Infectious diseases in the first year of life, perinatal characteristics and childhood acute leukaemia View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2004-01

AUTHORS

N Jourdan-Da Silva, Y Perel, F Méchinaud, E Plouvier, V Gandemer, P Lutz, J P Vannier, J L Lamagnére, G Margueritte, P Boutard, A Robert, C Armari, M Munzer, F Millot, L de Lumley, C Berthou, X Rialland, B Pautard, D Hémon, J Clavel

ABSTRACT

The objective of the present study was to investigate the role of early common infections and perinatal characteristics in the aetiology of childhood common leukaemia. A case-control study was conducted from 1995 to 1998 in France, and included 473 incident cases of acute leukaemia (AL) (408 acute lymphoblastic leukaemia (ALL), 65 acute myeloid leukaemia (AML) age-, sex- and region-matched with 567 population-based controls. Data on the medical history of the child and his/her environment were collected using self-administered questionnaires. Analyses were conducted using nonconditional logistic regression. A slight negative association with early infections was observed (OR=0.8; 95% CI (0.6-1.0)). The association was stronger for early gastrointestinal infections. Early day-care was found to be associated with a decreased risk of AL (OR=0.6; 95% CI (0.4-0.8) and OR=0.8; 95% CI (0.5-1.2) for day-care starting before age 3 months and between 3 and 6 months, respectively). No association with breast-feeding was observed, irrespective of its duration. A birth order of 4 or more was associated with a significantly increased risk of AL (OR=2.0; 95% CI (1.1-3.7) with ALL). A history of asthma was associated with a decreased risk of ALL (OR 0.5; 95% CI (0.3-0.90). Although the results regarding birth order and breast-feeding do not fit with Greaves' hypothesis, the study supports the hypothesis that early common infections may play a protective role in the aetiology of childhood leukaemia, although this effect was not more marked for common ALL. More... »

PAGES

139

References to SciGraph publications

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  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1038/sj.bjc.6601384

    DOI

    http://dx.doi.org/10.1038/sj.bjc.6601384

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1014953065

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/14710221


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