Breastfeeding, Other Early Life Exposures and Childhood Leukemia and Lymphoma.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.