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Birthweight and Childhood Cancer: Preliminary Findings from the International Childhood Cancer Cohort Consortium (I4C)

Identifieur interne : 003107 ( Main/Exploration ); précédent : 003106; suivant : 003108

Birthweight and Childhood Cancer: Preliminary Findings from the International Childhood Cancer Cohort Consortium (I4C)

Auteurs : Ora Paltiel [Israël] ; Gabriella Tikellis [Australie] ; Martha Linet [Royaume-Uni] ; Jean Golding [Royaume-Uni] ; Stanley Lemeshow [Royaume-Uni] ; Gary Phillips [Royaume-Uni] ; Karen Lamb [Australie] ; Camilla Stoltenberg [Norvège] ; Siri E. H Berg [Norvège] ; Marin Str M [Danemark] ; Charlotta Granstr M [Danemark] ; Kate Northstone [Royaume-Uni] ; Mark Klebanoff [Royaume-Uni] ; Anne-Louise Ponsonby [Australie] ; Elizabeth Milne [Australie] ; Marie Pedersen [Espagne, France] ; Manolis Kogevinas [Espagne, Grèce] ; Eunhee Ha [Corée du Sud] ; Terence Dwyer [Australie, France]

Source :

RBID : PMC:4690513

Descripteurs français

English descriptors

Abstract

Background

Evidence relating childhood cancer to high birthweight is derived primarily from registry and case–control studies. We aimed to investigate this association, exploring the potential modifying roles of age at diagnosis and maternal anthropometrics, using prospectively collected data from the International Childhood Cancer Cohort Consortium.

Methods

We pooled data on infant and parental characteristics and cancer incidence from six geographically and temporally diverse member cohorts [the Avon Longitudinal Study of Parents and Children (UK), the Collaborative Perinatal Project (USA), the Danish National Birth Cohort (Denmark), the Jerusalem Perinatal Study (Israel), the Norwegian Mother and Child Cohort Study (Norway), and the Tasmanian Infant Health Survey (Australia)]. Birthweight metrics included a continuous measure, deciles, and categories (≥4.0 vs. <4.0 kilogram). Childhood cancer (377 cases diagnosed prior to age 15 years) risk was analysed by type (all sites, leukaemia, acute lymphoblastic leukaemia, and non-leukaemia) and age at diagnosis. We estimated hazard ratios (HR) and 95% confidence intervals (CI) from Cox proportional hazards models stratified by cohort.

Results

A linear relationship was noted for each kilogram increment in birthweight adjusted for gender and gestational age for all cancers [HR = 1.26; 95% CI 1.02, 1.54]. Similar trends were observed for leukaemia. There were no significant interactions with maternal pre-pregnancy overweight or pregnancy weight gain. Birthweight ≥4.0 kg was associated with non-leukaemia cancer among children diagnosed at age ≥3 years [HR = 1.62; 95% CI 1.06, 2.46], but not at younger ages [HR = 0.7; 95% CI 0.45, 1.24, P for difference = 0.02].

Conclusion

Childhood cancer incidence rises with increasing birthweight. In older children, cancers other than leukaemia are particularly related to high birthweight. Maternal adiposity, currently widespread, was not demonstrated to substantially modify these associations. Common factors underlying foetal growth and carcinogenesis need to be further explored.


Url:
DOI: 10.1111/ppe.12193
PubMed: 25989709
PubMed Central: 4690513


Affiliations:


