Meta AnalysisID 3861

邻苯二甲酸酯暴露与孤独症谱系障碍的关联:系统评价与Meta分析

CRD42021235836

Is phthalate exposure associated with autism? Is there a dose-response relationship between phthalate exposure and the onset or severity of autism? What is the effect of phthalate exposure on autism patients with subgrou

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Record Fields

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Meta Analysis Id
3861
Evidence Id
12419
Core Evidence Id
12419
Source Meta Analysis Id
3816
Herb2 Meta Analysis Id
HBMA003816
Crd Id
CRD42021235836
Title
The association of phthalate exposure and autism spectrum disorders: a systematic review and meta-analysis
Review Question
Is phthalate exposure associated with autism? Is there a dose-response relationship between phthalate exposure and the onset or severity of autism? What is the effect of phthalate exposure on autism patients with subgroups(age(e.g. children and adolescents)and the period of exposure(e.g. during pregnancy and childhood))?
Study Type Included
Original studies including cohort studies, case-control studies and cross-sectional studies reporting the association between phthalates exposure and autism spectrum disorders will be included. Book, Commentary, RCT, case reports, dissertation publications, reviews, editorials, letters to the editors, abstracts from conferences/meetings and interventional studies will be excluded.
Condition Being Studied
Phthalate esters, a kind of polyvinyl chloride plasticizer, are added to polymers to enhance the flexibility and tensile properties of materials, so they are used in many consumables, such as personal care products, medical equipment. However, phthalates are easily released from plastics, and enter the human body through the digestive tract, respiratory tract and skin through water, atmosphere and soil, so the possibility of non-occupational exposure to phthalates is very high. Autism is a group of heterogeneous neurodevelopmental conditions characterized by early-onset social disorders and abnormally limited, repetitive behaviors and interests. According to a report released by Centers for Disease Control in 2018, the total prevalence rate of Autism Spectrum Disorders(ASD) in 8-year-old children is 1.68%(Baio et al., 2018). But new surveillance data in 2020 show a slight increase (1.85%)(Maenner et al., 2020). Recently, it has been found that environmental factors are related to the pathogenesis of ASD, and there are polymorphisms in the environmental toxin detoxification genes of ASD, suggesting the interaction between genetic and environmental factors in the pathogenesis of autism. A Swedish study showed a heritability of 50%, supporting the equally powerful role of environmental risk factors(Sandin et al., 2014).
Participant
Patients who are diagnosed as Autism Spectrum Disorders(ASD)
Animal
Human Disease Modelled
Intervention
Phthalate exposure
Comparator Control
Healthy population
Main Outcome
The association between phthalate exposure and autism spectrum disorders. Measures of effect Timing and effect measures. Outcomes taken at baseline of case-control study, cohort study or cross-sectional study will be included.
Outcome Measure
Additional Outcome
The dose-response relationship between phthalate exposure and the onset or severity of autism. Subgroups of the age, phthalate exposure, gender, region, diagnostic criteria for autism take effect in the association between phthalate exposure and autism. Measures of effect Timing and effect measures. Outcomes taken at baseline of case-control study, cohort study or cross-sectional study will be included.
Study Method
Meta-analysis, Systematic review
Keyword
Autism Spectrum Disorder; Humans; Phthalic Acids; phthalic acid
Contact
Peng Xiong [email protected]
Organisational Affiliation
Mental Health and Behavioral Sciences Research Group, School of Medicine, Jinan University
Funding Source
This study is supported by“the Fundamental Research Funds for the Central Universities”21619333.
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
China
Review Stage
Review Ongoing
First Submission Date
2021-02-07
Registration Date
2021-03-09
Anticipated Start Date
2021-02-01
Anticipated Completion Date
2021-05-01
Title Cn
邻苯二甲酸酯暴露与孤独症谱系障碍的关联:系统评价与Meta分析
Title En
The association of phthalate exposure and autism spectrum disorders: a systematic review and meta-analysis
Bilingual Status
complete