Abstract
This study aims to test the hypothesis that moderate maternal alcohol and tobacco use in pregnancy is associated with intelligent quotient (IQ) scores in childhood through intrauterine mechanisms. We conducted parental-offspring comparisons between the associations of tobacco and alcohol consumption with child's IQ in the Avon Longitudinal Study of Parents and Children. Analyses were conducted on 4332 participants with complete data on maternal and paternal use of alcohol and tobacco at 18 wk gestation, child's IQ and a range of confounders. IQ was measured at child age 8 with the Weschler Intelligence Scale for Children (WISC-III). We used multivariable linear and logistic regression to estimate mean differences and 95% confidence intervals in IQ scores across the exposure categories and computed f statistics to compare maternal and paternal associations. In fully adjusted models, there was no strong statistical evidence that maternal alcohol and tobacco consumption during pregnancy were associated with childhood IQ with any greater magnitude than paternal alcohol and tobacco consumption (also assessed during their partners' pregnancy). Our findings suggest that the relationship between maternal moderate alcohol and tobacco use in early pregnancy and childhood IQ may not be explained by intrauterine mechanisms.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
Abbreviations
- ALSPAC:
-
avon longitudinal study of parents and children
- IQ:
-
intelligent quotient
- WISC-III:
-
weschler intelligence scale for children
References
Breslau N, Paneth N, Lucia VC, Paneth-Pollak R 2005 Maternal smoking during pregnancy and offspring IQ. [see comment]. Int J Epidemiol 34: 1047–1053
Lawlor DA, Batty GD, Morton SM, Deary IJ, Macintyre S, Ronalds G, Leon DA 2005 Early life predictors of childhood intelligence: evidence from the Aberdeen children of the 1950s study. J Epidemiol Community Health 59: 656–663
Lawlor DA, Clark H, Smith GD, Leon DA 2006 Intrauterine growth and intelligence within sibling pairs: findings from the Aberdeen children of the 1950s cohort. Pediatrics 117: e894–e902
Lawlor DA, Najman JM, Batty GD, O'Callaghan MJ, Williams GM, Bor W 2006 Early life predictors of childhood intelligence: findings from the Mater-University study of pregnancy and its outcomes. Paediatr Perinat Epidemiol 20: 148–162
O'Leary CM 2004 Fetal alcohol syndrome: diagnosis, epidemiology, and developmental outcomes. J Paediatr Child Health 40: 2–7
Testa M, Quigley BM, Eiden RD 2003 The effects of prenatal alcohol exposure on infant mental development: a meta-analytical review. Alcohol Alcohol 38: 295–304
Olson HC, Streissguth AP, Sampson PD, Barr HM, Bookstein FL, Thiede K 1997 Association of prenatal alcohol exposure with behavioral and learning problems in early adolescence. J Am Acad Child Adolesc Psychiatry 36: 1187–1194
Streissguth AP, Barr HM, Olson HC, Sampson PD, Bookstein FL, Burgess DM 1994 Drinking during pregnancy decreases word attack and arithmetic scores on standardized tests: adolescent data from a population-based prospective study. Alcohol Clin Exp Res 18: 248–254
Streissguth AP, Barr HM, Sampson PD 1990 Moderate prenatal alcohol exposure: effects on child IQ and learning problems at age 7 1/2 years. Alcohol Clin Exp Res 14: 662–669
O'Callaghan FV, O'Callaghan M, Najman JM, Williams GM, Bor W 2007 Prenatal alcohol exposure and attention, learning and intellectual ability at 14 years: a prospective longitudinal study. Early Hum Dev 83: 115–123
Willford J, Leech S, Day N 2006 Moderate prenatal alcohol exposure and cognitive status of children at age 10. Alcohol Clin Exp Res 30: 1051–1059
Richardson GA, Ryan C, Willford J, Day NL, Goldschmidt L 2002 Prenatal alcohol and marijuana exposure: effects on neuropsychological outcomes at 10 years. Neurotoxicol Teratol 24: 309–320
Willford JA, Richardson GA, Leech SL, Day NL 2004 Verbal and visuospatial learning and memory function in children with moderate prenatal alcohol exposure. Alcohol Clin Exp Res 28: 497–507
Sexton M, Fox NL, Hebel JR 1990 Prenatal exposure to tobacco: II. Effects on cognitive functioning at age three. Int J Epidemiol 19: 72–77
Fried PA, O'Connell CM, Watkinson B 1992 60- and 72-month follow-up of children prenatally exposed to marijuana, cigarettes, and alcohol: cognitive and language assessment. [see comment]. J Dev Behav Pediatr 13: 383–391
