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Published in: Cancer Causes & Control 1/2013

01-01-2013 | Original paper

Nutrition in early life and risk of childhood leukemia: a case–control study in Greece

Authors: Andreas-Antonios Diamantaras, Nick Dessypris, Theodoros N. Sergentanis, Evangelos Ntouvelis, Fani Athanasiadou-Piperopoulou, Margarita Baka, Ioanna Fragandrea, Maria Moschovi, Sofia Polychronopoulou, Eftichia Stiakaki, Demosthenes Panagiotakos, Eleni Petridou

Published in: Cancer Causes & Control | Issue 1/2013

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Abstract

Purpose

There is a paucity of findings concerning the role of diet in childhood leukemogenesis, whereas the results are equivocal and the studies heterogeneous with regard to food items examined. This case–control study investigates the association of childhood leukemia with food groups, macronutrient consumption, total energy intake and adherence to Mediterranean diet among children aged 5–14 years in Greece.

Methods

A total of 139 consecutive, incident leukemia cases out of which 121 were acute lymphoblastic leukemia were derived from the Nationwide Registry for Childhood Hematological Malignancies along with one : one age- and gender-matched hospital controls. Information on socio-demographic, maternal and child variables and dietary habits was obtained through in-person interviews with the guardians/children. Multiple logistic regression was performed with adjustment for birth weight and possible confounding variables.

Results

Higher consumption of added lipids was associated with an increased risk of childhood leukemia, whereas consumption of milk and dairy products with reduced risk. From the macronutrient analysis, a borderline trend linking high protein intake with reduced childhood leukemia risk was observed.

