RT Journal Article T1 Dietary Methyl-Group Donor Intake and Breast Cancer Risk in the European Prospective Investigation into Cancer and Nutrition (EPIC). A1 Van Puyvelde, Heleen A1 Papadimitriou, Nikos A1 Clasen, Joanna A1 Muller, David A1 Biessy, Carine A1 Ferrari, Pietro A1 Halkjær, Jytte A1 Overvad, Kim A1 Tjønneland, Anne A1 Fortner, Renée T A1 Katzke, Verena A1 Schulze, Matthias B A1 Chiodini, Paolo A1 Masala, Giovanna A1 Pala, Valeria A1 Sacerdote, Carlotta A1 Tumino, Rosario A1 Bakker, Marije F A1 Agudo, Antonio A1 Ardanaz, Eva A1 Chirlaque López, María Dolores A1 Sanchez-Perez, Maria-Jose A1 Ericson, Ulrika A1 Gylling, Björn A1 Karlsson, Therese A1 Manjer, Jonas A1 Schmidt, Julie A A1 Nicolas, Geneviève A1 Casagrande, Corinne A1 Weiderpass, Elisabete A1 Heath, Alicia K A1 Godderis, Lode A1 Van Herck, Koen A1 De Bacquer, Dirk A1 Gunter, Marc J A1 Huybrechts, Inge K1 EPIC K1 betaine K1 breast cancer K1 choline K1 folate K1 methionine AB (1) Background: Methyl-group donors (MGDs), including folate, choline, betaine, and methionine, may influence breast cancer (BC) risk through their role in one-carbon metabolism; (2) Methods: We studied the relationship between dietary intakes of MGDs and BC risk, adopting data from the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort; (3) Results: 318,686 pre- and postmenopausal women were followed between enrolment in 1992-2000 and December 2013-December 2015. Dietary MGD intakes were estimated at baseline through food-frequency questionnaires. Multivariable Cox proportional hazards regression models were used to quantify the association between dietary intake of MGDs, measured both as a calculated score based on their sum and individually, and BC risk. Subgroup analyses were performed by hormone receptor status, menopausal status, and level of alcohol intake. During a mean follow-up time of 14.1 years, 13,320 women with malignant BC were identified. No associations were found between dietary intakes of the MGD score or individual MGDs and BC risk. However, a potential U-shaped relationship was observed between dietary folate intake and overall BC risk, suggesting an inverse association for intakes up to 350 µg/day compared to a reference intake of 205 µg/day. No statistically significant differences in the associations were observed by hormone receptor status, menopausal status, or level of alcohol intake; (4) Conclusions: There was no strong evidence for an association between MGDs involved in one-carbon metabolism and BC risk. However, a potential U-shaped trend was suggested for dietary folate intake and BC risk. Further research is needed to clarify this association. PB MDPI AG YR 2021 FD 2021-05-26 LK http://hdl.handle.net/10668/17927 UL http://hdl.handle.net/10668/17927 LA en NO Van Puyvelde H, Papadimitriou N, Clasen J, Muller D, Biessy C, Ferrari P, et al. Dietary Methyl-Group Donor Intake and Breast Cancer Risk in the European Prospective Investigation into Cancer and Nutrition (EPIC). Nutrients. 2021 May 28;13(6):1843. DS RISalud RD Apr 12, 2025