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Prenatal alcohol exposure and neurodevelopmental disorders in children adopted from eastern Europe
Department of Pediatrics, Developmental Neurology, Mariestad, Skaraborg Hospital, Skövde, Sweden.
Department of Pediatrics, Developmental Neurology, Mariestad, Skaraborg Hospital, Skövde, Sweden.
Institute of Neuroscience and Physiology/Ophthalmology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Institute of Neuroscience and Physiology/Ophthalmology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID iD: 0000-0002-6298-360X
2010 (English)In: Pediatrics, ISSN 0031-4005, E-ISSN 1098-4275, Vol. 125, no 5, p. e1178-e1185Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: The purposes of this investigation were to determine the frequencies of and associations between different neurodevelopmental disorders and to study the potential lasting effects of alcohol on children adopted from eastern Europe.

METHODS: In a population-based, prospective, observational, multidisciplinary, cross-sectional, cohort study of 71 children adopted from eastern Europe, children were assessed 5 years after adoption, from pediatric, neuropsychological, and ophthalmologic perspectives.

RESULTS: Fetal alcohol spectrum disorders, that is, fetal alcohol syndrome (FAS), partial FAS, and alcohol-related neurodevelopmental disorders, were identified for 52% of children; FAS was found for 30%, partial FAS for 14%, and alcohol-related neurodevelopmental disorders for 9%. Alcohol-related birth defects were found for 11% of children, all of whom also were diagnosed as having FAS. Mental retardation or significant cognitive impairment was found for 23% of children, autism for 9%, attention-deficit/hyperactivity disorder for 51%, and developmental coordination disorder for 34%.

CONCLUSIONS: Fetal alcohol spectrum disorders and neurodevelopmental disorders were common in this long-term follow-up study of children adopted from orphanages in eastern Europe. Maternal alcohol consumption during pregnancy has long-lasting adverse effects, causing structural, behavioral, and cognitive damage despite a radically improved environment.

Place, publisher, year, edition, pages
American Academy of Pediatrics , 2010. Vol. 125, no 5, p. e1178-e1185
National Category
Ophthalmology
Identifiers
URN: urn:nbn:se:oru:diva-103791DOI: 10.1542/peds.2009-0712ISI: 000277232800053PubMedID: 20385628Scopus ID: 2-s2.0-77951788914OAI: oai:DiVA.org:oru-103791DiVA, id: diva2:1732033
Funder
Region Västra GötalandWilhelm och Martina Lundgrens VetenskapsfondStiftelsen Allmänna Barnhuset
Note

Funding Agencies:

Skaraborg Hospital

Gothenburg Medical Society

Available from: 2023-01-30 Created: 2023-01-30 Last updated: 2024-01-02Bibliographically approved

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