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1. Longitudinal associations of diurnal rest-activity rhythms with fatigue, insomnia, and health-related quality of life in survivors of colorectal cancer up to 5 years post-treatment

Author

Chong, Marvin Y., Frenken, Koen G., Eussen, Simone J. P. M., Koster, Annemarie, Pot, Gerda K., Breukink, Stéphanie O., Janssen-Heijnen, Maryska, Keulen, Eric T. P., Bijnens, Wouter, Buffart, Laurien M., Meijer, Kenneth, Scheer, Frank A. J. L., Steindorf, Karen, de Vos-Geelen, Judith, Weijenberg, Matty P., van Roekel, Eline H., and Bours, Martijn J. L.

Published
2024
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2. Longitudinal associations of sedentary behavior and physical activity with body composition in colorectal cancer survivors up to 2 years post treatment

Author

Kenkhuis, Marlou-Floor, Klingestijn, Mo, Fanshawe, Anne-Marie, Breukink, Stéphanie O., Janssen-Heijnen, Maryska L. G., Keulen, Eric T. P., Rinaldi, Sabina, Vineis, Paolo, Gunter, Marc J., Leitzmann, Michael F., Scalbert, Augustin, Weijenberg, Matty P., Bours, Martijn J. L., and van Roekel, Eline H.

Published
2023
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6. Longitudinal associations of plasma kynurenines and ratios with fatigue and quality of life in colorectal cancer survivors up to 12 months post‐treatment.

Author

Holthuijsen, Daniëlle D. B., van Roekel, Eline H., Bours, Martijn J. L., Ueland, Per M., Breukink, Stéphanie O., Janssen‐Heijnen, Maryska L. G., Keulen, Eric T. P., Brezina, Stefanie, Gigic, Biljana, Peoples, Anita R., Ulrich, Cornelia M., Ulvik, Arve, Weijenberg, Matty P., and Eussen, Simone J. P. M.

Subjects
FALSE discovery rate, COLORECTAL cancer, CANCER fatigue, MASS spectrometry, TRYPTOPHAN
Abstract

Fatigue is prevalent in colorectal cancer (CRC) survivors, impacting their health‐related quality of life (HRQoL). Inflammation‐induced activation of the kynurenine pathway may play a role in cancer‐related fatigue and HRQoL, but evidence is scarce. Therefore, we aimed to investigate longitudinal associations of plasma tryptophan, kynurenines, and ratios with fatigue and HRQoL in CRC survivors up to 12 months post‐treatment. Repeated measurements at 6 weeks, 6 months, and 12 months post‐treatment were performed in 249 stage I‐III CRC survivors. Plasma tryptophan and eight kynurenines were analyzed using liquid chromatography‐tandem mass spectrometry (LC/MS–MS). Fatigue and HRQoL outcomes were evaluated using validated questionnaires. Confounder‐adjusted linear mixed models were conducted to analyze longitudinal associations, with false discovery rate (FDR) correction. Higher tryptophan (Trp), kynurenic acid (KA), and xanthurenic acid (XA) concentrations, as well as a higher kynurenic acid‐to‐quinolinic acid ratio (KA/QA), were associated with less fatigue and better functioning, while a higher kynurenine‐to‐tryptophan ratio (KTR) and 3‐hydroxykynurenine ratio (HKr) were associated with more fatigue and worse functioning. Finally, higher KA and XA concentrations and a higher KA/QA ratio were associated with a higher overall HRQoL summary score, while a higher HKr was associated with a lower overall HRQoL summary score. In conclusion, we observed that tryptophan and several kynurenines were longitudinally associated with fatigue and HRQoL in CRC survivors up to 12 months post‐treatment. Future research is needed to validate our findings and explore the potential of the kynurenine pathway as intervention target for reducing fatigue and enhancing HRQoL after CRC treatment. [ABSTRACT FROM AUTHOR]

Published
2024
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9. Metabolic signatures of greater body size and their associations with risk of colorectal and endometrial cancers in the European Prospective Investigation into Cancer and Nutrition

Author

Kliemann, Nathalie, Viallon, Vivian, Murphy, Neil, Beeken, Rebecca J., Rothwell, Joseph A., Rinaldi, Sabina, Assi, Nada, van Roekel, Eline H., Schmidt, Julie A., Borch, Kristin Benjaminsen, Agnoli, Claudia, Rosendahl, Ann H., Sartor, Hanna, Huerta, José María, Tjønneland, Anne, Halkjær, Jytte, Bueno-de-Mesquita, Bas, Gicquiau, Audrey, Achaintre, David, Aleksandrova, Krasimira, Schulze, Matthias B., Heath, Alicia K., Tsilidis, Konstantinos K., Masala, Giovanna, Panico, Salvatore, Kaaks, Rudolf, Fortner, Renée T., Van Guelpen, Bethany, Dossus, Laure, Scalbert, Augustin, Keun, Hector C., Travis, Ruth C., Jenab, Mazda, Johansson, Mattias, Ferrari, Pietro, and Gunter, Marc J.

