Abstract
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.
Original language | English |
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Pages (from-to) | 968-977 |
Number of pages | 10 |
Journal | Nutrition and Cancer |
Volume | 68 |
Issue number | 6 |
DOIs | |
State | Published - 17 Aug 2016 |
Bibliographical note
Publisher Copyright:© 2016 Taylor & Francis Group, LLC.
ASJC Scopus subject areas
- Medicine (miscellaneous)
- Oncology
- Nutrition and Dietetics
- Cancer Research