria
; Chelslín, Felix
; Patriksson Karlsson, Johanna
and Hansson, Stefan R.
LU
- organization
- publishing date
- 2023-02
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- autism spectrum disorders, childhood, developmental origins of health and disease, long-term outcome, neuropsychological development, pathological lesion, placenta, sexual dimorphism
- in
- Cells
- volume
- 12
- issue
- 3
- article number
- 435
- publisher
- MDPI AG
- external identifiers
-
- scopus:85147863423
- pmid:36766778
- ISSN
- 2073-4409
- DOI
- 10.3390/cells12030435
- language
- English
- LU publication?
- yes
- id
- e11cfba6-88b7-4168-9cf4-c3ba1d1eaffe
- date added to LUP
- 2023-02-21 12:17:49
- date last changed
- 2024-06-13 17:15:51
@article{e11cfba6-88b7-4168-9cf4-c3ba1d1eaffe,
abstract = {{<p>Placental dysfunction may increase the offspring’s later-life disease risk. The objective of this systematic review was to describe associations between pathological placental changes and neuropsychological outcomes in children after the neonatal period. The inclusion criteria were human studies; original research; direct placental variables; neuropsychological outcomes; and analysis between their associations. The exclusion criterion was the offspring’s age—0–28 days or >19 years. The MEDLINE and EMBASE databases were last searched in May 2022. We utilized the ROBINS-I for the risk of bias assessment and performed a narrative synthesis. In total, 3252 studies were identified, out of which 16 were included (i.e., a total of 15,862 participants). Half of the studies were performed on children with neonatal complications, and 75% of the studies reported an association between a placental change and an outcome; however, following the completion of the funnel plots, a risk of publication bias was indicated. The largest study described a small association between placental size and a risk of psychiatric symptoms in boys only. Inconsistency between the studies limited the evidence in this review. In general, no strong evidence was found for an association between pathological placental changes and childhood neuropsychological outcomes after the neonatal period. However, the association between placental size and mental health in boys indicates a placental sexual dimorphism, thereby suggesting an increased vulnerability for male fetuses.</p>}},
author = {{Lodefalk, Maria and Chelslín, Felix and Patriksson Karlsson, Johanna and Hansson, Stefan R.}},
issn = {{2073-4409}},
keywords = {{autism spectrum disorders; childhood; developmental origins of health and disease; long-term outcome; neuropsychological development; pathological lesion; placenta; sexual dimorphism}},
language = {{eng}},
number = {{3}},
publisher = {{MDPI AG}},
series = {{Cells}},
title = {{Placental Changes and Neuropsychological Development in Children—A Systematic Review}},
url = {{http://dx.doi.org/10.3390/cells12030435}},
doi = {{10.3390/cells12030435}},
volume = {{12}},
year = {{2023}},
}