Published
2021
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11. Longitudinal associations of circadian eating patterns with sleep quality, fatigue and inflammation in colorectal cancer survivors up to 24 months post-treatment.

Author

Chong, Marvin Y., Eussen, Simone J. P. M., van Roekel, Eline H., Pot, Gerda K., Koster, Annemarie, Breukink, Stéphanie O., Janssen-Heijnen, Maryska L. G., Keulen, Eric T. P., Stehouwer, Coen D. A., Weijenberg, Matty P., and Bours, Martijn J. L.

Subjects
REPEATED measures design, FOOD consumption, FATIGUE (Physiology), CLINICAL chronobiology, COLORECTAL cancer, TREATMENT effectiveness, DESCRIPTIVE statistics, LONGITUDINAL method, ODDS ratio, FOOD habits, CANCER patient psychology, SLEEP quality, INFLAMMATION, TUMOR classification, CONFIDENCE intervals, TIME, DIET, DIET therapy
Abstract

Fatigue and insomnia, potentially induced by inflammation, are distressing symptoms experienced by colorectal cancer (CRC) survivors. Emerging evidence suggests that besides the nutritional quality and quantity, also the timing, frequency and regularity of dietary intake (chrono-nutrition) could be important for alleviating these symptoms. We investigated longitudinal associations of circadian eating patterns with sleep quality, fatigue and inflammation in CRC survivors. In a prospective cohort of 459 stage I-III CRC survivors, four repeated measurements were performed between 6 weeks and 24 months post-treatment. Chrono-nutrition variables included meal energy contribution, frequency (a maximum of six meals could be reported each day), irregularity and time window (TW) of energetic intake, operationalised based on 7-d dietary records. Outcomes included sleep quality, fatigue and plasma concentrations of inflammatory markers. Longitudinal associations of chrono-nutrition variables with outcomes from 6 weeks until 24 months post-treatment were analysed by confounder-adjusted linear mixed models, including hybrid models to disentangle intra-individual changes from inter-individual differences over time. An hour longer TW of energetic intake between individuals was associated with less fatigue (β : −6·1; 95 % CI (−8·8, −3·3)) and insomnia (β : −4·8; 95 % CI (−7·4, −2·1)). A higher meal frequency of on average 0·6 meals/d between individuals was associated with less fatigue (β : −3·7; 95 % CI (−6·6, −0·8)). An hour increase in TW of energetic intake within individuals was associated with less insomnia (β : −3·0; 95 % CI (−5·2, −0·8)) and inflammation (β : −0·1; 95 % CI (−0·1, 0·0)). Our results suggest that longer TWs of energetic intake and higher meal frequencies may be associated with less fatigue, insomnia and inflammation among CRC survivors. Future studies with larger contrasts in chrono-nutrition variables are needed to confirm these findings. [ABSTRACT FROM AUTHOR]

Published
2024
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13. Longitudinal associations of circadian eating patterns with sleep quality, fatigue, and inflammation in colorectal cancer survivors up to 24 months post-treatment

Author

Chong, Marvin Y., primary, Eussen, Simone J.P.M., additional, van Roekel, Eline H., additional, Pot, Gerda K., additional, Koster, Annemarie, additional, Breukink, Stéphanie O., additional, Janssen-Heijnen, Maryska L.G., additional, Keulen, Eric T.P., additional, Stehouwer, Coen D.A., additional, Weijenberg, Matty P., additional, and Bours, Martijn J.L., additional

Published
2023
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16. Supplementary Tables 1-4; Supplementary Figures 1-4 from Linking Physical Activity to Breast Cancer Risk via the Insulin/Insulin-like Growth Factor Signaling System, Part 2: The Effect of Insulin/Insulin-like Growth Factor Signaling on Breast Cancer Risk

Author

Drummond, Ann E., primary, Swain, Christopher T.V., primary, Milne, Roger L., primary, English, Dallas R., primary, Brown, Kristy A., primary, Skinner, Tina L., primary, Lay, Jannelle, primary, van Roekel, Eline H., primary, Moore, Melissa M., primary, Gaunt, Tom R., primary, Martin, Richard M., primary, Lewis, Sarah J., primary, and Lynch, Brigid M., primary

Published
2023
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17. Data from Linking Physical Activity to Breast Cancer Risk via the Insulin/Insulin-like Growth Factor Signaling System, Part 2: The Effect of Insulin/Insulin-like Growth Factor Signaling on Breast Cancer Risk