Conclusion

Consumption of milk and dairy products in the first year of life may protect against childhood leukemia possibly through vitamin D actions, while added lipids may increase the risk through various mechanisms. These results offer a holistic evaluation of children’s nutrition and suggest that dietary habits in the early years of life may contribute to the prevention of childhood leukemia.
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Literature
1.
go back to reference Belson M, Kingsley B, Holmes A (2007) Risk factors for acute leukemia in children: a review. Environ Health Perspect 115:138–145PubMedCrossRef Belson M, Kingsley B, Holmes A (2007) Risk factors for acute leukemia in children: a review. Environ Health Perspect 115:138–145PubMedCrossRef
2.
go back to reference McNally RJ, Parker L (2006) Environmental factors and childhood acute leukemias and lymphomas. Leuk Lymphoma 47:583–598PubMedCrossRef McNally RJ, Parker L (2006) Environmental factors and childhood acute leukemias and lymphomas. Leuk Lymphoma 47:583–598PubMedCrossRef
3.
go back to reference Adami HO, Hunter D, Trichopoulos D (2008) Textbook of cancer epidemiology. Oxford University Press, OxfordCrossRef Adami HO, Hunter D, Trichopoulos D (2008) Textbook of cancer epidemiology. Oxford University Press, OxfordCrossRef
4.
go back to reference Kwan ML, Jensen CD, Block G, Hudes ML, Chu LW, Buffler PA (2009) Maternal diet and risk of childhood acute lymphoblastic leukemia. Public Health Rep 124:503–514PubMed Kwan ML, Jensen CD, Block G, Hudes ML, Chu LW, Buffler PA (2009) Maternal diet and risk of childhood acute lymphoblastic leukemia. Public Health Rep 124:503–514PubMed
5.
go back to reference Jensen CD, Block G, Buffler P, Ma X, Selvin S, Month S (2004) Maternal dietary risk factors in childhood acute lymphoblastic leukemia (United States). Cancer Causes Control 15:559–570PubMedCrossRef Jensen CD, Block G, Buffler P, Ma X, Selvin S, Month S (2004) Maternal dietary risk factors in childhood acute lymphoblastic leukemia (United States). Cancer Causes Control 15:559–570PubMedCrossRef
6.
go back to reference Petridou E, Ntouvelis E, Dessypris N, Terzidis A, Trichopoulos D (2005) Maternal diet and acute lymphoblastic leukemia in young children. Cancer Epidemiol Biomarkers Prev 14:1935–1939PubMedCrossRef Petridou E, Ntouvelis E, Dessypris N, Terzidis A, Trichopoulos D (2005) Maternal diet and acute lymphoblastic leukemia in young children. Cancer Epidemiol Biomarkers Prev 14:1935–1939PubMedCrossRef
7.
go back to reference Kwan ML, Block G, Selvin S, Month S, Buffler PA (2004) Food consumption by children and the risk of childhood acute leukemia. Am J Epidemiol 160:1098–1107PubMedCrossRef Kwan ML, Block G, Selvin S, Month S, Buffler PA (2004) Food consumption by children and the risk of childhood acute leukemia. Am J Epidemiol 160:1098–1107PubMedCrossRef
8.
go back to reference Liu CY, Hsu YH, Wu MT, Pan PC, Ho CK, Su L, Xu X, Li Y, Christiani DC (2009) Cured meat, vegetables, and bean-curd foods in relation to childhood acute leukemia risk: a population based case–control study. BMC Cancer 9:15PubMedCrossRef Liu CY, Hsu YH, Wu MT, Pan PC, Ho CK, Su L, Xu X, Li Y, Christiani DC (2009) Cured meat, vegetables, and bean-curd foods in relation to childhood acute leukemia risk: a population based case–control study. BMC Cancer 9:15PubMedCrossRef
9.
go back to reference Peters JM, Preston-Martin S, London SJ, Bowman JD, Buckley JD, Thomas DC (1994) Processed meats and risk of childhood leukemia (California, USA). Cancer Causes Control 5:195–202PubMedCrossRef Peters JM, Preston-Martin S, London SJ, Bowman JD, Buckley JD, Thomas DC (1994) Processed meats and risk of childhood leukemia (California, USA). Cancer Causes Control 5:195–202PubMedCrossRef
10.
go back to reference Sarasua S, Savitz DA (1994) Cured and broiled meat consumption in relation to childhood cancer: Denver, Colorado (United States). Cancer Causes Control 5:141–148PubMedCrossRef Sarasua S, Savitz DA (1994) Cured and broiled meat consumption in relation to childhood cancer: Denver, Colorado (United States). Cancer Causes Control 5:141–148PubMedCrossRef
11.
go back to reference Scarmeas N, Stern Y, Mayeux R, Manly JJ, Schupf N, Luchsinger JA (2009) Mediterranean diet and mild cognitive impairment. Arch Neurol 66:216–225PubMedCrossRef Scarmeas N, Stern Y, Mayeux R, Manly JJ, Schupf N, Luchsinger JA (2009) Mediterranean diet and mild cognitive impairment. Arch Neurol 66:216–225PubMedCrossRef
