Table 2.
The association between birthweight and childhood cancers, leukaemia, ALL, and non-leukaemia cancers in the pooled dataset
| Birthweight metric (n cases) | Model 1b | Model 2c | Model 3d | |||
|---|---|---|---|---|---|---|
| HRa | 95% CI | HRa | 95% CI | HRa | 95% CI | |
| Birthweight ≥4.0 kge | ||||||
| Cancer (377) | 1.14 | 0.88, 1.48 | 1.19 | 0.91, 1.55 | 1.17 | 0.89, 1.54 |
| Leukaemia (115) | 1.25 | 0.80, 1.96 | 1.31 | 0.83, 2.08 | 1.21 | 0.74, 1.96 |
| ALL (98) | 1.21 | 0.74, 1.96 | 1.25 | 0.76, 2.06 | 1.21 | 0.72, 2.04 |
| Non-leukaemia (262) | 1.09 | 0.79, 1.50 | 1.14 | 0.82, 1.58 | 1.11 | 0.79, 1.56 |
| Top 10% of birthweights in each cohortf | ||||||
| Cancer (377) | 1.17 | 0.85, 1.61 | 1.22 | 0.88, 1.69 | 1.18 | 0.84, 1.65 |
| Leukaemia (115) | 1.25 | 0.72, 2.19 | 1.31 | 0.74, 2.31 | 1.16 | 0.63, 2.12 |
| ALL (98) | 1.14 | 0.61, 2.13 | 1.17 | 0.62, 2.23 | 1.08 | 0.55, 2.14 |
| Non-leukaemia (262) | 1.14 | 0.77, 1.68 | 1.18 | 0.80, 1.75 | 1.14 | 0.75, 1.71 |
| Continuous birthweight, kgg | ||||||
| Cancer (377) | 1.10 | 0.91, 1.31 | 1.26 | 1.02, 1.54 | 1.26 | 1.02, 1.56 |
| Leukaemia (115) | 1.25 | 0.89, 1.75 | 1.42 | 0.98, 2.06 | 1.35 | 0.90, 2.02 |
| ALL (98) | 1.16 | 0.81, 1.67 | 1.29 | 0.85, 1.93 | 1.29 | 0.83, 1.99 |
| Non-leukaemia (262) | 1.04 | 0.83, 1.28 | 1.19 | 0.93, 1.52 | 1.18 | 0.91, 1.54 |
Hazard ratios (95% CI) from a stratified Cox proportional hazard regression using all observations in the pooled dataset. In models 2 and 3 missing observations are imputed using a chained multiple imputation method.
Model 1 is an unadjusted Cox proportional hazard regression model stratified by cohort in which birthweight is the only independent variable.
Model 2 is an adjusted Cox proportional hazard regression model stratified by cohort in which birthweight, gestational age, and sex of the child are the independent variables.
- Cancer: birthweight hazard ratio is adjusted for gestational age, child’s sex, maternal age, paternal age (rescaled as quadratic), first born, and maternal pre-pregnancy BMI.
- Leukaemia: birthweight hazard ratio is adjusted for gestational age, child’s sex, maternal age, total pregnancy weight gain, maternal pre-pregnancy BMI, first born, and any maternal smoking during pregnancy.
- ALL: birthweight hazard ratio is adjusted for gestational age, child’s sex, paternal age (rescaled as quadratic), total pregnancy weight gain, and any maternal smoking during pregnancy.
- Non-leukaemia cancers: birthweight hazard ratio is adjusted for gestational age, child’s sex, paternal age (rescaled as quadratic), total pregnancy weight gain, first born, and maternal pre-pregnancy BMI.
Reference group for birthweight ≥4.0 kg is birthweight <4.0 kg.
The reference group for the top 10% of each cohort is the bottom 90% of each cohort.
For continuous birthweight, the hazard ratio represents a 1 kg increase in birthweight.