Pooled analysis of recent studies of magnetic fields and childhood leukemia

2022 · Mixed · High evidence

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MixedHigh evidencePaper 879

This pooled analysis of four recent studies using individual-level data reported no increased risk of childhood leukemia for magnetic field exposure ≥0.4 μT compared with <0.1 μT (OR=1.01). No association was observed in analyses restricted to acute lymphobla…

Study snapshot

Publicationmanual · 2022
Study typepolicy
Reported directionMixed
Evidence ratingHigh

Abstract

Pooled analysis of recent studies of magnetic fields and childhood leukemia Aryana T. Amoon, John Swanson, Corrado Magnani, Christoffer Johansen, Leeka Kheifets. Pooled analysis of recent studies of magnetic fields and childhood leukemia. Environmental Research. Volume 204, Part A, 2022. doi: 10.1016/j.envres.2021.111993. Abstract Background Over forty epidemiologic studies have addressed an association between measured or calculated extremely-low-frequency magnetic fields (MF) and childhood leukemia. These studies have been aggregated in a series of pooled analyses, but it has been 10 years since the last such. Methods We present a pooled analysis combining individual-level data (24,994 cases, 30,769 controls) from four recent studies on MF and childhood leukemia. Results Unlike previous pooled analyses, we found no increased risk of leukemia among children exposed to greater MF: odds ratio (OR) = 1.01, for exposure ≥0.4 μT (μT) compared with exposures <0.1 μT. Similarly, no association was observed in the subset of acute lymphoblastic leukemia, birth homes, studies using calculated fields, or when geocoding accuracy was ignored. In these studies, there is a decline in risk over time, also evident when we compare three pooled analyses. A meta-analysis of the three pooled analyses overall presents an OR of 1.45 (95% CI: 0.95–2.20) for exposures ≥0.4 μT. Conclusions Our results are not in line with previous pooled analysis and show a decrease in effect to no association between MF and childhood leukemia. This could be due to methodological issues, random chance, or a true finding of disappearing effect. Funding information This work was supported by the research grant from Electric Power Research Institute. SETIL was financially supported by research grants received from the Italian Association on Research on Cancer (AIRC), the Ministry for Instruction, University, and Research, the Ministry of Health, the Ministry of Labour, and Piedmont Region. sciencedirect.com

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AI evidence extraction

Structured fields below were generated from the paper’s abstract and metadata to make the evidence easier to inspect. Automated extraction may be incomplete or incorrect; verify important details against the original paper.

Study typepolicy
Effect directionmixed
PopulationChildren (childhood leukemia cases and controls)
Sample size55763
ExposureELF
Evidence strengthHighConfidence: 86% · Peer reviewed: yes

Main findings

This pooled analysis of four recent studies using individual-level data reported no increased risk of childhood leukemia for magnetic field exposure ≥0.4 μT compared with <0.1 μT (OR=1.01). No association was observed in analyses restricted to acute lymphoblastic leukemia, birth homes, studies using calculated fields, or when geocoding accuracy was ignored. The authors report a decline in estimated risk over time compared with earlier pooled analyses, while a meta-analysis of three pooled analyses overall reported OR 1.45 (95% CI 0.95–2.20) for ≥0.4 μT.

Outcomes measured

  • Childhood leukemia
  • Acute lymphoblastic leukemia (subset)