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Le document en format XML

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<name sortKey="Pedersen, Marie" sort="Pedersen, Marie" uniqKey="Pedersen M" first="Marie" last="Pedersen">Marie Pedersen</name>
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<name sortKey="Ha, Eunhee" sort="Ha, Eunhee" uniqKey="Ha E" first="Eunhee" last="Ha">Eunhee Ha</name>
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<institution>International Agency for Research on Cancer</institution>
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<title xml:lang="en" level="a" type="main">Birthweight and Childhood Cancer: Preliminary Findings from the International Childhood Cancer Cohort Consortium (I4C)</title>
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<name sortKey="Lamb, Karen" sort="Lamb, Karen" uniqKey="Lamb K" first="Karen" last="Lamb">Karen Lamb</name>
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</nlm:aff>
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<name sortKey="Stoltenberg, Camilla" sort="Stoltenberg, Camilla" uniqKey="Stoltenberg C" first="Camilla" last="Stoltenberg">Camilla Stoltenberg</name>
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<institution>Department of Global Public Health and Community Care, University of Bergen</institution>
<addr-line>Bergen, Norway</addr-line>
</nlm:aff>
<country xml:lang="fr">Norvège</country>
<wicri:regionArea>Bergen</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="H Berg, Siri E" sort="H Berg, Siri E" uniqKey="H Berg S" first="Siri E" last="H Berg">Siri E. H Berg</name>
<affiliation wicri:level="1">
<nlm:aff id="au12">
<institution>Norwegian Institute of Public Health</institution>
<addr-line>Oslo, Norway</addr-line>
</nlm:aff>
<country xml:lang="fr">Norvège</country>
<wicri:regionArea>Oslo</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Str M, Marin" sort="Str M, Marin" uniqKey="Str M M" first="Marin" last="Str M">Marin Str M</name>
<affiliation wicri:level="1">
<nlm:aff id="au14">
<institution>Department of Epidemiology Research, Center for Fetal Programming, Statenserum Institute</institution>
<addr-line>Copenhagen, Denmark</addr-line>
</nlm:aff>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea>Copenhagen</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Granstr M, Charlotta" sort="Granstr M, Charlotta" uniqKey="Granstr M C" first="Charlotta" last="Granstr M">Charlotta Granstr M</name>
<affiliation wicri:level="1">
<nlm:aff id="au14">
<institution>Department of Epidemiology Research, Center for Fetal Programming, Statenserum Institute</institution>
<addr-line>Copenhagen, Denmark</addr-line>
</nlm:aff>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea>Copenhagen</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Northstone, Kate" sort="Northstone, Kate" uniqKey="Northstone K" first="Kate" last="Northstone">Kate Northstone</name>
<affiliation wicri:level="1">
<nlm:aff id="au11">
<institution>ALSPAC (Children of the 90s), School of Social and Community Medicine, University of Bristol</institution>
<addr-line>Bristol, UK</addr-line>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Bristol</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Klebanoff, Mark" sort="Klebanoff, Mark" uniqKey="Klebanoff M" first="Mark" last="Klebanoff">Mark Klebanoff</name>
<affiliation wicri:level="1">
<nlm:aff id="au7">
<institution>Division of Biostatistics, College of Public Health, The Ohio State University</institution>
<addr-line>Columbus, Ohio, UK</addr-line>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Columbus, Ohio</wicri:regionArea>
<wicri:noRegion>Ohio</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="au9">
<institution>The Research Institute at Nationwide Children’s Hospital, The Ohio State University College of Medicine</institution>
<addr-line>Columbus, OH, UK</addr-line>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Columbus, OH</wicri:regionArea>
<wicri:noRegion>OH</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Ponsonby, Anne Louise" sort="Ponsonby, Anne Louise" uniqKey="Ponsonby A" first="Anne-Louise" last="Ponsonby">Anne-Louise Ponsonby</name>
<affiliation wicri:level="1">
<nlm:aff id="au2">
<institution>Department of Environmental and Genetic Epidemiology, Murdoch Children’s Research Institute, Royal Childrens Hospital, University of Melbourne</institution>
<addr-line>Melbourne, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Melbourne</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="au4">
<institution>Menzies Research Institute, University of Tasmania</institution>
