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Published on: July 13, 2014
Prenatal exposure to cigarettes, alcohol, and coffee and the risk for febrile seizures
Mogens Vestergaard1, Kirsten Wisborg, Tine Brink Henriksen
1Department of Obstetrics and Paediatrics, Aarhus University, Aarhus, Denmark. mv@dadlnet.dk
Insights
Prenatal exposure to moderate alcohol and coffee did not increase the risk of febrile seizures in children. However, maternal smoking of 10 or more cigarettes daily may slightly elevate the risk for febrile seizures.
Area of Science:
- Pediatrics
- Neurology
- Epidemiology
Background:
- Febrile seizures are common in childhood, influenced by genetic and environmental factors.
- Prenatal environmental exposures are understudied despite fetal brain vulnerability.
- Understanding these exposures is crucial for childhood neurological health.
Purpose of the Study:
- To investigate the association between prenatal exposure to cigarettes, alcohol, and coffee and febrile seizure risk.
- To analyze these risks in two large, population-based birth cohorts.
- To inform public health strategies regarding prenatal substance exposure.
Main Methods:
- Utilized two Danish birth cohorts: Aarhus (25,196 children) and Aalborg-Odense (10,400 children).
- Linked cohort data with the Danish National Hospital Register for comprehensive follow-up until December 1998.
- Extracted detailed febrile seizure information from medical records for a subset of the Aarhus cohort.
Main Results:
- Maternal smoking of 10+ cigarettes/day showed a slightly increased risk for febrile seizures in the Aarhus cohort; this association was weak in the Aalborg-Odense cohort.
- No significant association was found between maternal alcohol or coffee consumption and febrile seizure risk.
- Results were consistent for both simple and complex febrile seizures.
Conclusions:
- Prenatal exposure to low-to-moderate alcohol and coffee consumption does not appear to impact febrile seizure risk.
- A potential modest increase in febrile seizure risk associated with maternal smoking during pregnancy cannot be excluded.
- Further research may clarify the specific impact of maternal smoking on childhood febrile seizures.
Objective:
Febrile seizure is a common type of seizure in childhood, probably caused by both genetic and early environmental factors. Little is known about the effect of environmental factors that operate in prenatal life, although the fetal brain may be particular vulnerable as a result of extensive brain growth and differentiation in this period. We evaluated the association between prenatal exposure to cigarettes, alcohol, and coffee and the risk for febrile seizures in 2 population-based birth cohorts.
Methods:
The Aarhus Birth Cohort consisted of 25,196 children of mothers who were scheduled to deliver at Aarhus University Hospital (1989-1996). The Aalborg-Odense cohort consisted of 10,400 children of women who attended antenatal care in Odense or Aalborg (1984-1987). Both cohorts were linked with the Danish National Hospital Register and followed until December 1998 with a complete follow-up. We extracted from medical records additional information on febrile seizures in children in the Aarhus Birth Cohort who were born between 1989 and 1992.
Results:
We found a slightly increased risk for febrile seizures in children who were exposed to 10 or more cigarettes per day in the Aarhus Birth Cohort, but the corresponding association was weak in the Aalborg-Odense cohort. We found no association between maternal alcohol and coffee consumption and the risk for febrile seizures. The results were similar for simple and complex febrile seizures.
Conclusions:
Our data suggest that prenatal exposure to low to moderate levels of alcohol and coffee has no impact on the risk for febrile seizures, whereas a modest smoking effect cannot be ruled out.
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