Evidence map›Paper›PMID 41768494›Full record

ArticleBMJ nutrition, prevention & health2025

Role of maternal alcohol intake during pregnancy in early-life child neurodevelopment: results of the Italian PHIME cohort.

Valentina Rosolen, Fabiano Barbiero, Marika Mariuz, Maria Parpinel, Luca Ronfani, Liza Vecchi Brumatti, Maura Bin, Luigi Castriotta, Francesca Valent, D'Anna Little and 1 more

Abstract read
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Article in BMJ nutrition, prevention & health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Valentina RosolenCentral Directorate for Health, Social Policies and Disability, Friuli Venezia Giulia Region, Trieste, Italy.
Fabiano BarbieroDepartment of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.ORCID https://orcid.org/0000-0001-9205-6455
Marika MariuzCentral Directorate for Health, Social Policies and Disability, Friuli Venezia Giulia Region, Trieste, Italy.
Maria ParpinelDepartment of Medicine, University of Udine, Udine, Italy.
Luca RonfaniInstitute for Maternal and Child Health IRCCS 'Burlo Garofolo', Trieste, Italy.
Liza Vecchi BrumattiInstitute for Maternal and Child Health IRCCS 'Burlo Garofolo', Trieste, Italy.
Maura BinInstitute for Maternal and Child Health IRCCS 'Burlo Garofolo', Trieste, Italy.
Luigi CastriottaFriuli Centrale University Health Authority, Udine, Italy.
Francesca ValentFriuli Centrale University Health Authority, Udine, Italy.
D'Anna LittleOffice of Chief Medical Officer, Western Friuli Health Authority, Pordenone, Italy.
Fabio BarboneDepartment of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Prenatal alcohol exposure (PAE) is a well-established risk factor for adverse neurodevelopmental outcomes, particularly at high levels of consumption. The impact of low-to-moderate PAE remains unclear, with mixed results reported. This study investigates the effects of low-level PAE on neurodevelopmental outcomes at 18 months in Italian mother-child pairs enrolled in the Italian Northern Adriatic Cohort II, a part of the 'Public health impact of long-term, low-level, mixed element exposure in susceptible population strata' project PHIME. Methods: The study population consisted of 632 children, and their mothers, who were tested with the Bayley Scales of Infant and Toddler Development third edition (BSID-III) at 18 months of age. PAE, socio-demographic and lifestyle information was collected through questionnaires at different phases of follow-up. We analysed 605 children born at term (≥37 weeks) with BSID-III data and maternal pregnancy alcohol intake estimates. Multiple linear regression assessed associations between each BSID-III composite score (cognitive, motor, language) and PAE. Results: Mothers' alcohol consumption was very low. The median (25th percentile to 75th percentile) of the weekly alcohol intake of the 605 mothers was 0.3 (0-1.4) drinks and of the children's cognitive, language and motor composite score were 105 (100-110), 97 (91-103) and 100 (97-107), respectively. No significant association was found between maternal alcohol intake and BSID-III cognitive nor language scores. Only a suggestive, non-consistent, inverse association was found between PAE and motor neurodevelopment. Maternal IQ and promotion of child autonomy were directly associated with all neurodevelopmental outcomes. Conclusion: Low levels of PAE were not associated with neurodevelopmental impairment at 18 months, except for possible motor impairment at higher exposures: our findings highlight the predominant influence of maternal IQ and the home environment. Further research, including a broader range of alcohol exposure, is needed to better define potential safety thresholds of PAE on early-life neurodevelopment.

Indexed as

Cognitive performanceNutrition assessment

Identifiers

PMID41768494
PMCPMC12936528

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