<addr-line>Hobart, Tasmania, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Hobart, Tasmania</wicri:regionArea>
<wicri:noRegion>Tasmania</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Milne, Elizabeth" sort="Milne, Elizabeth" uniqKey="Milne E" first="Elizabeth" last="Milne">Elizabeth Milne</name>
<affiliation wicri:level="1">
<nlm:aff id="au5">
<institution>Telethon Kids Institute, University of Western Australia</institution>
<addr-line>Perth, Western Australia, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Perth, Western Australia</wicri:regionArea>
<wicri:noRegion>Western Australia</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Pedersen, Marie" sort="Pedersen, Marie" uniqKey="Pedersen M" first="Marie" last="Pedersen">Marie Pedersen</name>
<affiliation wicri:level="1">
<nlm:aff id="au15">
<institution>Centre for Research in Environmental Epidemiology (CREAL)</institution>
<addr-line>Barcelona, Spain</addr-line>
</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Barcelona</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="au18">
<institution>CIBER Epidemiología y Salud Pública (CIBERESP)</institution>
<addr-line>Madrid, Spain</addr-line>
</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Madrid</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="au16">
<institution>Universitat Pompeu Fabra</institution>
<addr-line>Barcelona, Spain</addr-line>
</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Barcelona</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="au17">
<institution>IMIM (Hospital del Mar Research Institute)</institution>
<addr-line>Barcelona, Spain</addr-line>
</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Barcelona</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="au19">
<institution>U823, Team of Environmental Epidemiology Applied to Reproduction and Respiratory Health, Institute Albert Bonniot, INSERM (National Institute of Health and Medical Research)</institution>
<addr-line>Grenoble, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Grenoble</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Kogevinas, Manolis" sort="Kogevinas, Manolis" uniqKey="Kogevinas M" first="Manolis" last="Kogevinas">Manolis Kogevinas</name>
<affiliation wicri:level="1">
<nlm:aff id="au15">
<institution>Centre for Research in Environmental Epidemiology (CREAL)</institution>
<addr-line>Barcelona, Spain</addr-line>
</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Barcelona</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="au18">
<institution>CIBER Epidemiología y Salud Pública (CIBERESP)</institution>
<addr-line>Madrid, Spain</addr-line>
</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Madrid</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="au17">
<institution>IMIM (Hospital del Mar Research Institute)</institution>
<addr-line>Barcelona, Spain</addr-line>
</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Barcelona</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="au21">
<institution>Department of Nutrition, National School of Public Health</institution>
<addr-line>Athens, Greece</addr-line>
</nlm:aff>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea>Athens</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ha, Eunhee" sort="Ha, Eunhee" uniqKey="Ha E" first="Eunhee" last="Ha">Eunhee Ha</name>
<affiliation wicri:level="1">
<nlm:aff id="au22">
<institution>School of Medicine, Ewha Medical Research Center, Department of Preventive Medicine, Ewha Womans University</institution>
<addr-line>Seoul, Korea</addr-line>
</nlm:aff>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Seoul</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Dwyer, Terence" sort="Dwyer, Terence" uniqKey="Dwyer T" first="Terence" last="Dwyer">Terence Dwyer</name>
<affiliation wicri:level="1">
<nlm:aff id="au2">
<institution>Department of Environmental and Genetic Epidemiology, Murdoch Children’s Research Institute, Royal Childrens Hospital, University of Melbourne</institution>
<addr-line>Melbourne, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Melbourne</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="au4">
<institution>Menzies Research Institute, University of Tasmania</institution>
<addr-line>Hobart, Tasmania, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Hobart, Tasmania</wicri:regionArea>
<wicri:noRegion>Tasmania</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="au20">
<institution>International Agency for Research on Cancer</institution>
<addr-line>Lyon, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Lyon</wicri:regionArea>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Paediatric and Perinatal Epidemiology</title>
<idno type="ISSN">0269-5022</idno>
