Frontiers in Oncology (Sep 2023)

A protective maternal nutrient concomitant intake associated with acute leukemia might be modified by sex, in children under 2 years

  • Ángel Mérida-Ortega,
  • María Luisa Pérez-Saldivar,
  • Laura E. Espinoza-Hernández,
  • Elisa M. Dorantes-Acosta,
  • José Refugio Torres-Nava,
  • Karina A. Solís-Labastida,
  • Rogelio Paredes-Aguilera,
  • Martha M. Velázquez-Aviña,
  • Rosa Martha Espinosa-Elizondo,
  • M. Raquel Miranda-Madrazo,
  • Ana Itamar González-Ávila,
  • Luis Rodolfo Rodríguez-Villalobos,
  • Juan José Dosta-Herrera,
  • Javier A. Mondragón-García,
  • Alejandro Castañeda-Echevarría,
  • M. Guadalupe López-Caballero,
  • Sofía I. Martínez-Silva,
  • Juan Rivera-González,
  • Norma Angélica Hernández-Pineda,
  • Jesús Flores-Botello,
  • Jessica Arleet Pérez-Gómez,
  • María Adriana Rodríguez-Vázquez,
  • Delfino Torres-Valle,
  • Jaime Ángel Olvera-Durán,
  • Annel Martínez-Ríos,
  • Luis R. García‐Cortés,
  • Carolina Almeida-Hernández,
  • Janet Flores-Lujano,
  • Juan Carlos Núñez-Enríquez,
  • Minerva Mata-Rocha,
  • Haydeé Rosas-Vargas,
  • David Aldebarán Duarte-Rodríguez,
  • Silvia Jiménez-Morales,
  • Juan Manuel Mejía-Arangure,
  • Juan Manuel Mejía-Arangure,
  • Lizbeth López-Carrillo

DOI
https://doi.org/10.3389/fonc.2023.1239147
Journal volume & issue
Vol. 13

Abstract

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IntroductionMaternal dietary consumption during pregnancy has been inconclusively associated with acute leukemia (AL) in infants, probably because epidemiological evidence has emerged mainly from the analysis of one-by-one nutrient, which is not a real-life scenario. Our objective was to evaluate the association between AL in Mexican children under 2 years of age and their mothers’ nutrients concomitant intake during pregnancy, as well as to explore whether there are differences between girls and boys.MethodsWe conducted a study of 110 cases of AL and 252 hospital-based controls in the Mexico City Metropolitan area from 2010 to 2019. We obtained information on maternal intake of 32 nutrients by a food frequency questionnaire and used weighted quantile sum regression to identify nutrient concomitant intakes.ResultsWe found a concomitant intake of nutrients negatively associated with AL (OR 0.17; CI95% 0.03,0.88) only among girls; and we did not find a nutrient concomitant intake positively associated with AL.DiscussionThis is the first study that suggests nutrients that have been individually associated with AL are not necessarily the same in the presence of other nutrients (concomitant intake); as well as that maternal diet might reduce AL risk only in girls.

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