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Breastfeeding, Other Early Life Exposures and Childhood Leukemia and Lymphoma.

Nutrition and cancer
January 1, 2016
Efrat Lev Amitay et al. (3 authors)
Comparative StudyJournal ArticleMulticenter StudyHuman Study
Study Details

Study Goal

The researchers aimed to examine the associations between breastfeeding and early life exposures with childhood leukemia and lymphoma.

Results Summary

Breastfeeding was associated with a 64% decreased risk for childhood leukemia/lymphoma, showing a dose-response effect for durations of 6, 12, and 18+ months. Other factors like iron supplementation and pet ownership also reduced risk, while paternal smoking and having older siblings increased risk.

Population

Mothers of 190 childhood leukemia/lymphoma cases (aged 1-19 years at diagnosis) and 384 population-based controls.

Effective Dosage

Not specified (duration categories: 6, 12, and 18+ months of any breastfeeding).

Duration

Not specified (retrospective assessment of breastfeeding history).

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Ever breastfeeding
decrease
childhood leukemia/lymphoma
children aged 1-19 yr at diagnosis
64%
was associated with a 64% decreased risk
#1
Any breastfeeding (exclusive and/or partial) for 6, 12, and 18+ mo
decrease
childhood leukemia/lymphoma
children aged 1-19 yr at diagnosis
dose-response effect
similar trends, with a dose-response effect, were observed
#2
child iron supplementation
decrease
cancer risk
children aged 1-19 yr at diagnosis
OR = 0.39, 95% CI: 0.26, 0.59
associated with
#3
pet ownership
decrease
cancer risk
children aged 1-19 yr at diagnosis
OR = 0.50, 95% CI: 0.33, 0.78
associated with
#4
paternal smoking
increase
cancer risk
children aged 1-19 yr at diagnosis
OR = 1.93, 95% CI: 1.18, 3.15
associated with
#5
having older siblings
increase
cancer risk
children aged 1-19 yr at diagnosis
OR = 1.18, 95% CI: 1.05, 1.33
associated with
#6
Abstract

Childhood cancer incidence increases and although rare, it is a leading cause of mortality. Leukemia and lymphoma comprise 40% of all cancers in children but little is known of their etiology. In this study, we examined the associations of breastfeeding and other early life exposures with childhood leukemia and lymphoma. A population-based case-control study carried out in 2011-2013 comprised mothers of 190 incidents (2005-2013) of leukemia/lymphoma cases aged 1-19 yr at diagnosis and 384 population-based controls. Interviews based on a computerized structured questionnaire were conducted with the mothers. Multivariate logistic regression models adjusted for potential confounders assessed the association between breastfeeding patterns and childhood leukemia/lymphoma. Ever breastfeeding category was associated with a 64% decreased risk for childhood leukemia/lymphoma lsqb;odds ratio (OR) = 0.36, 95% confidence interval (CI): 0.22, 0.60lrqb; and similar trends, with a dose-response effect, were observed for any breastfeeding (exclusive and/or partial) category for 6, 12, and 18+ mo. Other infant exposures associated with cancer risk were child iron supplementation (OR = 0.39, 95% CI: 0.26, 0.59), pet ownership (OR = 0.50, 95% CI: 0.33, 0.78), paternal smoking (OR = 1.93, 95% CI: 1.18, 3.15), and having older siblings (OR = 1.18, 95% CI: 1.05, 1.33). Breastfeeding-a controllable and modifiable exposure-is inversely associated with risk for childhood leukemia and lymphoma with a dose-response effect.

Medical Subject Headings (MeSH)
AdolescentAnimalsBreast FeedingCase-Control StudiesChildChild, PreschoolConfounding Factors, EpidemiologicDietary SupplementsFemaleHospitals, UrbanHumansInfantInfant Nutritional Physiological PhenomenaIron, DietaryIsraelLeukemiaLymphomaMaleMothersPetsRiskSelf Report
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations28
Citations/Year3.1
Relative Citation Ratio1.09
NIH Percentile53.6%
Research Impact Scores
APT Score0.75
Weight Score0.92
Normalized Score0.69
Related Supplements
Breastfeeding, Other Early Life Exposures and Childhood Leuk... | Panacea Index