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024 7 _ |2 ISSN
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041 _ _ |a eng
082 _ _ |a 610
100 1 _ |a Rothwell, Joseph A
|b 0
245 _ _ |a Metabolic Signatures of Healthy Lifestyle Patterns and Colorectal Cancer Risk in a European Cohort.
260 _ _ |a New York, NY
|b Elsevier Science
|c 2022
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500 _ _ |a 2022 May;20(5):e1061-e1082
520 _ _ |a Colorectal cancer risk can be lowered by adherence to the World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) guidelines. We derived metabolic signatures of adherence to these guidelines and tested their associations with colorectal cancer risk in the European Prospective Investigation into Cancer (EPIC) cohort.Scores reflecting adherence to the WCRF/AICR recommendations (scale 1-5) were calculated from participant data on weight maintenance, physical activity, diet, and alcohol among a discovery set of 5,738 cancer-free EPIC participants with metabolomics data. Partial least squares regression was used to derive fatty acid and endogenous metabolite signatures of WCRF/AICR score in this group. In an independent set of 1,608 colorectal cancer cases and matched controls, odds ratios (OR) and 95% confidence intervals (CI) were calculated for colorectal cancer risk per unit increase in WCRF/AICR score and per the corresponding change in metabolic signatures using multivariable conditional logistic regression.Higher WCRF/AICR scores were characterized by metabolic signatures of elevated odd-chain fatty acids, serine, glycine and specific phosphatidylcholines. Signatures were more strongly inversely associated with colorectal cancer risk (fatty acids: OR 0.51 per unit increase, 95% CI 0.29-0.90; endogenous metabolites: OR 0.62 per unit change, 95% CI 0.50-0.78) than the WCRF/AICR score (OR 0.93 per unit change, 95% CI 0.86-1.00) overall. Signature associations were stronger in male compared to female participants.Metabolite profiles reflecting adherence to WCRF/AICR guidelines and additional lifestyle or biological risk factors were associated with colorectal cancer. Measuring a specific panel of metabolites representative of healthy or unhealthy lifestyle may identify strata of the population at higher risk of colorectal cancer.
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700 1 _ |a Murphy, Neil
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700 1 _ |a Bešević, Jelena
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700 1 _ |a Kliemann, Nathalie
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700 1 _ |a Jenab, Mazda
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700 1 _ |a Ferrari, Pietro
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700 1 _ |a Achaintre, David
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700 1 _ |a Gicquiau, Audrey
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700 1 _ |a Vozar, Béatrice
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700 1 _ |a Scalbert, Augustin
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700 1 _ |a Huybrechts, Inge
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700 1 _ |a Freisling, Heinz
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700 1 _ |a Adamski, Jerzy
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700 1 _ |a Cross, Amanda J
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700 1 _ |a Pala, Valeria Maria
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700 1 _ |a Boutron-Ruault, Marie-Christine
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700 1 _ |a Overvad, Kim
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700 1 _ |a Gram, Inger Torhild
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700 1 _ |a Sandanger, Torkjel M
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700 1 _ |a Skeie, Guri
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700 1 _ |a Jakszyn, Paula
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700 1 _ |a Tsilidis, Kostas K
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700 1 _ |a Aleksandrova, Krasimira
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700 1 _ |a Schulze, Matthias B
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700 1 _ |a Hughes, David J
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700 1 _ |a van Guelpen, Bethany
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700 1 _ |a Bodén, Stina
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700 1 _ |a Sánchez, Maria-José
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700 1 _ |a Schmidt, Julie A
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700 1 _ |a Tumino, Rosario
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700 1 _ |a Bueno-de-Mesquita, Bas
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700 1 _ |a Vineis, Paolo
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700 1 _ |a Masala, Giovanna
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700 1 _ |a Panico, Salvatore
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700 1 _ |a Eriksen, Anne Kirstine
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700 1 _ |a Tjønneland, Anne
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700 1 _ |a Aune, Dagfinn
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700 1 _ |a Weiderpass, Elisabete
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700 1 _ |a Severi, Gianluca
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700 1 _ |a Chajès, Véronique
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700 1 _ |a Gunter, Marc J
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Marc 21