Diet quality indices and dietary patterns are associated with plasma metabolites in colorectal cancer patients

Purpose Emerging evidence suggests that diet is linked to survival in colorectal cancer patients, although underlying mechanisms are not fully understood. The aim of this study was to evaluate whether dietary exposures are associated with metabolite concentrations in colorectal cancer patients. Meth...

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Veröffentlicht in:European journal of nutrition 2021-09, Vol.60 (6), p.3171-3184
Hauptverfasser: Geijsen, Anne J. M. R., Kok, Dieuwertje E., van Zutphen, Moniek, Keski-Rahkonen, Pekka, Achaintre, David, Gicquiau, Audrey, Gsur, Andrea, Kruyt, Flip M., Ulrich, Cornelia M., Weijenberg, Matty P., de Wilt, Johannes H. W ., Wesselink, Evertine, Scalbert, Augustin, Kampman, Ellen, van Duijnhoven, Fränzel J. B.
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container_end_page 3184
container_issue 6
container_start_page 3171
container_title European journal of nutrition
container_volume 60
creator Geijsen, Anne J. M. R.
Kok, Dieuwertje E.
van Zutphen, Moniek
Keski-Rahkonen, Pekka
Achaintre, David
Gicquiau, Audrey
Gsur, Andrea
Kruyt, Flip M.
Ulrich, Cornelia M.
Weijenberg, Matty P.
de Wilt, Johannes H. W .
Wesselink, Evertine
Scalbert, Augustin
Kampman, Ellen
van Duijnhoven, Fränzel J. B.
description Purpose Emerging evidence suggests that diet is linked to survival in colorectal cancer patients, although underlying mechanisms are not fully understood. The aim of this study was to evaluate whether dietary exposures are associated with metabolite concentrations in colorectal cancer patients. Methods Concentrations of 134 metabolites of the Biocrates Absolute IDQ p180 kit were quantified in plasma samples collected at diagnosis from 195 stage I-IV colorectal cancer patients. Food frequency questionnaires were used to calculate adherence to the World Cancer Research Fund (WCRF) dietary recommendations and the Dutch Healthy Diet (DHD15) index as well as to construct dietary patterns using Principal Component Analysis. Multivariable linear regression models were used to determine associations between dietary exposures and metabolite concentrations. All models were adjusted for age, sex, body mass index, smoking status, analytical batch, cancer stage, and multiple testing using false discovery rate. Results Participants had a mean (SD) age of 66 (9) years, were mostly men (60%), and mostly diagnosed with stage II and III cancer. For the dietary pattern analyses, Western, Carnivore, and Prudent patterns were identified. Better adherence to the WCRF dietary recommendations was associated with lower concentrations of ten phosphatidylcholines. Higher intake of the Carnivore pattern was associated with higher concentrations of two phosphatidylcholines. The DHD15-index, Western pattern, or Prudent pattern were not associated with metabolite concentrations. Conclusion In the current study, the WCRF dietary score and the Carnivore pattern are associated with phosphatidylcholines. Future research should elucidate the potential relevance of phosphatidylcholine metabolism in the colorectal cancer continuum. Clinical trial registry ClinicalTrials.gov Identifier: NCT03191110.
doi_str_mv 10.1007/s00394-021-02488-1
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M. R. ; Kok, Dieuwertje E. ; van Zutphen, Moniek ; Keski-Rahkonen, Pekka ; Achaintre, David ; Gicquiau, Audrey ; Gsur, Andrea ; Kruyt, Flip M. ; Ulrich, Cornelia M. ; Weijenberg, Matty P. ; de Wilt, Johannes H. W . ; Wesselink, Evertine ; Scalbert, Augustin ; Kampman, Ellen ; van Duijnhoven, Fränzel J. B.</creator><creatorcontrib>Geijsen, Anne J. M. R. ; Kok, Dieuwertje E. ; van Zutphen, Moniek ; Keski-Rahkonen, Pekka ; Achaintre, David ; Gicquiau, Audrey ; Gsur, Andrea ; Kruyt, Flip M. ; Ulrich, Cornelia M. ; Weijenberg, Matty P. ; de Wilt, Johannes H. W . ; Wesselink, Evertine ; Scalbert, Augustin ; Kampman, Ellen ; van Duijnhoven, Fränzel J. B.</creatorcontrib><description>Purpose Emerging evidence suggests that diet is linked to survival in colorectal cancer patients, although underlying mechanisms are not fully understood. The aim of this study was to evaluate whether dietary exposures are associated with metabolite concentrations in colorectal cancer patients. Methods Concentrations of 134 metabolites of the Biocrates Absolute IDQ p180 kit were quantified in plasma samples collected at diagnosis from 195 stage I-IV colorectal cancer patients. Food frequency questionnaires were used to calculate adherence to the World Cancer Research Fund (WCRF) dietary recommendations and the Dutch Healthy Diet (DHD15) index as well as to construct dietary patterns using Principal Component Analysis. Multivariable linear regression models were used to determine associations between dietary exposures and metabolite concentrations. All models were adjusted for age, sex, body mass index, smoking status, analytical batch, cancer stage, and multiple testing using false discovery rate. Results Participants had a mean (SD) age of 66 (9) years, were mostly men (60%), and mostly diagnosed with stage II and III cancer. For the dietary pattern analyses, Western, Carnivore, and Prudent patterns were identified. Better adherence to the WCRF dietary recommendations was associated with lower concentrations of ten phosphatidylcholines. Higher intake of the Carnivore pattern was associated with higher concentrations of two phosphatidylcholines. The DHD15-index, Western pattern, or Prudent pattern were not associated with metabolite concentrations. Conclusion In the current study, the WCRF dietary score and the Carnivore pattern are associated with phosphatidylcholines. Future research should elucidate the potential relevance of phosphatidylcholine metabolism in the colorectal cancer continuum. 