12.
go back to reference Sofi F, Abbate R, Gensini GF, Casini A (2010) Accruing evidence on benefits of adherence to the Mediterranean diet on health: an updated systematic review and meta-analysis. Am J Clin Nutr 92:1189–1196PubMedCrossRef Sofi F, Abbate R, Gensini GF, Casini A (2010) Accruing evidence on benefits of adherence to the Mediterranean diet on health: an updated systematic review and meta-analysis. Am J Clin Nutr 92:1189–1196PubMedCrossRef
13.
go back to reference Panagiotakos DB, Pitsavos C, Stefanadis C (2006) Dietary patterns: a Mediterranean diet score and its relation to clinical and biological markers of cardiovascular disease risk. Nutr Metab Cardiovasc Dis 16:559–568PubMedCrossRef Panagiotakos DB, Pitsavos C, Stefanadis C (2006) Dietary patterns: a Mediterranean diet score and its relation to clinical and biological markers of cardiovascular disease risk. Nutr Metab Cardiovasc Dis 16:559–568PubMedCrossRef
14.
go back to reference Petridou E, Trichopoulos D, Kalapothaki V, Pourtsidis A, Kogevinas M, Kalmanti M, Koliouskas D, Kosmidis H, Panagiotou JP, Piperopoulou F, Tzortzatou F (1997) The risk profile of childhood leukaemia in Greece: a nationwide case–control study. Br J Cancer 76:1241–1247PubMedCrossRef Petridou E, Trichopoulos D, Kalapothaki V, Pourtsidis A, Kogevinas M, Kalmanti M, Koliouskas D, Kosmidis H, Panagiotou JP, Piperopoulou F, Tzortzatou F (1997) The risk profile of childhood leukaemia in Greece: a nationwide case–control study. Br J Cancer 76:1241–1247PubMedCrossRef
15.
go back to reference Gnardellis C, Trichopoulou A, Katsouyanni K, Polychronopoulos E, Rimm EB, Trichopoulos D (1995) Reproducibility and validity of an extensive semiquantitative food frequency questionnaire among Greek school teachers. Epidemiology 6:74–77PubMedCrossRef Gnardellis C, Trichopoulou A, Katsouyanni K, Polychronopoulos E, Rimm EB, Trichopoulos D (1995) Reproducibility and validity of an extensive semiquantitative food frequency questionnaire among Greek school teachers. Epidemiology 6:74–77PubMedCrossRef
16.
go back to reference Passmore R, Eastwood MA (1986) Davidson and Passmore human nutrition and dietetics, 8th edn. Churchill Livingstone, London Passmore R, Eastwood MA (1986) Davidson and Passmore human nutrition and dietetics, 8th edn. Churchill Livingstone, London
17.
go back to reference Trichopoulou A (2004) Composition tables of foods and Greek dishes, 3rd edn. Athens School of Public Health, Athens Trichopoulou A (2004) Composition tables of foods and Greek dishes, 3rd edn. Athens School of Public Health, Athens
18.
go back to reference Martin RM, Holly JM, Gunnell D (2011) Milk and linear growth: programming of the igf-I axis and implication for health in adulthood. Nestle Nutr Workshop Ser Pediatr Program 67:79–97PubMedCrossRef Martin RM, Holly JM, Gunnell D (2011) Milk and linear growth: programming of the igf-I axis and implication for health in adulthood. Nestle Nutr Workshop Ser Pediatr Program 67:79–97PubMedCrossRef
19.
go back to reference Consolini R, Pala S, Legitimo A, Crimaldi G, Ferrari S (2001) Effects of vitamin D on the growth of normal and malignant B-cell progenitors. Clin Exp Immunol 126:214–219PubMedCrossRef Consolini R, Pala S, Legitimo A, Crimaldi G, Ferrari S (2001) Effects of vitamin D on the growth of normal and malignant B-cell progenitors. Clin Exp Immunol 126:214–219PubMedCrossRef
20.
go back to reference Cox B, Sneyd MJ (2011) School milk and risk of colorectal cancer: a national case–control study. Am J Epidemiol 173:394–403PubMedCrossRef Cox B, Sneyd MJ (2011) School milk and risk of colorectal cancer: a national case–control study. Am J Epidemiol 173:394–403PubMedCrossRef
21.
go back to reference Hjartaker A, Thoresen M, Engeset D, Lund E (2010) Dairy consumption and calcium intake and risk of breast cancer in a prospective cohort: the Norwegian Women and Cancer study. Cancer Causes Control 21:1875–1885PubMedCrossRef Hjartaker A, Thoresen M, Engeset D, Lund E (2010) Dairy consumption and calcium intake and risk of breast cancer in a prospective cohort: the Norwegian Women and Cancer study. Cancer Causes Control 21:1875–1885PubMedCrossRef
22.
