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Advancing Parental Age and Risk of Solid Tumors in Children: A Case-Control Study in Peru
Ligia Rios1, Liliana Vásquez1, Mónica Oscanoa1
1Pediatric Oncology Unit, Edgardo Rebagliati Martins Hospital, 490 Domingo Cueto Avenue, Lima 11, Peru.
Insights
Advanced parental age increases the risk of childhood retinoblastoma, non-Hodgkin lymphoma, and gonadal germ cell tumors. Higher birth order offers a protective effect against childhood solid tumors.
Area of Science:
- Pediatric Oncology
- Epidemiology
- Genetics
Background:
- Causes of childhood cancer remain largely unknown.
- Advanced parental age is a suspected risk factor for childhood cancers.
- This study investigates the association between parental age and childhood solid tumors.
Purpose of the Study:
- To examine the relationship between advanced parental age and the risk of specific childhood solid tumors.
- To assess the influence of maternal and paternal age on cancer development in children.
Main Methods:
- A hospital-based case-control study was conducted with 310 cases and 620 controls matched for age and gender.
- The study was performed at Rebagliati Hospital in Lima, Peru.
- Odds ratios were calculated to compare risks associated with advanced maternal and paternal age, with adjustments for confounding factors.
Main Results:
- Children of mothers over 35 had a significantly higher risk of retinoblastoma (adjusted OR 1.21).
- Children of fathers over 35 showed an increased risk of retinoblastoma (OR 1.17), non-Hodgkin's lymphoma (p=0.047), and gonadal germ cell tumors (p=0.04).
- Increasing parity demonstrated a strong protective effect against childhood solid tumors (p=0.0015).
Conclusions:
- Advanced parental age is linked to an increased risk of retinoblastoma.
- Advanced paternal age is associated with higher risks for non-Hodgkin lymphoma and gonadal germ cell tumors.
- Higher birth order is associated with a reduced risk of developing childhood neoplasms.
Background:
The causes of childhood cancer are not well known, but the advanced age of the parents has been suggested as a risk factor for childhood cancer in several observational studies. In this study, we examine a possible link between parental age and childhood solid tumors.
Methods:
We conducted a hospital-based case-control study (310 cases and 620 controls, matched by age and gender) at Rebagliati Hospital, Lima, Peru. Odd ratio was used to compare categories of advancing maternal and paternal age with and without adjusting for possible confounding factors were calculated.
Results:
The risk of childhood retinoblastoma was significantly higher among children of mothers aged> 35 years (adjusted OR 1.21; 95% CI, 1.09-6.08) and fathers aged> 35 years (OR 1.17; 1.01-16.33). A significant trend with increasing mother's age (p = 0.037) and father's age (p = 0.005) was found. There were more risks to development of non-Hodgkin's lymphoma (p = 0.047) and gonadal germ cell tumors (p = 0.04) for advanced paternal age. There was a strong protective effect of increasing parity on risk of solid tumors in children (p=0.0015).
Conclusion:
Our results suggest that advanced parental age is associated with the risk for the development of retinoblastoma. Advanced paternal age increases the risk of non-Hodgkin lymphoma and gonadal germ cell tumor. The higher the order of birth of the children, the less the chance of developing any neoplasm.
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