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Título : Breastfeeding and early infection in the aetiology of childhood leukaemia in Down syndrome
Creador: Flores Lujano J
Nivel de acceso: Open access
Palabras clave : Lactancia Materna - efectos adversos
Estudios de Casos y Controles
Síndrome de Down - complicaciones
Síndrome de Down - diagnóstico
Síndrome de Down - epidemiología
niño
recién nacido
Infección - complicaciones
Infección - epidemiología
Leucemia Mieloide - complicaciones
Leucemia Mieloide - diagnóstico
Leucemia Mieloide - epidemiología
Leucemia-Linfoma Linfoblástico de Células Precursoras - complicaciones
Leucemia-Linfoma Linfoblástico de Células Precursoras - diagnóstico
Leucemia-Linfoma Linfoblástico de Células Precursoras - epidemiología
Breast Feeding- adverse effects
Case-Control Studies
Down Syndrome - complications
Down Syndrome - diagnosis
Down Syndrome - epidemiology
child
Infant, Newborn
Infection - complications
Infection - epidemiology
Leukemia, Myeloid - complications
Leukemia, Myeloid - diagnosis
Leukemia, Myeloid - epidemiology
Precursor Cell Lymphoblastic Leukemia-Lymphoma - complications
Precursor Cell Lymphoblastic Leukemia-Lymphoma - diagnosis
Precursor Cell Lymphoblastic Leukemia-Lymphoma - epidemiology
leucemia, Síndrome de Down, lactancia materna, infecciones
leukaemia, Down syndrome, breastfeeding, infections
Descripción : Background: For a child to develop acute leukaemia (AL), environmental exposure may not be sufficient: interaction with a susceptibility factor to the disease, such as Down syndrome (DS), may also be necessary. We assessed whether breastfeeding and early infection were associated with the risk of developing AL in children with DS.Methods:Children with DS in Mexico City, and either with or without AL, were the cases (N57) and controls (N218), respectively. Population was divided in children with AL and with acute lymphoblastic leukaemia (ALL) and also in children 6 and 6 years old.Results:Breastfeeding and early infections showed moderate (but not significant) association for AL, whereas hospitalisation by infection during the first year of life increased the risk: odds ratios (confidence interval 95%) were 0.84 (0.43-1.61), 1.70 (0.82-3.52); and 3.57 (1.59-8.05), respectively. A similar result was obtained when only ALL was analysed.Conclusion:We found that breastfeeding was a protective factor for developing AL and ALL, and during the first year of life, infections requiring hospitalisation were related to a risk for developing the disease in those children with DS 6 years of age. These data do not support the Greaves's hypothesis of early infection being protective for developing ALL. © 2009 Cancer Research UK.
Colaborador(es) u otros Autores: Perez-Saldivar ML
Fuentes-Pananá EM
Gorodezky C
Bernaldez-Rios R
Del Campo-Martinez MA
Martinez-Avalos A
Medina-Sanson A
Paredes-Aguilera R
De Diego-Flores Chapa J
Bolea-Murga V
Rodriguez-Zepeda MC
Rivera-Luna R
Palomo-Colli MA
Romero-Guzman L
Perez-Vera P
Alvarado-Ibarra M
Salamanca-Gómez F
Fajardo-Gutierrez A
Mejía-Aranguré JM
Fecha de publicación : 2009
Tipo de publicación: Artículo
Formato: pdf
Identificador del Recurso : 10.1038/sj.bjc.6605244
Fuente: British Journal of Cancer 101(5):860 - 864
URI : http://repositorio.pediatria.gob.mx:8180/handle/20.500.12103/2130
Idioma: eng
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