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M. R.</creatorcontrib><creatorcontrib>Kok, Dieuwertje E.</creatorcontrib><creatorcontrib>van Zutphen, Moniek</creatorcontrib><creatorcontrib>Keski-Rahkonen, Pekka</creatorcontrib><creatorcontrib>Achaintre, David</creatorcontrib><creatorcontrib>Gicquiau, Audrey</creatorcontrib><creatorcontrib>Gsur, Andrea</creatorcontrib><creatorcontrib>Kruyt, Flip M.</creatorcontrib><creatorcontrib>Ulrich, Cornelia M.</creatorcontrib><creatorcontrib>Weijenberg, Matty P.</creatorcontrib><creatorcontrib>de Wilt, Johannes H. W .</creatorcontrib><creatorcontrib>Wesselink, Evertine</creatorcontrib><creatorcontrib>Scalbert, Augustin</creatorcontrib><creatorcontrib>Kampman, Ellen</creatorcontrib><creatorcontrib>van Duijnhoven, Fränzel J. B.</creatorcontrib><title>Diet quality indices and dietary patterns are associated with plasma metabolites in colorectal cancer patients</title><title>European journal of nutrition</title><addtitle>Eur J Nutr</addtitle><addtitle>Eur J Nutr</addtitle><description>Purpose Emerging evidence suggests that diet is linked to survival in colorectal cancer patients, although underlying mechanisms are not fully understood. The aim of this study was to evaluate whether dietary exposures are associated with metabolite concentrations in colorectal cancer patients. Methods Concentrations of 134 metabolites of the Biocrates Absolute IDQ p180 kit were quantified in plasma samples collected at diagnosis from 195 stage I-IV colorectal cancer patients. Food frequency questionnaires were used to calculate adherence to the World Cancer Research Fund (WCRF) dietary recommendations and the Dutch Healthy Diet (DHD15) index as well as to construct dietary patterns using Principal Component Analysis. Multivariable linear regression models were used to determine associations between dietary exposures and metabolite concentrations. All models were adjusted for age, sex, body mass index, smoking status, analytical batch, cancer stage, and multiple testing using false discovery rate. Results Participants had a mean (SD) age of 66 (9) years, were mostly men (60%), and mostly diagnosed with stage II and III cancer. For the dietary pattern analyses, Western, Carnivore, and Prudent patterns were identified. Better adherence to the WCRF dietary recommendations was associated with lower concentrations of ten phosphatidylcholines. Higher intake of the Carnivore pattern was associated with higher concentrations of two phosphatidylcholines. The DHD15-index, Western pattern, or Prudent pattern were not associated with metabolite concentrations. Conclusion In the current study, the WCRF dietary score and the Carnivore pattern are associated with phosphatidylcholines. Future research should elucidate the potential relevance of phosphatidylcholine metabolism in the colorectal cancer continuum. 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M. R.</au><au>Kok, Dieuwertje E.</au><au>van Zutphen, Moniek</au><au>Keski-Rahkonen, Pekka</au><au>Achaintre, David</au><au>Gicquiau, Audrey</au><au>Gsur, Andrea</au><au>Kruyt, Flip M.</au><au>Ulrich, Cornelia M.</au><au>Weijenberg, Matty P.</au><au>de Wilt, Johannes H. W .</au><au>Wesselink, Evertine</au><au>Scalbert, Augustin</au><au>Kampman, Ellen</au><au>van Duijnhoven, Fränzel J. B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diet quality indices and dietary patterns are associated with plasma metabolites in colorectal cancer patients</atitle><jtitle>European journal of nutrition</jtitle><stitle>Eur J Nutr</stitle><addtitle>Eur J Nutr</addtitle><date>2021-09-01</date><risdate>2021</risdate><volume>60</volume><issue>6</issue><spage>3171</spage><epage>3184</epage><pages>3171-3184</pages><issn>1436-6207</issn><eissn>1436-6215</eissn><abstract>Purpose Emerging evidence suggests that diet is linked to survival in colorectal cancer patients, although underlying mechanisms are not fully understood. The aim of this study was to evaluate whether dietary exposures are associated with metabolite concentrations in colorectal cancer patients. Methods Concentrations of 134 metabolites of the Biocrates Absolute IDQ p180 kit were quantified in plasma samples collected at diagnosis from 195 stage I-IV colorectal cancer patients. Food frequency questionnaires were used to calculate adherence to the World Cancer Research Fund (WCRF) dietary recommendations and the Dutch Healthy Diet (DHD15) index as well as to construct dietary patterns using Principal Component Analysis. Multivariable linear regression models were used to determine associations between dietary exposures and metabolite concentrations. All models were adjusted for age, sex, body mass index, smoking status, analytical batch, cancer stage, and multiple testing using false discovery rate. Results Participants had a mean (SD) age of 66 (9) years, were mostly men (60%), and mostly diagnosed with stage II and III cancer. For the dietary pattern analyses, Western, Carnivore, and Prudent patterns were identified. Better adherence to the WCRF dietary recommendations was associated with lower concentrations of ten phosphatidylcholines. Higher intake of the Carnivore pattern was associated with higher concentrations of two phosphatidylcholines. 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subjects Aged
Body Mass Index
Cancer
Cancer research
Chemistry
Chemistry and Materials Science
Colorectal cancer
Colorectal carcinoma
Colorectal Neoplasms
Diet
Diet, Healthy
Humans
Lecithin
Male
Medical research
Metabolites
NCT
NCT03191110
Nutrition
Original Contribution
Patients
Phosphatidylcholine
Principal components analysis
Regression analysis
title Diet quality indices and dietary patterns are associated with plasma metabolites in colorectal cancer patients
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