Evidence map›Paper›PMID 36432434›Full record

ArticleNutrients2022

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

Yangbo Sun, Jay H Fowke, Xiaoyu Liang, Khyobeni Mozhui, Saunak Sen, Wei Bao, Buyun Liu, Linda G Snetselaar, Robert B Wallace, Aladdin H Shadyab and 3 more

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 3 countries.

Yangbo SunDepartment of Preventive Medicine, College of Medicine, The University of Tennessee Health Science Center, 66 N. Pauline Street, Memphis, TN 38163, USA.ORCID 0000-0003-0377-4450
Jay H FowkeDepartment of Preventive Medicine, College of Medicine, The University of Tennessee Health Science Center, 66 N. Pauline Street, Memphis, TN 38163, USA.ORCID 0000-0003-3803-8162
Xiaoyu LiangDepartment of Preventive Medicine, College of Medicine, The University of Tennessee Health Science Center, 66 N. Pauline Street, Memphis, TN 38163, USA.
Khyobeni MozhuiDepartment of Preventive Medicine, College of Medicine, The University of Tennessee Health Science Center, 66 N. Pauline Street, Memphis, TN 38163, USA.
Saunak SenDepartment of Preventive Medicine, College of Medicine, The University of Tennessee Health Science Center, 66 N. Pauline Street, Memphis, TN 38163, USA.
Wei BaoInstitute of Public Health, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei 230026, China.
Buyun LiuDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA 52242, USA.ORCID 0000-0002-9553-8764
Linda G SnetselaarDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA 52242, USA.
Robert B WallaceDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA 52242, USA.
Aladdin H ShadyabHerbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, CA 92093, USA.
Nazmus SaquibCollege of Medicine, Sulaiman AlRajhi University, Al Bukayriah 51941, Saudi Arabia.ORCID 0000-0002-2819-2839
Ting-Yuan David ChengCollege of Public Health and Health Professions, University of Florida, Gainesville, FL 32610, USA.ORCID 0000-0002-4105-828X
Karen C JohnsonDepartment of Preventive Medicine, College of Medicine, The University of Tennessee Health Science Center, 66 N. Pauline Street, Memphis, TN 38163, USA.ORCID 0000-0002-3493-4077
University of Tennessee Health Science Center · USUniversity of Iowa · USSulaiman Al Rajhi Colleges · SAUniversity of California San Diego · USUniversity of Florida · USUniversity of Science and Technology of China · CN

Funding

Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Brandi Janssen · 1990 to 2026
$40.5M
NHLBI NIH HHS HHSN268201600001CNHLBI NIH HHS HHSN268201600002CNHLBI NIH HHS HHSN268201600003CNHLBI NIH HHS HHSN268201600004CNHLBI NIH HHS HHSN268201600018CNIEHS NIH HHS P30 ES005605
6 · The paper itself

Abstract

backgroundPrevious 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.

methodsWe 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.

resultsRelative 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.

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

Indexed as

NeoplasmsVitamin B 12AnimalsEatingFemaleFolic AcidHumansMethioninePostmenopauseProspective StudiesRacemethionineRisk FactorsFolic AcidMethionineRacemethionineVitamin B 12cancer survivalmethioninepostmenopausal breast cancer

Identifiers

PMID36432434
PMCPMC9699275
OpenAlexW4308868352

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.