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Birth size and adult cancer risk

Babies who weighed more at birth had higher rates of digestive and lymphatic cancers in adulthood, according to a new study published February 7, 2005 in the online edition of the International Journal of Cancer, the official journal of the International Union Against Cancer (UICC). The study, available online at Wiley InterScience (http://www.interscience.wiley.com/journal/ijc), also found that women who weighed more at birth had significantly higher rates of breast cancer before age 50, though much lower rates of endometrial cancer at all ages.

Medical experts have proposed associations between birth size and rates of adult cancer. To examine this hypothesis, researcher Valerie A. McCormack and colleagues at the London School of Hygiene & Tropical Medicine and the Universities of Uppsala and Stockholm investigated overall and site-specific cancer incidence in relation to birth characteristics in a Swedish population-based cohort.

The cohort included 11,166 babies born between 1915 and 1929 at Uppsala Academic Hospital in Sweden. At birth, detailed obstetric notes were taken on maternal age, gestational age, birth order, birth weight, placental weight, birth length and head circumference. Follow-up of the cohort was done through linkages to the Swedish Cancer Registry, national censuses and the Swedish Register of Deaths and Migration.

With 2685 people (24 percent) in the cohort diagnosed with cancer between 1960 and 2001, larger birth size was associated with an increased risk of certain adult cancers. A standard deviation increase in birth weight (which was 450g at 40 weeks gestation) was associated with a 17 percent increase in lymphatic cancers, and a 13 percent increase in digestive cancers, including stomach, colorectal and pancreatic, though no association was seen between higher birth weight and five other non reproductive-related cancer sites.

Reproductive-relate
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Contact: David Greenberg
dgreenbe@wiley.com
John Wiley & Sons, Inc.
7-Feb-2005


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