Maternal Obesity, Birth Size, and Risk of Childhood Cancer Development

Shaina L Stacy1,2, Jeanine M Buchanich3, Zhen-Qiang Ma4

  • 1UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania.

Insights

Maternal obesity and abnormal newborn size are linked to increased childhood cancer risk. These early-life factors, including fetal growth, play a significant role in cancer development, highlighting the importance of prenatal health.

Area of Science:

  • Environmental Health
  • Pediatric Oncology
  • Epidemiology

Background:

  • Infants and children are highly susceptible to environmental exposures during critical developmental windows.
  • Maternal health and exposures before and during pregnancy can significantly impact a child's long-term health outcomes, including cancer risk.

Purpose of the Study:

  • To investigate the association between maternal anthropometric characteristics (e.g., body mass index) and newborn size with the risk of childhood cancer.
  • To identify potential early-life risk factors for childhood cancer development.

Main Methods:

  • Linked Pennsylvania birth and childhood cancer registry data from 2003-2016.
  • Analyzed a cohort of over 1.8 million births, assessing cancer diagnoses before age 14.
  • Utilized statistical models to evaluate the relationship between maternal body mass index, newborn size, and cancer risk, controlling for known factors.

Main Results:

  • Maternal body mass index (BMI) of 40 or higher was associated with a 57% increased risk of leukemia.
  • Newborns larger than expected (≥30% above) had 2.2-fold and 1.8-fold increased hazard ratios for total childhood cancer and leukemia, respectively.
  • Newborns smaller than expected (<30% below) also showed an increased risk for overall childhood cancer.

Conclusions:

  • Maternal obesity and deviations in fetal growth (both large and small for gestational age) are significant risk factors for childhood cancer.
  • Early-life exposures related to maternal obesity and fetal growth patterns contribute to childhood cancer development.
  • These findings underscore the importance of monitoring maternal health and fetal growth during pregnancy to mitigate childhood cancer risks.

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