Health Problems Due to Drinking in More Prevalent Than Expected

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Fetal alcohol spectrum disorders may affect about 5% of U.S. children

More Kids Harmed by Drinking in Pregnancy Than Expected
More Kids Harmed by Drinking in Pregnancy Than Expected

HealthDay News -- As many as one in 20 U.S. children may have health or behavioral problems related to alcohol exposure before birth, according to research published in Pediatrics.

Philip May, PhD, of the University of North Carolina at Chapel Hill, and colleagues selected a nationally representative town in the Midwest for the study. The town had an average annual alcohol consumption rate about 14% higher than the rest of the United States. The town had 32 schools with a total of 2,033 first-graders. About 70% of the parents allowed their children to participate in the study.

May's team identified first-graders who had a developmental problem or were below the 25th percentile for height, weight, or head circumference. Then the researchers administered cognitive and behavioral tests to these children and to a comparison group of typically developing first-graders. They also assessed the children for the physical attributes of fetal alcohol syndrome disorder, which include small eye openings, a smooth upper lip, a thin red border to the upper lip, and smaller heads.

Six to nine of every 1,000 children had fetal alcohol syndrome (FASD), and 11 to 17 per 1,000 children had partial FASD, the researchers calculated.

"FASD is an umbrella term covering the full spectrum of permanent lifelong conditions, ranging from mild to severe, and encompassing a broad variety of physical defects and cognitive, behavioral, emotional and adaptive functioning deficits," Janet Williams, a professor of pediatrics at the University of Texas Health Science Center in San Antonio told HealthDay. "As we have better methodology, we're getting closer to the real prevalence, the real problem, and we need to stop the root cause of the problem."

"Knowing not to drink during pregnancy and not doing so are two different things," especially before a woman knows she is pregnant, May said, adding that the high prevalence of children affected by drinking during pregnancy may be due to social pressures or women's difficulty in changing their drinking habits.


  1. May PA et al. Pediatrics. 2014; doi: 10.1542/peds.2013-3319

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