Abstract
Objectives
To investigate whether maternal coffee and/or tea consumption during the last 6 months of pregnancy was associated with risk of childhood ALL.
Methods
Data on coffee and tea drinking during pregnancy from 337 case mothers and 697 control mothers were analyzed using unconditional multivariable logistic regression. A meta-analysis of our findings with those of previous studies was also conducted.
Results
There was little evidence of an overall association between maternal coffee consumption and risk of ALL: OR 0.89 (95% CI 0.61, 1.30), although there was some suggestion that higher levels of intake might increase the risk in children of non-smoking mothers: OR for 2+ cups/day = 1.44 (95% CI 0.85, 2.42); this was supported by our meta-analysis. Risk was also elevated among cases with chromosomal translocations. The overall OR for maternal tea consumption was 0.82 (95% CI 0.56, 1.18), although the OR for T-cell ALL was 0.21 (95% CI 0.08, 0.51). Among ALL cases with translocations, the ORs for tea consumption tended to be elevated: OR = 1.70 (95% CI 0.79–3.68) for 2+ cups/day.
Conclusions
The observed increased risk associated with coffee and tea consumption may be confined to ALL with translocations. These associations should be explored further in large international consortia.
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Acknowledgments
This was supported by the Australian National Health and Medical Research Council (Grant ID 254539); National Health and Medical Research Council Career Development Award and Cancer Council Western Australia Research Fellowship (to LM); National Health and Medical Research Council PhD Scholarship (to HB); National Health and Medical Research Council Fellowship and Program Grant (to CB); and the Cancer Council Western Australia Usher Vacation Scholarship (to LB).
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The Aus-ALL consortium conducted the study and the Telethon Institute for Child Health Research (TICHR), University of Western Australia, was the coordinating center. Bruce Armstrong (Sydney School of Public Health), Elizabeth Milne (TICHR), Frank van Bockxmeer (Royal Perth Hospital), Michelle Haber (Children’s Cancer Institute Australia), Rodney Scott (University of Newcastle), John Attia (University of Newcastle), Murray Norris (Children’s Cancer Institute Australia), Carol Bower (TICHR), Nicholas de Klerk (TICHR), Lin Fritschi (WA Institute for Medical Research), Ursula Kees (TICHR), Margaret Miller (Edith Cowan University), and Judith Thompson (WA Cancer Registry) were the research investigators, and Helen Bailey (TICHR) was the project coordinator. The clinical investigators were Frank Alvaro (John Hunter Hospital, Newcastle); Catherine Cole (Princess Margaret Hospital for Children, Perth); Luciano Dalla Pozza (Children’s Hospital at Westmead, Sydney); John Daubenton (Royal Hobart Hospital, Hobart); Peter Downie (Monash Medical Centre, Melbourne); Lianne Lockwood, (Royal Children’s Hospital, Brisbane); Maria Kirby (Women’s and Children’s Hospital, Adelaide); Glenn Marshall (Sydney Children’s Hospital, Sydney); Elizabeth Smibert (Royal Children’s Hospital, Melbourne); Ram Suppiah, (previously Mater Children’s Hospital, Brisbane).
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Milne, E., Royle, J.A., Bennett, L.C. et al. Maternal consumption of coffee and tea during pregnancy and risk of childhood ALL: results from an Australian case–control study. Cancer Causes Control 22, 207–218 (2011). https://doi.org/10.1007/s10552-010-9688-1
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DOI: https://doi.org/10.1007/s10552-010-9688-1