Dietary Nutrient Intake in School-Aged Children With Heavy Prenatal Alcohol Exposure

Abstract Background: While global prevalence of conditions on the fetal alcohol spectrum is surprisingly high, there is insufficient diagnostic capacity so children can be missed or misdiagnosed. This study described an innovative clinic model for screening prenatal alcohol exposure (PAE), assessing children using the DSM-5 diagnostic category for conditions on the fetal alcohol spectrum, and providing consultation.Methods: A retrospective review of 40 child patients with PAE examined feasibility of the clinic model.Results: Overall, the SNACS Clinic served families across a wide demographic range raising preschool and school-aged children with diverse neurodevelopmental and behavioral presentations. Study findings informed ongoing quality improvement of the clinic model, and identified provider and hospital-wide training needs.Conclusions: Findings indicate this clinic is feasible as a method for increasing diagnostic capacity, improving patient services, and potentially preventing misdiagnosis or missed diagnosis of children with PAE. Results can inform best practices for FASD-informed care.

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Prenatal Alcohol Exposure and Communication, Behavior, and Nonverbal Intelligence of 3 School-Age Children

Perceptual and Motor Skills ◽

10.2466/pms.1998.86.3.1089 ◽

1998 ◽

Vol 86 (3) ◽

pp. 1089-1090 ◽

Cited By ~ 9

Author(s):

Betholyn Gentry ◽

Leeann Griffith ◽

Jess Dancer ◽

Priscilla Davis ◽

Beth Eaton ◽

...

Keyword(s):

Intellectual Development ◽

Prenatal Alcohol Exposure ◽

Alcohol Exposure ◽

School Age Children ◽

Communication Behavior ◽

Fetal Alcohol ◽

School Aged Children ◽

Hyperactivity Disorder ◽

Dysfunctional Behavior ◽

Prenatal Alcohol

Associations of prenatal alcohol exposure in speech, language, behavioral, and intellectual development were investigated in three school-aged children diagnosed with Fetal Alcohol Syndrome, accompanied by Attention Deficit Hyperactivity Disorder. Each child showed similar patterns of moderate-to-severe dysfunctional behavior; however, their scores on speech, language and nonverbal intellectual measures were highly variable.

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Complex Trauma and Prenatal Alcohol Exposure: Clinical Implications

Perspectives on School-Based Issues ◽

10.1044/sbi13.2.32 ◽

2012 ◽

Vol 13 (2) ◽

pp. 32-42 ◽

Cited By ~ 8

Author(s):

Yvette D. Hyter

Keyword(s):

Central Nervous System ◽

Nervous System ◽

Child Development ◽

Academic Outcomes ◽

Complex Trauma ◽

Prenatal Alcohol Exposure ◽

Alcohol Exposure ◽

Clinical Implications ◽

Prenatal Alcohol ◽

The Brain

Abstract Complex trauma resulting from chronic maltreatment and prenatal alcohol exposure can significantly affect child development and academic outcomes. Children with histories of maltreatment and those with prenatal alcohol exposure exhibit remarkably similar central nervous system impairments. In this article, I will review the effects of each on the brain and discuss clinical implications for these populations of children.

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Prenatal Alcohol Exposure Tied to Conduct Problems

Ob Gyn News ◽

10.1016/s0029-7437(07)71051-0 ◽

2008 ◽

Vol 43 (1) ◽

pp. 10

Author(s):

MARY ANN MOON

Keyword(s):

Conduct Problems ◽

Prenatal Alcohol Exposure ◽

Alcohol Exposure ◽

Prenatal Alcohol

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Prenatal alcohol exposure and signs of minor neurological dysfunction at preschool age

Developmental Medicine & Child Neurology ◽

10.1017/s0012162200000979 ◽

2000 ◽

Vol 42 (8) ◽

pp. 508-514 ◽

Cited By ~ 15

Author(s):

Béatrice Larroque ◽

Monique Kaminski ◽

Phillipe Dehaene ◽

Damien Subtil ◽

Denis Querleu

Keyword(s):

Prenatal Alcohol Exposure ◽

Alcohol Exposure ◽

Preschool Age ◽

Neurological Dysfunction ◽

Minor Neurological Dysfunction ◽

Prenatal Alcohol

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Impact of Moderate Prenatal Alcohol Exposure on Problem Behaviors in Preschool and School Children

Zeitschrift für Entwicklungspsychologie und Pädagogische Psychologie ◽

10.1026/0049-8637/a000106 ◽

2014 ◽

Vol 46 (2) ◽

pp. 89-100 ◽

Cited By ~ 1

Author(s):

Manuela Pfinder ◽

Stefan Liebig ◽

Reinhold Feldmann

Keyword(s):

Problem Behaviors ◽

Tobacco Smoke ◽

Prenatal Alcohol Exposure ◽

Alcohol Exposure ◽

Smoke Exposure ◽

Low Ses ◽

German Health ◽

Kiggs Study ◽

Strengths And Difficulties ◽

Prenatal Alcohol

Data on the relation between moderate prenatal alcohol exposure (PAE) and behavioral disorders are inconsistent, and this raises new questions. We examined (1) the association between moderate PAE and problem behaviors and (2) whether these associations differed by levels of socioeconomic status (SES), fetal smoke exposure, or exposure to environmental tobacco smoke (ETS). Data were taken from the German Health Interview and Examination Survey for Children and Adolescents (KiGGS) study. Parents evaluated children’s behaviors using the Strengths and Difficulties Questionnaire (SDQ). Results showed a slight, but insignificant, increase of problem behaviors in children with moderate PAE. In 3- to 6-year-olds, PAE had a stronger effect on hyperactivity/inattention in combination with fetal smoke exposure (odds ratio = 2.82), than did PAE alone. Effects were not stronger in low-SES children, but they were stronger in children with ETS. We conclude that moderate PAE might have adverse effects on neurodevelopment, with stronger effects in disadvantaged populations. To confirm our preliminary findings, further research should be conducted.

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