Evidence map›Paper›PMID 41063022›Full record

SynthesisBMC cancer2025

Early-life exposures and risk of hematological malignancies in adulthood: a cohort study, meta-analysis and Mendelian randomization analysis.

Yuelin Guo, Jing Zheng, Hongli Huang, Lili Pan, Haomin Yang

Abstract readMeta-Analysis
In one paragraph

Synthesis in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yuelin Guo *Department of Epidemiology and Health Statistics, School of Public Health & Fujian Provincial Key Laboratory of Environment Factors and Cancer, Fujian Medical University, Xue Yuan Road 1, University Town, Fuzhou, Fujian, 350122, China.
Jing Zheng *Department of Epidemiology and Health Statistics, School of Public Health & Fujian Provincial Key Laboratory of Environment Factors and Cancer, Fujian Medical University, Xue Yuan Road 1, University Town, Fuzhou, Fujian, 350122, China.
Hongli Huang *Fuqing Center for Disease Control and Prevention, Fuzhou, 350300, China.
Lili Pan *Department of Hematology, Fujian Institute of Hematology, Fujian Medical University Union Hospital, Xinquan Road, No.29, Fuzhou, Fujian, China. theresalilipan@fjmu.edu.cn.
Haomin Yang *Department of Epidemiology and Health Statistics, School of Public Health & Fujian Provincial Key Laboratory of Environment Factors and Cancer, Fujian Medical University, Xue Yuan Road 1, University Town, Fuzhou, Fujian, 350122, China. haomin.yang@ki.se.ORCID http://orcid.org/0000-0002-2252-2606

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the global increase in annual incidence of hematological malignancies, the associations between early-life exposures and adult hematological malignancies were not well understood.

methodsBy conducting a prospective cohort study in the UK biobank, hazard ratios (HR) and 95% confidence intervals (CI) for hematological malignancies based on early-life exposures were estimated with Cox regression models. We further conducted a meta-analysis combining our study with previous cohort studies, and a two-sample Mendelian randomization (MR) analysis to evaluate the potential causal association.

resultsSmoking initiation < 14 years old, a larger body size and taller in height at age 10, were associated with an increased risk of hematological malignancies in adulthood, with corresponding HRs 1.17 (95% CI = 1.03; 1.32), 1.16 (95%CI = 1.06; 1.27) and 1.24 (95%CI = 1.14; 1.36), respectively. The associations were mediated by adulthood BMI and height, but not smoking status. Meta-analysis found no significant association for maternal smoking around birth, multiple births and breastfed as a baby. In addition, the MR analysis suggested a potential causal effect of height at age 10 and age at smoking initiation on leukemia (p < 0.05).

conclusionsTaller height at age 10 and younger age at smoking initiation were associated with an increased risk of hematological malignancies in adulthood, especially for leukemia. These findings emphasize the importance of comprehensive tobacco control among adolescents and inclusion of these factors in the assessment for hematological malignancies risk.

Indexed as

Hematologic NeoplasmsAdolescentAdultBody HeightBody Mass IndexChildFemaleHumansMaleMendelian Randomization AnalysisMiddle AgedProspective StudiesRisk FactorsSmokingUnited KingdomAdults hematological malignancyEarly-life exposuresMendelian randomization

Identifiers

PMID41063022
PMCPMC12506295

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.