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Prenatal alcohol exposure and neurodevelopmental disorders in children adopted from eastern Europe.

Artikel i vetenskaplig tidskrift
Författare Magnus Landgren
Leif Svensson
Kerstin Strömland
Marita Andersson Grönlund
Publicerad i Pediatrics
Volym 125
Nummer/häfte 5
Sidor e1178-85
ISSN 1098-4275
Publiceringsår 2010
Publicerad vid Institutionen för neurovetenskap och fysiologi
Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering
Institutionen för kliniska vetenskaper
Sidor e1178-85
Språk en
Länkar dx.doi.org/10.1542/peds.2009-0712
Ämnesord Adoption, Child, Child Behavior Disorders, diagnosis, epidemiology, Child, Preschool, Cohort Studies, Cross-Sectional Studies, Developmental Disabilities, diagnosis, epidemiology, Diagnostic Techniques, Ophthalmological, Europe, Eastern, Female, Fetal Alcohol Syndrome, diagnosis, epidemiology, Follow-Up Studies, Humans, Infant, Infant, Newborn, Male, Mass Screening, statistics & numerical data, Neuropsychological Tests, statistics & numerical data, Personality Assessment, statistics & numerical data, Pregnancy, Prospective Studies, Psychometrics, Wechsler Scales, statistics & numerical data
Ämneskategorier Folkhälsomedicinska forskningsområden, Barn

Sammanfattning

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.

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