Minor physical anomalies in neurodevelopmental disorders: A twin study

Background: Minor physical anomalies (MPAs) are subtle anatomical deviations in one's appearance and may suggest altered embryogenesis. MPAs have been shown to be more common in neurodevelopmental disorders (NDDs) compared with typical development. Still, further studies are needed on MPAs in N...

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Main Authors: Myers, L., Anderlid, B., Nordgren, A., Willfors, C., Kuja-Halkola, R., Tammimies, K., Bolte, Sven
Format: Journal Article
Published: BioMed Central Ltd. 2017
Online Access:http://hdl.handle.net/20.500.11937/61441
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author Myers, L.
Anderlid, B.
Nordgren, A.
Willfors, C.
Kuja-Halkola, R.
Tammimies, K.
Bolte, Sven
author_facet Myers, L.
Anderlid, B.
Nordgren, A.
Willfors, C.
Kuja-Halkola, R.
Tammimies, K.
Bolte, Sven
author_sort Myers, L.
building Curtin Institutional Repository
collection Online Access
description Background: Minor physical anomalies (MPAs) are subtle anatomical deviations in one's appearance and may suggest altered embryogenesis. MPAs have been shown to be more common in neurodevelopmental disorders (NDDs) compared with typical development. Still, further studies are needed on MPAs in NDDs, especially using twins to adjust for confounding familial factors. Methods: Clinical assessments were conducted on 116 twins (61 NDD, 55 controls) from 51 monozygotic and 7 dizygotic pairs to examine MPAs and their association with DSM-5 defined NDDs. Additionally, the relationship between the number of MPAs within twins by zygosity was investigated. Results: Within the cohort sample, a specific association was found between MPAs and autism spectrum disorder (ASD) diagnosis (crude odds ratio = 1.29, p = .047; adjusted odds ratios = 1.26-1.33, adjusted p values = .032-.073) and autistic traits (crude ß = 3.02, p = .002; adjusted ß = 2.28, p = .019), but not NDDs in general or ADHD, nor within-pairs. Identified MPAs in ASD included overweight, hypermobility, pes planus, straight eyebrows, vision impairment, arachnodactyly/long toes, long eyelashes, and microtia. The number of MPAs within all monozygotic pairs was highly correlated (r = .88, p < .001). Conclusion: MPAs are more frequent in participants with ASD and may be influenced by genetics. The value of MPAs for (early) detection should be further explored, as they might index individuals at increased risk for ASD in particular.
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spelling curtin-20.500.11937-614412018-04-05T06:38:21Z Minor physical anomalies in neurodevelopmental disorders: A twin study Myers, L. Anderlid, B. Nordgren, A. Willfors, C. Kuja-Halkola, R. Tammimies, K. Bolte, Sven Background: Minor physical anomalies (MPAs) are subtle anatomical deviations in one's appearance and may suggest altered embryogenesis. MPAs have been shown to be more common in neurodevelopmental disorders (NDDs) compared with typical development. Still, further studies are needed on MPAs in NDDs, especially using twins to adjust for confounding familial factors. Methods: Clinical assessments were conducted on 116 twins (61 NDD, 55 controls) from 51 monozygotic and 7 dizygotic pairs to examine MPAs and their association with DSM-5 defined NDDs. Additionally, the relationship between the number of MPAs within twins by zygosity was investigated. Results: Within the cohort sample, a specific association was found between MPAs and autism spectrum disorder (ASD) diagnosis (crude odds ratio = 1.29, p = .047; adjusted odds ratios = 1.26-1.33, adjusted p values = .032-.073) and autistic traits (crude ß = 3.02, p = .002; adjusted ß = 2.28, p = .019), but not NDDs in general or ADHD, nor within-pairs. Identified MPAs in ASD included overweight, hypermobility, pes planus, straight eyebrows, vision impairment, arachnodactyly/long toes, long eyelashes, and microtia. The number of MPAs within all monozygotic pairs was highly correlated (r = .88, p < .001). Conclusion: MPAs are more frequent in participants with ASD and may be influenced by genetics. The value of MPAs for (early) detection should be further explored, as they might index individuals at increased risk for ASD in particular. 2017 Journal Article http://hdl.handle.net/20.500.11937/61441 10.1186/s13034-017-0195-y http://creativecommons.org/licenses/by/4.0/ BioMed Central Ltd. fulltext
spellingShingle Myers, L.
Anderlid, B.
Nordgren, A.
Willfors, C.
Kuja-Halkola, R.
Tammimies, K.
Bolte, Sven
Minor physical anomalies in neurodevelopmental disorders: A twin study
title Minor physical anomalies in neurodevelopmental disorders: A twin study
title_full Minor physical anomalies in neurodevelopmental disorders: A twin study
title_fullStr Minor physical anomalies in neurodevelopmental disorders: A twin study
title_full_unstemmed Minor physical anomalies in neurodevelopmental disorders: A twin study
title_short Minor physical anomalies in neurodevelopmental disorders: A twin study
title_sort minor physical anomalies in neurodevelopmental disorders: a twin study
url http://hdl.handle.net/20.500.11937/61441