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Updated: Feb 28, 2026

Moderate Prenatal Alcohol Exposure and Quantification of Social Behavior in Adult Rats
Published on: December 14, 2014
Who is most affected by prenatal alcohol exposure: Boys or girls?
Philip A May1, Barbara Tabachnick2, Julie M Hasken3
1The University of North Carolina at Chapel Hill, Nutrition Research Institute, United States; Stellenbosch University, Faculty of Medicine and Health Sciences, South Africa; The University of New Mexico, Center on Alcoholism, Substance Abuse and Addictions, United States.
Insights
Prenatal alcohol exposure impacts boys and girls differently. While both sexes show similar developmental issues, males have lower survival rates, and females experience more physical abnormalities and cognitive deficits, increasing their risk for fetal alcohol spectrum disorders (FASD).
Area of Science:
- Neuroscience
- Developmental Biology
- Public Health
Background:
- Prenatal alcohol exposure is a leading preventable cause of birth defects and neurodevelopmental abnormalities.
- Fetal alcohol spectrum disorders (FASD) encompass a range of physical, cognitive, and behavioral impairments.
- Understanding sex-specific outcomes is crucial for targeted interventions and support.
Purpose of the Study:
- To investigate sex-specific differences in physical and neurobehavioral outcomes associated with prenatal alcohol exposure.
- To compare outcomes between boys and girls diagnosed with fetal alcohol spectrum disorders (FASD) and controls.
Main Methods:
- A case-control study comparing boys and girls with FASD and randomly selected controls.
- Assessment of physical and neurobehavioral traits at age seven.
- Statistical analyses including sequential regression to identify predictors of dysmorphology and FASD diagnosis.
Main Results:
- Sex ratios suggest reduced viability and survival for males exposed prenatally to alcohol compared to females by age seven.
- While most physical and neurobehavioral traits were similarly affected, girls exhibited more dysmorphology and poorer non-verbal IQ scores than boys.
- Logistic regression indicated significantly worse overall outcomes for girls, with a higher probability of FASD diagnosis (Nagelkerke R²=0.54 for girls vs. 0.42 for boys).
Conclusions:
- Prenatal alcohol exposure leads to largely similar physical and neurocognitive impairments in both sexes.
- Males appear to have lower viability and survival rates, while females exhibit more severe dysmorphology and neurocognitive deficits, resulting in a higher likelihood of FASD diagnosis.
Objective:
To examine outcomes among boys and girls that are associated with prenatal alcohol exposure.
Methods:
Boys and girls with fetal alcohol spectrum disorders (FASD) and randomly-selected controls were compared on a variety of physical and neurobehavioral traits.
Results:
Sex ratios indicated that heavy maternal binge drinking may have significantly diminished viability to birth and survival of boys postpartum more than girls by age seven. Case control comparisons of a variety of physical and neurobehavioral traits at age seven indicate that both sexes were affected similarly for a majority of variables. However, alcohol-exposed girls had significantly more dysmorphology overall than boys and performed significantly worse on non-verbal IQ tests than males. A three-step sequential regression analysis, controlling for multiple covariates, further indicated that dysmorphology among girls was significantly more associated with five maternal drinking variables and three distal maternal risk factors. However, the overall model, which included five associated neurobehavioral measures at step three, was not significant (p=0.09, two-tailed test). A separate sequential logistic regression analysis of predictors of a FASD diagnosis, however, indicated significantly more negative outcomes overall for girls than boys (Nagelkerke R2=0.42 for boys and 0.54 for girls, z=-2.9, p=0.004).
Conclusion:
Boys and girls had mostly similar outcomes when prenatal alcohol exposure was linked to poor physical and neurocognitive development. Nevertheless, sex ratios implicate lower viability and survival of males by first grade, and girls have more dysmorphology and neurocognitive impairment than boys resulting in a higher probability of a FASD diagnosis.
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