go back to reference Li Y, Moysich KB, Baer MR, Weiss JR, Brasure J, Graham S, McCann SE (2006) Intakes of selected food groups and beverages and adult acute myeloid leukemia. Leuk Res 30:1507–1515PubMedCrossRef Li Y, Moysich KB, Baer MR, Weiss JR, Brasure J, Graham S, McCann SE (2006) Intakes of selected food groups and beverages and adult acute myeloid leukemia. Leuk Res 30:1507–1515PubMedCrossRef
23.
go back to reference Franco R, Schoneveld OJ, Pappa A, Panayiotidis MI (2007) The central role of glutathione in the pathophysiology of human diseases. Arch Physiol Biochem 113:234–258PubMedCrossRef Franco R, Schoneveld OJ, Pappa A, Panayiotidis MI (2007) The central role of glutathione in the pathophysiology of human diseases. Arch Physiol Biochem 113:234–258PubMedCrossRef
24.
go back to reference Omoni AO, Aluko RE (2005) Soybean foods and their benefits: potential mechanisms of action. Nutr Rev 63:272–283PubMedCrossRef Omoni AO, Aluko RE (2005) Soybean foods and their benefits: potential mechanisms of action. Nutr Rev 63:272–283PubMedCrossRef
25.
go back to reference Uauy R, Castillo C (2003) Lipid requirements of infants: implications for nutrient composition of fortified complementary foods. J Nutr 133:2962S–2972SPubMed Uauy R, Castillo C (2003) Lipid requirements of infants: implications for nutrient composition of fortified complementary foods. J Nutr 133:2962S–2972SPubMed
26.
go back to reference Zheng T, Holford TR, Leaderer B, Zhang Y, Zahm SH, Flynn S, Tallini G, Zhang B, Zhou K, Owens PH, Lan Q, Rothman N, Boyle P (2004) Diet and nutrient intakes and risk of non-Hodgkin’s lymphoma in Connecticut women. Am J Epidemiol 159:454–466PubMedCrossRef Zheng T, Holford TR, Leaderer B, Zhang Y, Zahm SH, Flynn S, Tallini G, Zhang B, Zhou K, Owens PH, Lan Q, Rothman N, Boyle P (2004) Diet and nutrient intakes and risk of non-Hodgkin’s lymphoma in Connecticut women. Am J Epidemiol 159:454–466PubMedCrossRef
27.
go back to reference Gerber M (2009) Background review paper on total fat, fatty acid intake and cancers. Ann Nutr Metab 55:140–161PubMedCrossRef Gerber M (2009) Background review paper on total fat, fatty acid intake and cancers. Ann Nutr Metab 55:140–161PubMedCrossRef
28.
go back to reference Chen YQ, Edwards IJ, Kridel SJ, Thornburg T, Berquin IM (2007) Dietary fat-gene interactions in cancer. Cancer Metastasis Rev 26:535–551PubMedCrossRef Chen YQ, Edwards IJ, Kridel SJ, Thornburg T, Berquin IM (2007) Dietary fat-gene interactions in cancer. Cancer Metastasis Rev 26:535–551PubMedCrossRef
29.
go back to reference Caughey RW, Michels KB (2009) Birth weight and childhood leukemia: a meta-analysis and review of the current evidence. Int J Cancer 124:2658–2670PubMedCrossRef Caughey RW, Michels KB (2009) Birth weight and childhood leukemia: a meta-analysis and review of the current evidence. Int J Cancer 124:2658–2670PubMedCrossRef
30.
go back to reference Klimentopoulou A, Antonopoulos CN, Papadopoulou C, Kanavidis P, Tourvas AD, Polychronopoulou S, Baka M, Athanasiadou-Piperopoulou F, Kalmanti M, Sidi V, Moschovi M, Petridou ET (2012) Maternal smoking during pregnancy and risk for childhood leukemia: a nationwide case–control study in Greece and meta-analysis. Pediatr Blood Cancer 58:344–351PubMedCrossRef Klimentopoulou A, Antonopoulos CN, Papadopoulou C, Kanavidis P, Tourvas AD, Polychronopoulou S, Baka M, Athanasiadou-Piperopoulou F, Kalmanti M, Sidi V, Moschovi M, Petridou ET (2012) Maternal smoking during pregnancy and risk for childhood leukemia: a nationwide case–control study in Greece and meta-analysis. Pediatr Blood Cancer 58:344–351PubMedCrossRef
31.
go back to reference Poole C, Greenland S, Luetters C, Kelsey JL, Mezei G (2006) Socioeconomic status and childhood leukaemia: a review. Int J Epidemiol 35:370–384PubMedCrossRef Poole C, Greenland S, Luetters C, Kelsey JL, Mezei G (2006) Socioeconomic status and childhood leukaemia: a review. Int J Epidemiol 35:370–384PubMedCrossRef
Metadata
Title
Nutrition in early life and risk of childhood leukemia: a case–control study in Greece
Authors
Andreas-Antonios Diamantaras
Nick Dessypris
Theodoros N. Sergentanis
Evangelos Ntouvelis
Fani Athanasiadou-Piperopoulou
Margarita Baka
Ioanna Fragandrea
Maria Moschovi
Sofia Polychronopoulou
Eftichia Stiakaki
Demosthenes Panagiotakos
Eleni Petridou
Publication date
01-01-2013
Publisher
Springer Netherlands
Published in
Cancer Causes & Control / Issue 1/2013
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-012-0097-5

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