RT Journal Article T1 Lifestyle correlates of eight breast cancer-related metabolites: a cross-sectional study within the EPIC cohort. A1 His, Mathilde A1 Viallon, Vivian A1 Dossus, Laure A1 Schmidt, Julie A A1 Travis, Ruth C A1 Gunter, Marc J A1 Overvad, Kim A1 Kyrø, Cecilie A1 Tjønneland, Anne A1 Lécuyer, Lucie A1 Rothwell, Joseph A A1 Severi, Gianluca A1 Johnson, Theron A1 Katzke, Verena A1 Schulze, Matthias B A1 Masala, Giovanna A1 Sieri, Sabina A1 Panico, Salvatore A1 Tumino, Rosario A1 Macciotta, Alessandra A1 Boer, Jolanda M A A1 Monninkhof, Evelyn M A1 Olsen, Karina Standahl A1 Nøst, Therese H A1 Sandanger, Torkjel M A1 Agudo, Antonio A1 Sánchez, Maria-Jose A1 Amiano, Pilar A1 Colorado-Yohar, Sandra M A1 Ardanaz, Eva A1 Vidman, Linda A1 Winkvist, Anna A1 Heath, Alicia K A1 Weiderpass, Elisabete A1 Huybrechts, Inge A1 Rinaldi, Sabina K1 Anthropometry K1 Breast cancer K1 Cross-sectional K1 Lifestyle K1 Metabolites AB Metabolomics is a promising molecular tool for identifying novel etiological pathways leading to cancer. In an earlier prospective study among pre- and postmenopausal women not using exogenous hormones, we observed a higher risk of breast cancer associated with higher blood concentrations of one metabolite (acetylcarnitine) and a lower risk associated with higher blood concentrations of seven others (arginine, asparagine, phosphatidylcholines (PCs) aa C36:3, ae C34:2, ae C36:2, ae C36:3, and ae C38:2). To identify determinants of these breast cancer-related metabolites, we conducted a cross-sectional analysis to identify their lifestyle and anthropometric correlates in 2358 women, who were previously included as controls in case-control studies nested within the European Prospective Investigation into Cancer and Nutrition cohort and not using exogenous hormones at blood collection. Associations of each metabolite concentration with 42 variables were assessed using linear regression models in a discovery set of 1572 participants. Significant associations were evaluated in a validation set (n = 786). For the metabolites previously associated with a lower risk of breast cancer, concentrations of PCs ae C34:2, C36:2, C36:3, and C38:2 were negatively associated with adiposity and positively associated with total and saturated fat intakes. PC ae C36:2 was also negatively associated with alcohol consumption and positively associated with two scores reflecting adherence to a healthy lifestyle. Asparagine concentration was negatively associated with adiposity. Arginine and PC aa C36:3 concentrations were not associated to any of the factors examined. For the metabolite previously associated with a higher risk of breast cancer, acetylcarnitine, a positive association with age was observed. These associations may indicate possible mechanisms underlying associations between lifestyle and anthropometric factors, and risk of breast cancer. Further research is needed to identify potential non-lifestyle correlates of the metabolites investigated. YR 2021 FD 2021-12-10 LK https://hdl.handle.net/10668/24672 UL https://hdl.handle.net/10668/24672 LA en DS RISalud RD Apr 6, 2025