Background: Studies have shown that young maternal age at childbirth can increase the risk of attention-deficit/hyperactivity disorder (ADHD) in the offspring, but a study of the U.S. population has not been reported. Moreover, there is no reported research on young and advanced maternal age at childbirth and on whether it can contribute to learning disability (LD) risk for offspring. Methods: This study evaluated the association between young and advanced maternal age at childbirth and offspring ADHD and LD risk in the U.S. population. Using data from 8,098 participants from the National Health and Nutrition Examination Survey (NHANES) conducted in 1999–2004, we analyzed the association between maternal age at childbirth and ADHD and LD risks in offspring. Odd ratios (ORs) and 95% confidence intervals (CIs) for maternal age at childbirth in association with ADHD and LD risks in offspring were estimated using multivariate logistic regression models after adjustment for age, gender, race, body mass index (BMI), family income, smoking during pregnancy, and NHANES cycles. Restricted cubic spline (RCS) models were used to evaluate potential nonlinear relationships. Sensitivity analysis were performed to ensure the reliability of the results. Results: Among all participants, the offspring of subjects with a maternal age at childbirth of 18–24 years had an increased risk of ADHD (OR=1.34, 95% CI: 1.01, 1.79), LD (OR=1.36, 95% CI: 1.06, 1.79) or both ADHD and LD (OR=1.48, 95% CI: 1.20, 1.81). Additionally, compared with subjects with a maternal age of 25–29 years, subjects with a maternal age of 35–39 years had lower odds of having offspring with ADHD (OR=0.60, 95% CI: 0.36, 1.00) and higher odds of having offspring with LD (OR=1.34, 95% CI: 1.01, 1.78). The relationship between maternal age at childbirth and LD risk presents a U-shaped curve. Additionally, the risk of ADHD and LD caused by maternal age at childbirth appears to be affected by gender.Conclusions: These results provide epidemiological evidence showing that young and advanced maternal age at childbirth are associated with ADHD and LD risks.