<idno type="eISSN">1365-3016</idno>
<imprint>
<date when="2015">2015</date>
</imprint>
</series>
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<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Adolescent</term>
<term>Age of Onset</term>
<term>Australia (epidemiology)</term>
<term>Birth Weight</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Denmark (epidemiology)</term>
<term>Female</term>
<term>Humans</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Israel (epidemiology)</term>
<term>Male</term>
<term>Neoplasms (epidemiology)</term>
<term>Neoplasms (etiology)</term>
<term>Norway (epidemiology)</term>
<term>Odds Ratio</term>
<term>Risk Factors</term>
<term>United Kingdom (epidemiology)</term>
<term>United States (epidemiology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adolescent</term>
<term>Australie (épidémiologie)</term>
<term>Danemark (épidémiologie)</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Israël (épidémiologie)</term>
<term>Mâle</term>
<term>Norvège (épidémiologie)</term>
<term>Nourrisson</term>
<term>Nouveau-né</term>
<term>Odds ratio</term>
<term>Poids de naissance</term>
<term>Royaume-Uni (épidémiologie)</term>
<term>Tumeurs (épidémiologie)</term>
<term>Tumeurs (étiologie)</term>
<term>Âge de début</term>
<term>États-Unis d'Amérique (épidémiologie)</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Australia</term>
<term>Denmark</term>
<term>Israel</term>
<term>Neoplasms</term>
<term>Norway</term>
<term>United Kingdom</term>
<term>United States</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Australie</term>
<term>Danemark</term>
<term>Israël</term>
<term>Norvège</term>
<term>Royaume-Uni</term>
<term>Tumeurs</term>
<term>États-Unis d'Amérique</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Tumeurs</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Age of Onset</term>
<term>Birth Weight</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Female</term>
<term>Humans</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Male</term>
<term>Odds Ratio</term>
<term>Risk Factors</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adolescent</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Nouveau-né</term>
<term>Odds ratio</term>
<term>Poids de naissance</term>
<term>Âge de début</term>
</keywords>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Background</title>
<p>Evidence relating childhood cancer to high birthweight is derived primarily from registry and case–control studies. We aimed to investigate this association, exploring the potential modifying roles of age at diagnosis and maternal anthropometrics, using prospectively collected data from the International Childhood Cancer Cohort Consortium.</p>
</sec>
<sec>
<title>Methods</title>
<p>We pooled data on infant and parental characteristics and cancer incidence from six geographically and temporally diverse member cohorts [the Avon Longitudinal Study of Parents and Children (UK), the Collaborative Perinatal Project (USA), the Danish National Birth Cohort (Denmark), the Jerusalem Perinatal Study (Israel), the Norwegian Mother and Child Cohort Study (Norway), and the Tasmanian Infant Health Survey (Australia)]. Birthweight metrics included a continuous measure, deciles, and categories (≥4.0 vs. <4.0 kilogram). Childhood cancer (377 cases diagnosed prior to age 15 years) risk was analysed by type (all sites, leukaemia, acute lymphoblastic leukaemia, and non-leukaemia) and age at diagnosis. We estimated hazard ratios (HR) and 95% confidence intervals (CI) from Cox proportional hazards models stratified by cohort.</p>
</sec>
<sec>
<title>Results</title>
<p>A linear relationship was noted for each kilogram increment in birthweight adjusted for gender and gestational age for all cancers [HR = 1.26; 95% CI 1.02, 1.54]. Similar trends were observed for leukaemia. There were no significant interactions with maternal pre-pregnancy overweight or pregnancy weight gain. Birthweight ≥4.0 kg was associated with non-leukaemia cancer among children diagnosed at age ≥3 years [HR = 1.62; 95% CI 1.06, 2.46], but not at younger ages [HR = 0.7; 95% CI 0.45, 1.24,
<italic>P</italic>
for difference = 0.02].</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Childhood cancer incidence rises with increasing birthweight. In older children, cancers other than leukaemia are particularly related to high birthweight. Maternal adiposity, currently widespread, was not demonstrated to substantially modify these associations. Common factors underlying foetal growth and carcinogenesis need to be further explored.</p>
</sec>
</div>
</front>
<back>
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