Maternal dietary patterns and acute leukemia in infants: results from a case control study in Mexico.
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Muñoz-Aguirre Paloma, Denova-Gutiérrez Edgar, Pérez-Saldivar María Luisa, Espinoza-Hernández Laura E, Dorantes-Acosta Elisa M, Torres-Nava José R, Solís-Labastida Karina A, Paredes-Aguilera Rogelio, Velázquez-Aviña Martha M, Espinosa-Elizondo R Martha, Miranda-Madrazo M Raquel, González-Ávila Ana Itamar, Rodríguez-Villalobos Luis Rodolfo, Dosta-Herrera Juan José, Mondragón-García Javier A, Castañeda-Echevarría Alejandro, López-Caballero M Guadalupe, Martínez-Silva Sofía I, Rivera-González Juan, Hernández-Pineda Norma Angélica, Flores-Botello Jesús, Pérez-Gómez Jessica Arleet, Rodríguez-Vázquez María Adriana, Torres-Valle Delfino, Olvera-Durán Jaime Ángel, Martínez-Ríos Annel, García-Cortés Luis R, Almeida-Hernández Carolina, Flores-Lujano Janet, Núñez-Enriquez Juan Carlos, Mata-Rocha Minerva, Rosas-Vargas Haydeé, Duarte-Rodríguez David Aldebarán, Jiménez-Morales Silvia, Mejía-Aranguré Juan Manuel, López-Carrillo Lizbeth
Аннотация
METHODS: A hospital-based case-control study was conducted, comparing 109 confirmed acute leukemia cases with 152 age-matched controls. All participants (≤24 months) were identified at hospitals in Mexico City between 2010 and 2019. Data on a posteriori dietary patterns and other relevant variables were collected through structured interviews and dietary questionnaires. Multivariate logistic regression was employed to estimate the association between maternal dietary patterns during pregnancy and the risk of acute leukemia in infants.
RESULTS: The "Balanced & Vegetable-Rich" pattern, characterized by a balanced consumption of various food groups and higher vegetable intake, exhibited a negative association with acute leukemia when compared to the "High Dairy & Cereals" Pattern (adjusted odds ratio [OR] = 0.51; 95% confidence interval [CI]: 0.29, 0.90). We observed that mothers who gave birth to girls and adhered to a healthy dietary pattern during pregnancy exhibited significantly lower odds of their children developing AL compared to those who gave birth to boys [OR = 0.32 (95% CI 0.11, 0.97)]. Our results underscore the significance of maternal nutrition as a modifiable factor in disease prevention and the importance of prenatal health education.