Magnetic fields and acute lymphoblastic leukemia in children: a systematic review of case-control studies.

Leukemia incidence in children has increased worldwide in recent decades, particularly due to the rise in acute lymphoblastic leukemia. Studies have associated exposure to non-ionizing radiation generated by low frequency magnetic fields with childhood leukemia. The current article reviews the case-control studies published on this subject. Of 152 articles tracked in different databases, ten studies from North America, Asia, and Europe met the defined selection criteria, with patients diagnosed from 1960 to 2004. Methodological limitations were observed in these articles, including difficulties with the procedures for assessing exposure. An association may exist between exposure to low frequency magnetic fields and acute lymphoblastic leukemia in children, but this association is weak, preventing the observation of consistency in the findings. Future studies from a wider range of geographic regions should focus on the analysis of acute lymphoblastic leukemia, which is the subtype with the greatest impact on the increasing overall incidence of childhood leukemia.

[1]  W T Kaune,et al.  Residential exposure to magnetic fields and acute lymphoblastic leukemia in children. , 1997, The New England journal of medicine.

[2]  H. Wachtel,et al.  Case-control study of childhood cancer and exposure to 60-Hz magnetic fields. , 1988, American journal of epidemiology.

[3]  H Wachtel,et al.  Use of wiring configuration and wiring codes for estimating externally generated electric and magnetic fields. , 1989, Bioelectromagnetics.

[4]  J. Ferlay,et al.  Globocan 2000 : cancer incidence, mortality and prevalence worldwide , 2001 .

[5]  N. Breslow,et al.  Statistical methods in cancer research: volume 1- The analysis of case-control studies , 1980 .

[6]  T Tynes,et al.  Residential and occupational exposure to 50 Hz magnetic fields and malignant melanoma: a population based study , 2003, Occupational and environmental medicine.

[7]  A. Feizi,et al.  Acute childhood leukemias and exposure to magnetic fields generated by high voltage overhead power lines - a risk factor in Iran. , 2007, Asian Pacific journal of cancer prevention : APJCP.

[8]  Pekka J Jarvinen,et al.  Public health implications , 2006 .

[9]  S Greenland,et al.  A Pooled Analysis of Magnetic Fields, Wire Codes, and Childhood Leukemia , 2000, Epidemiology.

[10]  M Feychting,et al.  A pooled analysis of magnetic fields and childhood leukaemia , 2000, British Journal of Cancer.

[11]  J. Mission,et al.  Textbook of Cancer Epidemiology , 2004 .

[12]  N. Breslow,et al.  Statistical methods in cancer research. Vol. 1. The analysis of case-control studies. , 1981 .

[13]  R. T. Lie,et al.  Risk of selected birth defects by maternal residence close to power lines during pregnancy , 2004, Occupational and Environmental Medicine.

[14]  R. Swaminathan,et al.  Childhood cancers in Chennai, India, 1990–2001: Incidence and survival , 2008, International journal of cancer.

[15]  David Couper,et al.  Electromagnetic fields, polychlorinated biphenyls, and prostate cancer mortality in electric utility workers. , 2003, American journal of epidemiology.

[16]  J J Spinelli,et al.  Power-frequency electric and magnetic fields and risk of childhood leukemia in Canada. , 1999, American journal of epidemiology.

[17]  M. Coleman,et al.  Leukaemia and residence near electricity transmission equipment: a case-control study. , 1989, British Journal of Cancer.

[18]  J. Ross,et al.  Trends in childhood cancer incidence in the U.S. (1992–2004) , 2008, Cancer.

[19]  M Feychting,et al.  Magnetic fields and cancer in children residing near Swedish high-voltage power lines. , 1993, American journal of epidemiology.

[20]  C. Woods,et al.  A Practical Guide to Human Cancer Genetics , 1993 .

[21]  Birgitta Floderus,et al.  Occupational exposure to magnetic fields in relation to male breast cancer and testicular cancer: a Swedish case-control study , 1997, Cancer Causes & Control.

[22]  E. Steliarova-Foucher,et al.  Leukaemia incidence and survival in children and adolescents in Europe during 1978-1997. Report from the Automated Childhood Cancer Information System project. , 2006, European journal of cancer.

[23]  M. Plummer,et al.  International agency for research on cancer. , 2020, Archives of pathology.

[24]  W T Kaune,et al.  Are children living near high-voltage power lines at increased risk of acute lymphoblastic leukemia? , 2000, American journal of epidemiology.

[25]  N. Wertheimer,et al.  Adult cancer related to electrical wires near the home. , 1982, International journal of epidemiology.

[26]  D. Pelissari Campos eletromagnéticos e leucemia linfocítica aguda em crianças residentes na região metropolitana de São Paulo , 2009 .

[27]  Tore Tynes,et al.  Residential and occupational exposures to 50-Hz magnetic fields and breast cancer in women: a population-based study. , 2004, American journal of epidemiology.

[28]  Uk Childhood Cancer Study Investigators,et al.  Childhood cancer and residential proximity to power lines , 2000, British Journal of Cancer.

[29]  Feizi Aa,et al.  Acute childhood leukemias and exposure to magnetic fields generated by high voltage overhead power lines - a risk factor in Iran. , 2007 .

[30]  A. Holmes,et al.  Risk Factors for Acute Leukemia in Children: A Review , 2006, Environmental health perspectives.

[31]  D A Savitz,et al.  Lung cancer in relation to employment in the electrical utility industry and exposure to magnetic fields. , 1997, Occupational and environmental medicine.

[32]  Robert Tibshirani,et al.  Childhood leukemia and personal monitoring of residential exposures to electric and magnetic fields in Ontario, Canada , 1999, Cancer Causes & Control.

[33]  Leeka Kheifets,et al.  Childhood leukemia and EMF: Review of the epidemiologic evidence , 2005, Bioelectromagnetics.

[34]  N. Wertheimer,et al.  Electrical wiring configurations and childhood cancer. , 1979, American journal of epidemiology.

[35]  Naohito Yamaguchi,et al.  Childhood leukemia and magnetic fields in Japan: A case‐control study of childhood leukemia and residential power‐frequency magnetic fields in Japan , 2006, International journal of cancer.

[36]  D. Hunter,et al.  Textbook of cancer epidemiology , 2003 .

[37]  T Tynes,et al.  Electromagnetic fields and cancer in children residing near Norwegian high-voltage power lines. , 1997, American journal of epidemiology.

[38]  D A Savitz,et al.  Simplification of the Wertheimer-Leeper wire code. , 1994, Bioelectromagnetics.