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Sprehe MR, Barahmani N, Cao Y, Wang T, Forman MR, Bondy M, Okcu MF. Comparison of birth weight corrected for gestational age and birth weight alone in prediction of development of childhood leukemia and central nervous system tumors. Pediatr Blood Cancer 2010; 54:242-9. [PMID: 19813253 PMCID: PMC2795053 DOI: 10.1002/pbc.22308] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
INTRODUCTION High birth weight (HBW) is an established risk factor for childhood acute lymphoblastic leukemia (ALL). The purpose of this study was to evaluate if birth weight (BW) corrected-for-gestational age is a better predictor than BW alone for occurrence of ALL and other malignancies in children. MATERIALS AND METHODS Birth certificate data of 2,254 children with cancer who were younger than 5 years old at diagnosis and registered at Texas Cancer Registry during 1995-2003 were compared to 11,734 age-matched controls. Multivariable logistic regression was used to compare models with BW corrected-for-gestational age and BW alone. RESULTS Compared to children who were appropriate for gestational age (AGA), children who were large for gestational age (LGA) at birth had a 1.66 times (95% CI 1.32-2.10) higher odds of ALL. Similarly, children with a BW > or =4,000 g had a 1.5 times (95% CI 1.18-1.89) higher odds for ALL, compared to children who weighed >2,500 and <4,000 g at birth. Using model diagnostics, the model containing BW corrected-for-gestational age was a better predictor than the model with BW alone [Akaike's Information Criterion (AIC) 4,646 vs. 4,658, respectively]. Odds ratios (OR) were similar for LGA children who were <4,000 g and LGA children who were > or =4,000 g (OR = 1.5, 95% CI 0.97-2.5 and OR = 1.67, 95% CI 1.29-2.16, respectively). BW was not an independent risk factor for acute myeloid leukemia or brain tumors. CONCLUSION BW corrected-for-gestational age is a better predictor than BW alone of risk for ALL. Future studies using BW variable should incorporate gestational age in their analyses.
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Affiliation(s)
- Michael R Sprehe
- Department of Pediatrics, Baylor College of Medicine, Texas Children’s Cancer Center, Houston, Texas, USA
| | - Nadia Barahmani
- Department of Pediatrics, Baylor College of Medicine, Texas Children’s Cancer Center, Houston, Texas, USA, Childhood Cancer Prevention and Epidemiology Center, Houston, Texas, USA
| | - Yumei Cao
- Department of Epidemiology, University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA
| | - Tao Wang
- Department of Biostatistics, Baylor College of Medicine, Houston, Texas, USA
| | - Michele R. Forman
- Department of Pediatrics, Baylor College of Medicine, Texas Children’s Cancer Center, Houston, Texas, USA, Department of Epidemiology, University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA
| | - Melissa Bondy
- Childhood Cancer Prevention and Epidemiology Center, Houston, Texas, USA, Department of Epidemiology, University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA
| | - M. Fatih Okcu
- Department of Pediatrics, Baylor College of Medicine, Texas Children’s Cancer Center, Houston, Texas, USA, Childhood Cancer Prevention and Epidemiology Center, Houston, Texas, USA,Correspondence to: Mehmet Fatih Okcu, MD, MPH, Clinical care Center, Suite 1510.19, 6621 Fannin, CC 1510.00, Houston, TX 77030-2399;
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