What are the risk factors for childhood leukemia?
A risk factor is something that increases a person’s chance of getting a disease. Different cancers have different risk factors.
Lifestyle risk factors such as diet, body weight, physical activity, and tobacco use play a major role in many adult cancers. But these factors often take many years to affect cancer risk, and they are not thought to play much of a role in childhood cancers, including leukemias.
There are a few known risk factors for childhood leukemia. But most children with leukemia do not have any known risk factors, and the cause of their cancer is not known at this time.
Genetic risk factors
Genetic risk factors are those that are part of our genes, which control nearly everything our cells do. Certain changes in our genes can cause bone marrow stem cells to develop into leukemia. These changes are most often inherited from our parents. Some genetic factors increase the risk of childhood leukemia, but most leukemias are not linked to any known genetic causes.
Some inherited disorders increase a child’s risk of leukemia:
- Li-Fraumeni syndrome
- Down syndrome
- Fanconi anemia
- Wiskott-Aldrich syndrome
- Bloom syndrome
- Schwachman-Diamond syndrome
Having a brother or sister with leukemia
Brothers and sisters of children with leukemia have a slightly higher chance of getting leukemia, although the overall risk is still low. The risk is much higher among identical twins.
Having a parent who develops leukemia as an adult does not seem to raise a person’s risk of leukemia.
Lifestyle risk factors
Lifestyle risk factors such as diet and exercise play a very small role (if any) in childhood cancer risk, even though they are important in adult cancers. Some studies have suggested that a mother drinking a lot of alcohol during pregnancy might increase the risk of leukemia in her child, but not all studies have found such a link.
Environmental risk factors
Environmental risk factors are things around us such as radiation and certain chemicals, which increase the risk of getting diseases like leukemia.
Exposure to high levels of radiation is a risk factor for childhood leukemia.
It is not known how much risk there might be when children are exposed to lower levels of radiation, such as from x-rays or CT scans. Any increase in risk is likely to be small, but to be safe, most doctors do not order these tests for pregnant women or children unless they are really needed.
Exposure to chemo drugs and certain other chemicals
Children and adults who were treated with chemo for other cancers have a higher risk of getting a second cancer such as AML later in life. These leukemias usually develop within 5 to 10 years of treatment and tend to be hard to treat.
Exposure to chemicals like benzene (a solvent used in the cleaning industry and in the making of some drugs, plastics, and dyes) may cause acute leukemia in adults and, rarely, in children. Chemical exposure is more strongly linked to an increased risk of AML than to ALL.
Some studies have found a possible link between childhood leukemia and household exposure to pesticides, either during pregnancy or early childhood. More research is needed to try to confirm these findings.
Weakened immune system
Children who are getting drugs to suppress their immune systems (mainly children who have had organ transplants) have a higher risk of certain cancers, including ALL.
Other possible risk factors
A few studies have suggested that some childhood leukemias might be caused by a combination of genetic and environmental factors. For example, certain genes normally control how our bodies break down and get rid of harmful chemicals. Some people have different versions of these genes that make them less effective. Children who inherit these genes may not be as able to break down harmful chemicals if they are exposed to them. The combination of genetics and exposure might increase their risk for leukemia.
Many other possible risk factors have been studied, such as living near power lines or nuclear power plants, or having certain infections early in life. But so far, most studies have not found strong links between any other risk factors and childhood leukemia.
Last Medical Review: 05/13/2015
Last Revised: 02/03/2016