Limitations

  • Only four recent studies were included in the pooled analysis (as described).
  • Authors note the change from prior pooled analyses could reflect methodological issues, random chance, or a true disappearing effect.
  • Funding included Electric Power Research Institute (as stated).
View raw extracted JSON
{
  "publication_year": 2022,
  "study_type": "policy",
  "exposure": {
    "band": "ELF",
    "source": null,
    "frequency_mhz": null,
    "sar_wkg": null,
    "duration": null
  },
  "population": "Children (childhood leukemia cases and controls)",
  "sample_size": 55763,
  "outcomes": [
    "Childhood leukemia",
    "Acute lymphoblastic leukemia (subset)"
  ],
  "main_findings": "This pooled analysis of four recent studies using individual-level data reported no increased risk of childhood leukemia for magnetic field exposure ≥0.4 μT compared with <0.1 μT (OR=1.01). No association was observed in analyses restricted to acute lymphoblastic leukemia, birth homes, studies using calculated fields, or when geocoding accuracy was ignored. The authors report a decline in estimated risk over time compared with earlier pooled analyses, while a meta-analysis of three pooled analyses overall reported OR 1.45 (95% CI 0.95–2.20) for ≥0.4 μT.",
  "effect_direction": "mixed",
  "limitations": [
    "Only four recent studies were included in the pooled analysis (as described).",
    "Authors note the change from prior pooled analyses could reflect methodological issues, random chance, or a true disappearing effect.",
    "Funding included Electric Power Research Institute (as stated)."
  ],
  "evidence_strength": "high",
  "confidence": 0.86,
  "peer_reviewed_likely": "yes",
  "stance": "neutral",
  "stance_confidence": 0.62,
  "summary": "This pooled analysis combined individual-level data from four recent epidemiologic studies of extremely-low-frequency magnetic fields and childhood leukemia (24,994 cases; 30,769 controls). It reported no increased risk for exposure ≥0.4 μT versus <0.1 μT and similarly no association in several sensitivity/subgroup analyses. The authors note that estimated risks appear to have declined over time compared with earlier pooled analyses, while a meta-analysis of three pooled analyses overall reported an elevated but imprecise estimate.",
  "key_points": [
    "The study pooled individual-level data from four recent studies on ELF magnetic fields and childhood leukemia.",
    "The pooled analysis reported OR=1.01 for ≥0.4 μT compared with <0.1 μT.",
    "No association was reported for acute lymphoblastic leukemia in subset analyses.",
    "No association was reported when restricting to birth homes or to studies using calculated fields.",
    "The authors report a decline in estimated risk over time compared with earlier pooled analyses.",
    "A meta-analysis of three pooled analyses overall reported OR 1.45 (95% CI 0.95–2.20) for ≥0.4 μT.",
    "The authors suggest the change from earlier findings could reflect methodological issues, random chance, or a true disappearing effect."
  ],
  "categories": [
    "ELF Magnetic Fields",
    "Childhood Cancer",
    "Epidemiology"
  ],
  "tags": [
    "Childhood Leukemia",
    "Acute Lymphoblastic Leukemia",
    "Extremely Low Frequency",
    "Magnetic Fields",
    "Pooled Analysis",
    "Case-Control Studies",
    "Residential Exposure",
    "Geocoding",
    "Calculated Fields",
    "Risk Trend Over Time",
    "Meta-Analysis"
  ],
  "keywords": [
    "extremely-low-frequency magnetic fields",
    "childhood leukemia",
    "pooled analysis",
    "individual-level data",
    "acute lymphoblastic leukemia",
    "meta-analysis",
    "0.4 μT"
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  "suggested_hubs": [
    {
      "slug": "power-lines",
      "weight": 0.78,
      "reason": "Study evaluates extremely-low-frequency magnetic fields at μT levels commonly used in residential/power-line exposure research."
    }
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  "social": {
    "tweet": "Pooled analysis of 4 recent studies (24,994 cases; 30,769 controls) found no increased childhood leukemia risk at ELF magnetic fields ≥0.4 μT vs <0.1 μT (OR=1.01). Authors note risk estimates appear to decline over time vs earlier pooled analyses.",
    "facebook": "A pooled analysis combining individual-level data from four recent studies (24,994 childhood leukemia cases and 30,769 controls) reported no increased risk for ELF magnetic field exposure ≥0.4 μT compared with <0.1 μT. The authors also report that estimated risks have declined over time compared with earlier pooled analyses.",
    "linkedin": "New pooled analysis of four recent epidemiologic studies (24,994 cases; 30,769 controls) reports no association between ELF magnetic fields and childhood leukemia at ≥0.4 μT vs <0.1 μT (OR=1.01). The authors highlight a decline in estimated risk over time compared with earlier pooled analyses, while a meta-analysis of pooled analyses remains imprecise."
  }
}
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AI-extracted fields are generated from the abstract and metadata and may be incomplete or incorrect. This material is for informational purposes and is not medical advice.

Identifiers and source

DOI: 10.1016/j.envres.2021.111993
PubMed: Not supplied

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