Department of Epidemiology, UCLA School of Public Health, 650 Charles Young Drive, Los Angeles, CA 90095, USA.
Br J Cancer. 2010 Sep 28;103(7):1128-35. doi: 10.1038/sj.bjc.6605838.
Previous pooled analyses have reported an association between magnetic fields and childhood leukaemia. We present a pooled analysis based on primary data from studies on residential magnetic fields and childhood leukaemia published after 2000.
Seven studies with a total of 10,865 cases and 12,853 controls were included. The main analysis focused on 24-h magnetic field measurements or calculated fields in residences.
In the combined results, risk increased with increase in exposure, but the estimates were imprecise. The odds ratios for exposure categories of 0.1-0.2 μT, 0.2-0.3 μT and ≥0.3 μT, compared with <0.1 μT, were 1.07 (95% CI 0.81-1.41), 1.16 (0.69-1.93) and 1.44 (0.88-2.36), respectively. Without the most influential study from Brazil, the odds ratios increased somewhat. An increasing trend was also suggested by a nonparametric analysis conducted using a generalised additive model.
Our results are in line with previous pooled analyses showing an association between magnetic fields and childhood leukaemia. Overall, the association is weaker in the most recently conducted studies, but these studies are small and lack methodological improvements needed to resolve the apparent association. We conclude that recent studies on magnetic fields and childhood leukaemia do not alter the previous assessment that magnetic fields are possibly carcinogenic.
之前的荟萃分析报告称磁场与儿童白血病之间存在关联。我们基于 2000 年后发表的关于居住磁场与儿童白血病的研究的原始数据进行了荟萃分析。
纳入了 7 项研究,共包含 10865 例病例和 12853 例对照。主要分析集中于 24 小时磁场测量或住宅内计算的磁场。
在综合结果中,风险随着暴露的增加而增加,但估计值不精确。与<0.1μT 相比,暴露类别为 0.1-0.2μT、0.2-0.3μT 和≥0.3μT 的比值比分别为 1.07(95%CI 0.81-1.41)、1.16(0.69-1.93)和 1.44(0.88-2.36)。没有巴西最具影响力的研究,比值比略有增加。广义加性模型进行的非参数分析也表明存在上升趋势。
我们的结果与之前的荟萃分析一致,表明磁场与儿童白血病之间存在关联。总体而言,最近进行的研究中的关联较弱,但这些研究规模较小,且缺乏解决明显关联所需的方法学改进。我们得出结论,最近关于磁场和儿童白血病的研究并没有改变之前磁场可能致癌的评估。