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Light drinking during pregnancy: still no increased risk for socioemotional difficulties or cognitive deficits at 5 years of age?
  1. Yvonne J Kelly1,
  2. Amanda Sacker2,
  3. Ron Gray3,
  4. John Kelly1,
  5. Dieter Wolke4,
  6. Jenny Head1,
  7. Maria A Quigley3
  1. 1Department of Epidemiology and Public Health, University College London, London, UK
  2. 2Institute for Social and Economic Research (ISER), University of Essex, Colchester, UK
  3. 3National Perinatal Epidemiology Unit, University of Oxford, Headington, Oxford, UK
  4. 4Department of Psychology and Health Sciences Research Institute, Warwick Medical School, The University of Warwick, Coventry, UK
  1. Correspondence to Dr Yvonne Kelly, Department of Epidemiology and Public Health, 1–19 Torrington Place, University College London, London WC1E 6BT, UK; y.kelly{at}ucl.ac.uk

Abstract

Background This study examines the relationship between light drinking during pregnancy and the risk of socioemotional problems and cognitive deficits at age 5 years.

Methods Data from the nationally representative prospective UK Millennium Cohort Study (N=11 513) were used. Participants were grouped according to mothers' reported alcohol consumption during pregnancy: never drinker; not in pregnancy; light; moderate; heavy/binge. At age 5 years the strengths and difficulties questionnaire (SDQ) and British ability scales (BAS) tests were administered during home interviews. Defined clinically relevant cut-offs on the SDQ and standardised scores for the BAS subscales were used.

Results Boys and girls born to light drinkers were less likely to have high total difficulties (for boys 6.6% vs 9.6%, OR=0.67, for girls 4.3% vs 6.2%, OR=0.69) and hyperactivity (for boys 10.1% vs 13.4%, OR=0.73, for girls 5.5% vs 7.6%, OR=0.71) scores compared with those born to mothers in the not-in-pregnancy group. These differences were attenuated on adjustment for confounding and mediating factors. Boys and girls born to light drinkers had higher mean cognitive test scores compared with those born to mothers in the not-in-pregnancy group: for boys, naming vocabulary (58 vs 55), picture similarities (56 vs 55) and pattern construction (52 vs 50), for girls naming vocabulary (58 vs 56) and pattern construction (53 vs 52). Differences remained statistically significant for boys in naming vocabulary and picture similarities.

Conclusions At age 5 years cohort members born to mothers who drank up to 1–2 drinks per week or per occasion during pregnancy were not at increased risk of clinically relevant behavioural difficulties or cognitive deficits compared with children of mothers in the not-in-pregnancy group.

  • Alcohol
  • alcohol in pregnancy
  • child development
  • cognitive tests
  • Millennium Cohort Study
  • pregnancy
  • socioemotional behaviour

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Footnotes

  • Funding This work was supported by a grant from the Economic and Social Research Council RES-596-28-0001.

  • Competing interests None declared.

  • Patient consent Obtained from parents.

  • Ethics approval Ethics approval for the MCS was gained from the relevant ethics committees.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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