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Changes in Dietary Intake of Methionine, Folate/Folic Acid and Vitamin B12 and Survival in Postmenopausal Women with Breast Cancer: A Prospective Cohort Study. | LitMetric

AI Article Synopsis

  • Previous studies indicated that limiting methionine in diets may reduce the growth and spread of breast cancer cells, but the effect of methionine intake changes on survival post-diagnosis had not been studied.
  • The research involved 1553 postmenopausal women with invasive breast cancer, examining their dietary changes in methionine, folate/folic acid, and vitamin B12 before and after diagnosis.
  • Results showed that women who decreased their methionine intake had significantly lower risks of both all-cause mortality and breast cancer mortality compared to those with stable methionine intake, while changes in folate or vitamin B12 intake did not affect mortality outcomes.

Article Abstract

Background: Previous experimental studies showed that limiting methionine in the diet of animals or in cell culture media suppresses mammary cancer cell proliferation or metastasis. However, no previous study has investigated the associations of changes in methionine intake with survival among breast cancer survivors. We aimed to examine the association between changes in dietary intake of methionine, folate/folic acid, and vitamin B12 from before to after diagnosis of breast cancer, and mortality among breast cancer survivors.

Methods: We included 1553 postmenopausal women from the Women's Health Initiative who were diagnosed with invasive breast cancer and completed a food frequency questionnaire both before and after breast cancer diagnosis. Multivariable Cox proportional hazards regression models were used to estimate adjusted hazard ratios (HRs) and 95% confidence (CIs) of all-cause and breast cancer mortality associated with changes in methionine intake and changes in folate/folic acid and vitamin B12 intake.

Results: Relative to pre-diagnosis, 28% of women decreased methionine intake by ≥20%, 30% of women increased methionine intake by ≥20%, and 42% of women had a relatively stable methionine intake (±19.9%) following breast cancer diagnosis. During a mean 16.1 years of follow up, there were 772 deaths in total, including 195 deaths from breast cancer. Compared to women with relatively stable methionine intake, women with decreased methionine intake had lower risks of all-cause (HR 0.78, 95% CI 0.62-0.97) and breast cancer mortality (HR 0.58, 95% CI 0.37-0.91) in fully adjusted models. In contrast, increased methionine intake or changes in folate/folic acid or vitamin B12 intake were not associated with all-cause or breast cancer mortality.

Conclusions: Among breast cancer survivors, decreased methionine intake after breast cancer diagnosis was associated with lower risk of all-cause and breast cancer mortality.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9699275PMC
http://dx.doi.org/10.3390/nu14224747DOI Listing

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