Lifestyle-related risk factors during pregnancy: even low-to-moderate drinking during pregnancy increases the risk for adolescent behavioral problems.

Background: This study aimed to establish the associations between lifestyle-related risk factors during pregnancy with a special focus on low-to-moderate prenatal alcohol exposure (PAE) and behavioral problems in adolescents. Methods: We used a sample of 6,149 German adolescents (11–17 years) from...

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Publicado en:Journal of Substance Use Vol. 25; no. 2; pp. 135 - 141
Autores principales: Pfinder, Manuela, Lhachimi, Stefan
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Apr2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2020
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      pub: Taylor & Francis Ltd
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        10.1080/14659891.2019.1664668
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        atl: Lifestyle-related risk factors during pregnancy: even low-to-moderate drinking during pregnancy increases the risk for adolescent behavioral problems.
      aug:
        au:
          Pfinder, Manuela
          Lhachimi, Stefan
        affil: Department of General Practice and Health Services Research, Heidelberg University Hospital, Heidelberg, Germany
      sug:
        subj:
          Prenatal Exposure Delayed Effects
          Alcohol Drinking In Pregnancy
          Child Behavior Disorders Risk Factors
          Adolescent Behavior
          Risk Assessment
          Human
          Pregnancy
          Female
          Male
          Adolescence
          Germany
          Questionnaires
          Odds Ratio
          Confidence Intervals
          Analysis of Variance
          Data Analysis Software
          Multiple Logistic Regression
          Smoking In Pregnancy
          Attention Deficit Hyperactivity Disorder
          Social Behavior Disorders
          Adolescent: 13-18 years
          Female
          Male
      ab: Background: This study aimed to establish the associations between lifestyle-related risk factors during pregnancy with a special focus on low-to-moderate prenatal alcohol exposure (PAE) and behavioral problems in adolescents. Methods: We used a sample of 6,149 German adolescents (11–17 years) from the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). To investigate behavioral problems, the Strengths and Difficulties Questionnaire (SDQ) was applied. Results: The prevalence of behavioral problems was: 17.0% hyperactivity, 12.0% conduct problems, 13.8% emotional symptoms, 22.2% peer relationship problems, and 11.9% total difficulties score. Simultaneously, 14.1% of the adolescents experienced low-to-moderate PAE. Adjusting for confounders, low-to-moderate PAE resulted in an increased risk of hyperactivity (Odds Ratio (OR) 1.39, Confidence Interval (CI) [1.15, 1.69]) and peer relationship problems (OR 1.20, CI [1.00, 1.44]). Similarly, smoking during pregnancy significantly increased the risk of hyperactivity and peer-relationship problems in adolescent offspring. Conclusions: Low-to-moderate PAE is clearly linked to an increased risk of behavioral problems in adolescent offspring. Abbreviations: ANOVA: One-way-analysis of variance; BMI: Body mass index; CAPI: Computer assisted personal interview; CI: Confidence interval; HPA: hypothalamic-pituitary-adrenal; KiGGS: German health interview and examination survey for children and adolescents; OR: odds ratio; PAE: Prenatal Alcohol Exposure; RKI: Robert Koch Institute; SDQ: Strengths and Difficulties Questionnaire; SES: Socioeconomic status; SPSS: Statistical package of social sciences
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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