Prevalence of Fetal Alcohol Spectrum Disorders (FASD) among Children Adopted from Eastern European Countries : Russia and Ukraine
Colom, Joan (Colom Farran) (Instituto de Salud Carlos III)
Segura-García, Lidia (Instituto de Salud Carlos III)
Bastons-Compta, Adriana (Institut d'Investigacions Biomèdiques August Pi i Sunyer)
Astals, Marta (Universitat de Barcelona. Departament de Cirurgia i Especialitats Medicoquirúrgiques)
Andreu-Fernandez, Vicente (Institut d'Investigacions Biomèdiques August Pi i Sunyer)
Barcons i Castel, Natàlia (Hospital Sant Joan de Déu (Manresa))
Vidal, Raquel (Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal)
Ibar, Ana I. (Generalitat de Catalunya. Departament de Salut)
Fumadó, Victoria (Hospital Sant Joan de Déu (Manresa))
Gomez-Barros, Núria (Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal)
Russiñol, Agnés (Institut Català de l'Acolliment i de l'Adopció)
Garcia-Algar, Oscar (Universitat de Barcelona. Departament de Cirurgia i Especialitats Medicoquirúrgiques)

Data:	2021
Resum:	Fetal alcohol spectrum disorder (FASD) is a leading cause of neurodevelopmental disorders. Children adopted internationally from countries where alcohol consumption during pregnancy is very high are at greater risk for FASD. Lack of expertise in diagnosing FASD and mixed neurodevelopmental and behavioral signs due to abandonment complicate a timely diagnosis. The aim of this study was to determine the prevalence of FASD in adopted children. Children between the ages of 8 and 24 adopted from Russia and Ukraine were evaluated for clinical and historical features of FASD. Of the 162 children evaluated, 81 (50%) met FASD diagnostic criteria. Thirty-three (20. 4%) children had fetal alcohol syndrome (FAS), 28 (17. 2%) had partial FAS, 2 (1. 2%) had alcohol-related birth defects (ARBD) and 18 (11. 1%) had alcohol-related neurodevelopmental disorder (ARND). Of the 81 children in which fetal alcohol exposure could not be confirmed, many had manifestations that would have established a diagnosis of FASD if a history of maternal alcohol consumption was confirmed. In a population of children with a high risk of prenatal alcohol exposure (adoptees from Eastern European countries), at least 50% showed manifestations associated with FASD. The reported prevalence in this study is in line with the results obtained in a previous study as well as in orphanages of origin.
Ajuts:	Ministerio de Economía y Competitividad RD12/0026/0003 Ministerio de Economía y Competitividad RD16/0022/0002 Instituto de Salud Carlos III PI19-01853
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Fetal alcohol spectrum disorders (FASD) ; Adopted children ; Cognitive disorder ; Neurodevelopment impairment ; Prenatal exposure to alcohol (PEA) ; Alcohol-exposed pregnancies ; Alcohol
Publicat a:	International journal of environmental research and public health, Vol. 18 (february 2021) , ISSN 1660-4601

DOI: 10.3390/ijerph18041388
PMID: 33546212

12 p, 732.9 KB

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