Batstra L, Hadders-Algra M, Neeleman J 2003 Effect of antenatal exposure to maternal smoking on behavioural problems and academic achievement in childhood: prospective evidence from a Dutch birth cohort. Early Hum Dev 75: 21–33
Cornelius MD, Ryan CM, Day NL, Goldschmidt L, Willford JA 2001 Prenatal tobacco effects on neuropsychological outcomes among preadolescents. J Dev Behav Pediatr 22: 217–225
Batty GD, Der G, Deary IJ 2006 Effect of maternal smoking during pregnancy on offspring's cognitive ability: empirical evidence for complete confounding in the US national longitudinal survey of youth. Pediatrics 118: 943–950
Eskenazi B, Trupin LS 1995 Passive and active maternal smoking during pregnancy, as measured by serum cotinine, and postnatal smoke exposure. II. Effects on neurodevelopment at age 5 years. Am J Epidemiol 142: S19–S29
Fergusson DM, Lloyd M 1991 Smoking during pregnancy and its effects on child cognitive ability from the ages of 8 to 12 years. Paediatr Perinat Epidemiol 5: 189–200
Fried PA, Watkinson B, Gray R 1998 Differential effects on cognitive functioning in 9- to 12-year olds prenatally exposed to cigarettes and marihuana. Neurotoxicol Teratol 20: 293–306
Fried PA, Watkinson B, Siegel LS 1997 Reading and language in 9- to 12-year olds prenatally exposed to cigarettes and marijuana. Neurotoxicol Teratol 19: 171–183
Smith GD 2008 Assessing intrauterine influences on offspring health outcomes: can epidemiological studies yield robust findings?. Basic Clin Pharmacol Toxicol 102: 245–256
Golding J, Pembrey M, Jones R, ALSPAC Study Team 2001 ALSPAC–the Avon Longitudinal Study of Parents and Children. I. Study methodology. Paediatr Perinat Epidemiol 15: 74–87
Wechsler D 1992 Wechsler Intelligence Scale for Children– 3rd UK ed (WISC – III UK). Sidcup, UK, The Psychological Corporation
Northstone K, Bonnell S, Horwood J, Bell C, Sadler S, Carmichael A, Team TFaS 2005 Children of the 90 s - Focus at 8: Built Files Documentation. Avon Longitudinal Study of Parents and Children. Bristol 1–155
Royston P 2005 Multiple imputation of missing values: update of ice. Stata Journal 5: 527–536
StataCorp 2005 Stata Statistical Software: Release 9. StataCorp LP, College Station, TX
U.S. Department of Health and Human Services and U.S. Department of Agriculture January 2005 Dietary Guidelines for Americans. 6th ed. Washington, DC U.S. Government Printing Office
Acknowledgements
We are grateful to the families who took part in this study, the midwives for their help in recruiting them, and the whole ALSPAC team, which includes interviewers, computer and laboratory technicians, clerical workers, research scientists, volunteers, managers, receptionists and nurses.
Author information
Authors and Affiliations
Corresponding author
Additional information
Supported bythe UK Medical Research Council, the Wellcome Trust, and the University of Bristol provide core support for ALSPAC.This article contains supplementary materials, which can be found online at http://www.pedresearch.org/
ArticlePlus
Click on the links below to access all the ArticlePlus for this article.
Please note that ArticlePlus files may launch a viewer application outside of your web browser.
Rights and permissions
About this article
Cite this article
Alati, R., MacLeod, J., Hickman, M. et al. Intrauterine Exposure to Alcohol and Tobacco Use and Childhood IQ: Findings from a Parental-Offspring Comparison within the Avon Longitudinal Study of Parents and Children. Pediatr Res 64, 659–666 (2008). https://doi.org/10.1203/PDR.0b013e318187cc31
Received:
Accepted:
Issue date:
DOI: https://doi.org/10.1203/PDR.0b013e318187cc31
This article is cited by
-
Perinatal, neonatal, developmental and demographic predictors of intelligence at 4Â years of age among low birth weight children: a panel study with a 2-year follow-up
BMC Pediatrics (2022)
-
The causal web of foetal alcohol spectrum disorders: a review and causal diagram
European Child & Adolescent Psychiatry (2020)
-
Cognitive function among schoolchildren in Lebanon: association with maternal alcohol drinking and smoking during pregnancy and domestic use of detergents and pesticides during childhood
Environmental Science and Pollution Research (2019)
-
Prenatal exposure to binge pattern of alcohol consumption: mental health and learning outcomes at age 11
European Child & Adolescent Psychiatry (2014)