Abstract

Metabolomics can detect metabolic shifts resulting from lifestyle behaviors and may provide insight on the relevance of changes to carcinogenesis. We used non-targeted nuclear magnetic resonance to examine associations between metabolic measures and cancer preventive behaviors in 1319 participants (50% male, mean age 54 years) from the BC Generations Project. Behaviors were dichotomized: BMI < 25 kg/m2, ≥ 5 servings of fruits or vegetables/day, ≤ 2 alcoholic drinks/day for men or 1 drink/day for women and ≥ 30 min of moderate or vigorous physical activity/day. Linear regression was used to estimate coefficients and 95% confidence intervals with a false discovery rate (FDR) of 0.10. Of the 218 metabolic measures, 173, 103, 71 and 6 were associated with BMI, fruits and vegetables, alcohol consumption and physical activity. Notable findings included negative associations between glycoprotein acetyls, an inflammation-related metabolite with lower BMI and greater fruit and vegetable consumption, a positive association between polyunsaturated fatty acids and fruit and vegetable consumption and positive associations between high-density lipoprotein subclasses with lower BMI. These findings provide insight into metabolic alterations in the context of cancer prevention and the diverse biological pathways they are involved in. In particular, behaviors related to BMI, fruit and vegetable and alcohol consumption had a large metabolic impact.

Highlights

  • The global burden of cancer is substantial, with an estimated 18.1 million new cancer cases and 9.6 million cancer deaths in 2018 a­ lone[1]

  • Out of the 218 metabolic measures captured by nuclear magnetic resonance (NMR), 173, 103, and 71 were associated with body mass index (BMI), fruit and vegetable intake and alcohol, respectively

  • Metabolic signatures associated with lifestyle behaviors spanned lipoproteins, amino acids, fatty acids, inflammation, fluid balance, apolipoproteins, glycerides, and phospholipids

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Summary

Introduction

The global burden of cancer is substantial, with an estimated 18.1 million new cancer cases and 9.6 million cancer deaths in 2018 a­ lone[1]. Poor diet, physical inactivity and alcohol consumption accounted for approximately 18% of cancer cases in the United States in 2014, the highest contributing factors other than cigarette ­smoking[4]. Prior pilot research from our group reported several notable differences in metabolite profiles between people (n = 120) who did and did not follow recommendations for body weight, physical activity and alcohol consumption. Not meeting recommendations was associated with lipid metabolite profiles indicative of poor metabolic health including lower levels of high-density lipoprotein (HDL) metabolites, and higher levels of low density lipoprotein (LDL) ­metabolites[13]. The aim of the current study was to expand upon our prior effort to study associations between cancer preventive behaviors and metabolic profiles and to determine relevance of metabolic associations with cancer-related pathways in a much larger sample of Canadian adults

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