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Title of Journal: Matern Child Health J

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Abbravation: Maternal and Child Health Journal

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Springer US

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DOI

10.1007/bf00377987

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1573-6628

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Dose and Timing of Prenatal Alcohol Exposure and M

Authors: Claire D Coles Julie A Kable Carl L Keen Kenneth Lyons Jones Wladimir Wertelecki Irina V Granovska Alla O Pashtepa Christina D Chambers the CIFASD
Publish Date: 2015/07/12
Volume: 19, Issue: 12, Pages: 2605-2614
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Abstract

Fetal alcohol spectrum disorders are more common in disadvantaged populations Environmental factors like suboptimal nutrition may potentiate the developmental effects of prenatal alcohol exposure To evaluate the impact of micronutrients including choline on reduction of effects of exposure we examined timing and dose of alcohol and effects of nutritional supplementation at two OMNINet sites in Western Ukraine that included high and low risk individualsAlcoholusing and nondrinking women were randomized to one of three multivitamin/mineral supplement groups none multivitamins/minerals MVM and multivitamin/minerals plus choline Children N = 367 were tested at 6 months with the Bayley Scales of Infant Development 2nd ED yielding standard scores for Mental Development Index MDI Psychomotor Development Index PDI and BehaviorGeneralized linear modeling was used 1 for factorial analysis of effects of alcohol group multivitamin/minerals and choline supplementation and 2 to examine the relationship between amount and timing of alcohol ounces of absolute alcohol/day ozAA/day periconception and on average in the second trimester and MVM supplementation on developmental outcomes while controlling sex social class and smoking MDI was significantly impacted by periconceptual alcohol dose upchi 12 = 854 p  001 with more alcohol associated with lower scores and males more negatively affected than females upchi 32 = 1104 p  002 Micronutrient supplementation had a protective effect those receiving supplements performed better upchi 12 = 803 p  005 The PDI motor scores did not differ by group but were affected by periconceptual alcohol dose upchi 12 = 417 p  04All or part of this work was done in conjunction with the Collaborative Initiative on Fetal Alcohol Spectrum Disorders CIFASD which is funded by grants from the National Institute on Alcohol Abuse and Alcoholism NIAAA Additional information about CIFASD can be found at http//cifasdorg/ Research described in this manuscript was supported by Contract U01AA014835 funded by the National Institute on Alcohol Abuse and Alcoholism NIAAA and the NIH Office of Dietary Supplements ODS We wish to acknowledge the contribution of OMNINet Ukraine Participating families and staff in Rivne and Khmelnytsky Ukraine

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