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A Vulnerable Age for the Introduction of Solid Foods in Pediatric Acute Lymphoblastic Leukemia
Jeremy M Schraw1, Michael E Scheurer2, Michele R Forman1
1a Department of Nutritional Sciences , University of Texas at Austin , Austin , Texas , USA.
Insights
Introducing solid foods later in infancy, after 6 months, was linked to a higher risk of childhood acute lymphoblastic leukemia (ALL). Breastfeeding and timely introduction of solids are recommended.
Area of Science:
- Pediatric Oncology
- Epidemiology
- Environmental Health
Background:
- Limited research exists on infant feeding practices and pediatric acute lymphoblastic leukemia (ALL).
- Understanding risk factors for ALL is crucial for early detection and prevention.
Purpose of the Study:
- To investigate the association between the age of solid food introduction and the risk of pediatric ALL.
- To explore the role of infant formula feeding in relation to pediatric ALL.
Main Methods:
- A case-control study involving 171 pediatric ALL cases and 342 matched controls.
- Data collected on infant feeding, including age at introduction of solids and formula use.
- Multivariable logistic regression analysis to calculate odds ratios (OR) for ALL risk.
Main Results:
- Later introduction of solids (7-9 months and ≥10 months) was associated with significantly increased odds of ALL (OR=4.08 and OR=6.03, respectively).
- Each additional month of infant formula feeding correlated with a 16% increased odds of ALL (OR=1.16).
Conclusions:
- A later introduction to solid foods presents a potential risk factor for pediatric ALL.
- Adherence to American Academy of Pediatrics guidelines for introducing solids is advised.
Background:
There is little research concerning infant formula or the age at introduction to solid foods and pediatric acute lymphoblastic leukemia (ALL). The purpose of this case-control study was to estimate the association of age at introduction of solids and pediatric ALL.
Methods:
171 ALL cases aged 0-14 years were recruited at Texas Children's Cancer Center and matched on sex, age, and ethnicity to 342 population-based controls. Data were collected on infant feeding and known risk factors for ALL. Multivariable logistic regression was used to model the odds ratio of ALL by quartile of age at introduction of solids with the first/earliest quartile (0-4 months) as the reference group.
Results:
In adjusted models, the odds ratio of ALL among children in quartile 3 (7-9 months) was 4.08, 95% confidence interval (CI) 1.42-11.71; for children in quartile 4 (≥10 months) the odds ratio (OR) was 6.03, 95% CI 2.06-17.72. For each additional month of milk formula feeding, the OR of ALL was 1.16, 95% CI 1.08-1.25.
Conclusions:
These results suggest a window when later introduction to solids is positively associated with ALL and recommend compliance with the American Academy of Pediatrics guidelines.
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