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Moderate Prenatal Alcohol Exposure and Quantification of Social Behavior in Adult Rats
Published on: December 14, 2014
Alcohol consumption in a general antenatal population and child neurodevelopment at 2 years
Jane L Halliday1,2, Evelyne Muggli1,2, Sharon Lewis1,2
1Public Health Genetics, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Insights
Prenatal alcohol exposure (PAE) may not significantly impact child neurodevelopment after accounting for confounding factors. Early binge drinking was linked to increased sensation avoidance in children.
Area of Science:
- Neuroscience
- Developmental Psychology
- Public Health
Background:
- Prenatal alcohol exposure (PAE) is a widespread issue, with up to 50% of pregnant women consuming alcohol.
- The effects of low or sporadic binge PAE on child development remain unclear.
- This study investigates PAE's impact on neurodevelopment in a general antenatal population.
Purpose of the Study:
- To examine the association between prenatal alcohol exposure and child neurodevelopment at two years of age.
- To identify potential links between different patterns of PAE and specific developmental outcomes.
- To account for environmental and social factors that may influence the PAE-child outcome relationship.
Main Methods:
- Prospective population-based cohort study of 1570 pregnant women.
- Collected sociodemographic, psychological, lifestyle, and alcohol use data across five trimesters.
- Assessed child neurodevelopment using Bayley Scales, Infant/Toddler Sensory Profile, and Brief Infant Toddler Social Emotional Assessment.
Main Results:
- Univariate analysis showed a link between low-level PAE and cognition, but this was attenuated after adjustment.
- Early binge drinking combined with continued lower-level PAE was associated with higher sensation avoidance scores (aOR 1.88).
- No significant associations were found between PAE and overall neurodevelopment after adjusting for confounders.
Conclusions:
- Early binge PAE followed by lower-level exposure increased sensation-avoiding behaviors.
- No significant associations between PAE and neurodevelopment were observed after adjusting for confounders.
- Further follow-up is needed to detect subtle or later-onset developmental issues.
Background:
Prenatal alcohol exposure (PAE) is a community health problem with up to 50% of pregnant women drinking alcohol. The relationship between low or sporadic binge PAE and adverse child outcomes is not clear. This study examines the association between PAE in the general antenatal population and child neurodevelopment at 2 years, accounting for relevant contributing factors.
Methods:
This prospective population-based cohort recruited 1570 pregnant women, providing sociodemographic, psychological and lifestyle information and alcohol use for five time periods. PAE categories were 'low', 'moderate/high', 'binge', in trimester 1 or throughout pregnancy. Measures of cognitive, language and motor development (Bayley Scales of Infant and Toddler Development) were available for 554 children, while measures of sensory processing (Infant/Toddler Sensory Profile) and social-emotional development (Brief Infant Toddler Social Emotional Assessment) were available for 948.
Results:
A positive association in univariate analysis with low-level PAE throughout pregnancy and cognition (β=4.1, 95% CI -0.02 to 8.22, p=0.05) was attenuated by adjusting for environmental/social deprivation risk factors (β=3.06 (-1.19 to 7.30), p=0.16). Early binge drinking, plus continued PAE at lower levels, was associated with the child being more likely to score low in sensation avoidance (adjusted OR 1.88 (1.03 to 3.41), p=0.04).
Conclusion:
Early binge exposure, followed by lower-level PAE, demonstrated an increase in sensation-avoiding behaviour. There were, however, no significant associations between PAE and neurodevelopment following adjustment for important confounders and modifiers. Follow-up is paramount to investigate subtle or later onset problems.
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