The effects of low to moderate alcohol consumption and binge drinking in early pregnancy on selective and sustained attention in 5-year-old children
Article first published online: 20 JUN 2012
© 2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2012 RCOG
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 119, Issue 10, pages 1211–1221, September 2012
How to Cite
Underbjerg, M., Kesmodel, U., Landrø, N., Bakketeig, L., Grove, J., Wimberley, T., Kilburn, T., Sværke, C., Thorsen, P. and Mortensen, E. (2012), The effects of low to moderate alcohol consumption and binge drinking in early pregnancy on selective and sustained attention in 5-year-old children. BJOG: An International Journal of Obstetrics & Gynaecology, 119: 1211–1221. doi: 10.1111/j.1471-0528.2012.03396.x
- Issue published online: 13 AUG 2012
- Article first published online: 20 JUN 2012
- Accepted 10 April 2012. Published Online 20 June 2012.
- attention deficits;
- binge drinking;
- maternal alcohol consumption;
- prenatal alcohol exposure;
- selective attention;
- sustained attention;
Please cite this paper as: Underbjerg M, Kesmodel U, Landrø N, Bakketeig L, Grove J, Wimberley T, Kilburn T, Sværke C, Thorsen P, Mortensen E. The effects of low to moderate alcohol consumption and binge drinking in early pregnancy on selective and sustained attention in 5-year-old children. BJOG 2012;119:1211–1221.
Objective The aim was to examine the effects of low to moderate maternal alcohol consumption and binge drinking in early pregnancy on children’s attention at 5 years of age.
Design Prospective follow-up study.
Setting Neuropsychological testing in four Danish cities 2003–2008.
Population A cohort of 1628 women and their children sampled from the Danish National Birth Cohort.
Methods Participants were sampled based on maternal alcohol consumption during pregnancy. At 5 years of age, the children were tested with the recently developed Test of Everyday Attention for Children at Five (TEACh-5). Parental education, maternal IQ, maternal smoking in pregnancy, the child’s age at testing, gender, and tester were considered core confounding factors, whereas the full model also controlled the following potential confounding factors: maternal binge drinking or low to moderate alcohol consumption, age, body mass index (BMI), parity, home environment, postnatal smoking in the home, child’s health status, and indicators for hearing and vision impairments.
Main outcome measures TEACh-5 attention scores.
Results There were no significant effects on test performance in children of mothers drinking up to 8 drinks per week compared with children of mothers who abstained, but there was a significant association between maternal consumption of 9 or more drinks per week and risk of a low overall attention score (OR 3.50, 95% CI 1.15–10.68). No consistent or significant associations were observed between binge drinking and attention test scores.
Conclusions The findings suggest an effect of maternal consumption of 9 or more drinks per week on attention functions in children, but the study detected no effects of lower levels of maternal consumption and no consistent effects of maternal binge drinking.