4.7 Article

Prenatal and Postnatal Choline Supplementation in Fetal Alcohol Spectrum Disorder

Journal

NUTRIENTS
Volume 14, Issue 3, Pages -

Publisher

MDPI
DOI: 10.3390/nu14030688

Keywords

fetal alcohol spectrum disorders; choline; brain; randomized controlled trials; longitudinal studies

Funding

  1. National Institute on Alcohol Abuse and Alcoholism [R21AA019580, R33AA019580, R01AA024123, R56AA024123]

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Fetal alcohol spectrum disorder (FASD) is a common condition with cognitive deficits as core features, and choline supplementation shows potential as a neurodevelopmental intervention in those affected by prenatal alcohol. This article provides a comprehensive overview of the literature supporting the use of choline in optimizing brain development and reviews existing human studies on choline supplementation in FASD.
Fetal alcohol spectrum disorder (FASD) is common and represents a significant public health burden, yet very few interventions have been tested in FASD. Cognitive deficits are core features of FASD, ranging from broad intellectual impairment to selective problems in attention, executive functioning, memory, visual-perceptual/motor skills, social cognition, and academics. One potential intervention for the cognitive impairments associated with FASD is the essential nutrient choline, which is known to have numerous direct effects on brain and cognition in both typical and atypical development. We provide a summary of the literature supporting the use of choline as a neurodevelopmental intervention in those affected by prenatal alcohol. We first discuss how alcohol interferes with normal brain development. We then provide a comprehensive overview of the nutrient choline and discuss its role in typical brain development and its application in the optimization of brain development following early insult. Next, we review the preclinical literature that provides evidence of choline's potential as an intervention following alcohol exposure. Then, we review a handful of existing human studies of choline supplementation in FASD. Lastly, we conclude with a review of practical considerations in choline supplementation, including dose, formulation, and feasibility in children.

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