The Association of Prenatal Alcohol Exposure With Brain Development During the First 1000 Days of Life: A Systematic Review

ABSTRACT Prenatal exposure to alcohol (PAE) can impact short‐ and long‐term offspring health. However, knowledge on PAE and brain development in early life is limited. This systematic review investigated associations between PAE and brain development during the first 1000 days of life, and was regis...

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Veröffentlicht in:Prenatal diagnosis 2024-12, Vol.44 (13), p.1603-1613
Hauptverfasser: Pielage, Marin, Rousian, Melek, Heteren, Sem, Groenenberg, Irene A. L., Hillegers, Manon H. J., Steegers, Eric A. P., Marroun, Hanan El
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container_end_page 1613
container_issue 13
container_start_page 1603
container_title Prenatal diagnosis
container_volume 44
creator Pielage, Marin
Rousian, Melek
Heteren, Sem
Groenenberg, Irene A. L.
Hillegers, Manon H. J.
Steegers, Eric A. P.
Marroun, Hanan El
description ABSTRACT Prenatal exposure to alcohol (PAE) can impact short‐ and long‐term offspring health. However, knowledge on PAE and brain development in early life is limited. This systematic review investigated associations between PAE and brain development during the first 1000 days of life, and was registered in PROSPERO at CRD42022355144. The literature search was performed from inception until February 2024 in EMBASE, MEDLINE, Web of Science, PsycINFO, and the Cochrane Library. Studies investigating PAE and brain development during the first 1000 days using ultrasound, magnetic resonance imaging (MRI) or diffusion tensor imaging (DTI) were included. Our search initially identified 3618 articles, of which 16 were included. The findings suggest inconsistent associations between PAE and early brain development. Ultrasound studies on PAE and brain size report no clear relationship. Some postnatal MRI studies reported smaller thalami, amygdalae and hippocampi in alcohol exposed neonates. Postnatal DTI studies (n = 5) examining network integrity and connectivity reported bidirectional results in multiple brain networks. Our results highlight the need for further research on first trimester brain development, timing and quantity of alcohol exposure using a core set of validated instruments. Longitudinal assessments and standardized procedures for neuroimaging are crucial to understand the impact of PAE on early brain development.
doi_str_mv 10.1002/pd.6694
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subjects Alcohol
Alcohol Drinking - adverse effects
Alcohols
Brain
Brain - diagnostic imaging
Brain - drug effects
Brain - growth & development
Diffusion Tensor Imaging
ethanol
Exposure
Female
first 1000 days
Hippocampus
Humans
Infant
Infant, Newborn
Literature reviews
Magnetic Resonance Imaging
Medical imaging
Neonates
Neural networks
neurodevelopment
Neuroimaging
Offspring
Postpartum period
Pregnancy
prenatal alcohol exposure
Prenatal experience
Prenatal Exposure Delayed Effects - chemically induced
Prenatal Exposure Delayed Effects - diagnostic imaging
Review
Systematic review
Tensors
Ultrasonic imaging
Ultrasound
title The Association of Prenatal Alcohol Exposure With Brain Development During the First 1000 Days of Life: A Systematic Review
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