Table 4.
Association of childhood ALL with intake of vitamin supplements containing B vitamins before and during pregnancy, by maternal race/ethnicity
Vitamin supplements before pregnancy |
Hispanic mothersa 234 cases, 296 controls |
White mothersa 265 cases, 374 controls |
Asian mothersa 68 cases, 79 controls |
|||
Discordant sets (%)b |
Odds Ratio (95% CI) |
Discordant sets (%)b |
Odds Ratio (95% CI) |
Discordant sets (%)b |
Odds Ratio (95% CI) |
|
Level of B vitamin intake from multiple vitaminsc |
68 (29.1) | 177 (66.8) | 31 (45.6) | |||
None | (Ref) | (Ref) | (Ref) | |||
Moderate intake | 1.12 (0.44–2.84) | 1.25 (0.75–2.07) | --- | |||
High intake | 0.36 (0.17–0.74) | 0.76 (0.50–1.16) | 1.51 (0.47–4.89) | |||
Vitamin supplements during pregnancy |
194 cases, 229 controls |
154 cases, 261 controls |
||||
Pregnancy only | 53 (41.7) | (Ref) | 86 (71.1) | (Ref) | --- | |
Before and during pregnancyd | 0.34 (0.14–0.79) | 0.66 (0.39–1.11) | --- |
Conditional logistic regression models adjusted for adjusted for father’s education, mother’s education, household income, and maternal age at child’s birth and the principal component for nutrient intake from food.
Race/ethnic categories for vitamin supplement use include both English and Spanish respondents because questions did not differ by language.
Discordant sets are case-control pairs or triplets for which the mothers were discordant on exposure and contributed to estimation of the OR in the conditional logistic models.
For folic acid, moderate intake is >0 & <600 µg and high intake is ≥600 µg. For vitamins B12, B6, and riboflavin, moderate intake is >0 & <5 µg B12 and <1.5 mg B6 and riboflavin, and high intake is ≥5 µg B12 and ≥1.5 mg B6 and riboflavin.
Multiple vitamin use before pregnancy and use of prenatal vitamins, one-a-day Centrum or Thera-type multiple vitamins, Stresstabs/B-complex vitamins, or folic acid during pregnancy.