Sun Yuelian, Strandberg-Larsen Katrine, Vestergaard Mogens, Christensen Jakob, Nybo Andersen Anne-Marie, Grønbaek Morten, Olsen Jørn
Department of Epidemiology, Institute of Public Health, University of Aarhus, Aarhus C, Denmark.
Am J Epidemiol. 2009 Feb 1;169(3):313-22. doi: 10.1093/aje/kwn334. Epub 2008 Dec 8.
Seizures are often found in children with fetal alcohol syndrome, but it is not known whether binge drinking during pregnancy by nonalcoholic women is associated with an increased risk of seizure disorders in children. The authors conducted a population-based cohort study of 80,526 liveborn singletons in the Danish National Birth Cohort (1996-2002). Information on maternal binge drinking (intake of > or = 5 drinks on a single occasion) was collected in 2 computer-assisted telephone interviews during pregnancy. Children were followed for up to 8 years. Information on neonatal seizures, epilepsy, and febrile seizures was retrieved from the Danish National Hospital Register. Results showed that exposure to binge drinking episodes during pregnancy was not associated with an increased risk of seizure disorders in children, except for those exposed at 11-16 gestational weeks. These children had a 3.15-fold increased risk of neonatal seizures (95% confidence interval: 1.37, 7.25) and a 1.81-fold increased risk of epilepsy (95% confidence interval: 1.13, 2.90). These findings suggest that maternal binge drinking during a specific time period of pregnancy may be associated with an increased risk of specific seizure disorders in the offspring. The results are exploratory, however, and need to be replicated.
癫痫发作在患有胎儿酒精综合征的儿童中很常见,但尚不清楚非酗酒女性在孕期暴饮是否会增加儿童患癫痫症的风险。作者对丹麦国家出生队列(1996 - 2002年)中的80526名单胎活产儿进行了一项基于人群的队列研究。在孕期的两次计算机辅助电话访谈中收集了有关母亲暴饮(单次摄入≥5杯酒)的信息。对儿童进行了长达8年的随访。从丹麦国家医院登记处获取了有关新生儿癫痫、癫痫和热性惊厥的信息。结果显示,孕期暴露于暴饮事件与儿童患癫痫症的风险增加无关,但孕11 - 16周时暴露的儿童除外。这些儿童患新生儿癫痫的风险增加了3.15倍(95%置信区间:1.37, 7.25),患癫痫的风险增加了1.81倍(95%置信区间:1.13, 2.90)。这些发现表明,孕期特定时间段的母亲暴饮可能与后代患特定癫痫症的风险增加有关。然而,这些结果是探索性的,需要重复验证。