Author

Drummond, Ann E., primary, Swain, Christopher T.V., primary, Milne, Roger L., primary, English, Dallas R., primary, Brown, Kristy A., primary, Skinner, Tina L., primary, Lay, Jannelle, primary, van Roekel, Eline H., primary, Moore, Melissa M., primary, Gaunt, Tom R., primary, Martin, Richard M., primary, Lewis, Sarah J., primary, and Lynch, Brigid M., primary

Published
2023
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18. Supplementary Figure from Linking Physical Activity to Breast Cancer Risk via the Insulin/Insulin-like Growth Factor Signaling System, Part 2: The Effect of Insulin/Insulin-like Growth Factor Signaling on Breast Cancer Risk

Author

Drummond, Ann E., primary, Swain, Christopher T.V., primary, Milne, Roger L., primary, English, Dallas R., primary, Brown, Kristy A., primary, Skinner, Tina L., primary, Lay, Jannelle, primary, van Roekel, Eline H., primary, Moore, Melissa M., primary, Gaunt, Tom R., primary, Martin, Richard M., primary, Lewis, Sarah J., primary, and Lynch, Brigid M., primary

Published
2023
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19. Data from Linking Physical Activity to Breast Cancer Risk via Insulin/Insulin-Like Growth Factor Signaling System, Part 1: The Effect of Physical Activity on the Insulin/Insulin-Like Growth Factor Signaling System

Author

Swain, Christopher T.V., primary, Drummond, Ann E., primary, Milne, Roger L., primary, English, Dallas R., primary, Brown, Kristy A., primary, Chong, Jamie E., primary, Skinner, Tina L., primary, van Roekel, Eline H., primary, Moore, Melissa M., primary, Gaunt, Tom R., primary, Martin, Richard M., primary, Lewis, Sarah J., primary, and Lynch, Brigid M., primary

Published
2023
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20. Supplementary Figure from Linking Physical Activity to Breast Cancer Risk via Insulin/Insulin-Like Growth Factor Signaling System, Part 1: The Effect of Physical Activity on the Insulin/Insulin-Like Growth Factor Signaling System

Author

Swain, Christopher T.V., primary, Drummond, Ann E., primary, Milne, Roger L., primary, English, Dallas R., primary, Brown, Kristy A., primary, Chong, Jamie E., primary, Skinner, Tina L., primary, van Roekel, Eline H., primary, Moore, Melissa M., primary, Gaunt, Tom R., primary, Martin, Richard M., primary, Lewis, Sarah J., primary, and Lynch, Brigid M., primary

Published
2023
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21. Figure S1A from Linking Physical Activity to Breast Cancer Risk via Inflammation, Part 1: The Effect of Physical Activity on Inflammation

Author

Swain, Christopher T.V., primary, Drummond, Ann E., primary, Milne, Roger L., primary, English, Dallas R., primary, Brown, Kristy A., primary, Lou, Makayla W.C., primary, Boing, Leonessa, primary, Bageley, Amy, primary, Skinner, Tina L., primary, van Roekel, Eline H., primary, Moore, Melissa M., primary, Gaunt, Tom R., primary, Martin, Richard M., primary, Lewis, Sarah J., primary, and Lynch, Brigid M., primary

Published
2023
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22. Table S6B from Linking Physical Activity to Breast Cancer Risk via Inflammation, Part 1: The Effect of Physical Activity on Inflammation

Author

Swain, Christopher T.V., primary, Drummond, Ann E., primary, Milne, Roger L., primary, English, Dallas R., primary, Brown, Kristy A., primary, Lou, Makayla W.C., primary, Boing, Leonessa, primary, Bageley, Amy, primary, Skinner, Tina L., primary, van Roekel, Eline H., primary, Moore, Melissa M., primary, Gaunt, Tom R., primary, Martin, Richard M., primary, Lewis, Sarah J., primary, and Lynch, Brigid M., primary

Published
2023
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23. Figure 1 from Linking Physical Activity to Breast Cancer Risk via Inflammation, Part 1: The Effect of Physical Activity on Inflammation

Author

Swain, Christopher T.V., primary, Drummond, Ann E., primary, Milne, Roger L., primary, English, Dallas R., primary, Brown, Kristy A., primary, Lou, Makayla W.C., primary, Boing, Leonessa, primary, Bageley, Amy, primary, Skinner, Tina L., primary, van Roekel, Eline H., primary, Moore, Melissa M., primary, Gaunt, Tom R., primary, Martin, Richard M., primary, Lewis, Sarah J., primary, and Lynch, Brigid M., primary

Published
2023
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24. Data from Linking Physical Activity to Breast Cancer via Inflammation, Part 2: The Effect of Inflammation on Breast Cancer Risk

Author

Lou, Makayla W.C., primary, Drummond, Ann E., primary, Swain, Christopher T.V., primary, Milne, Roger L., primary, English, Dallas R., primary, Brown, Kristy A., primary, van Roekel, Eline H., primary, Skinner, Tina L., primary, Moore, Melissa M., primary, Gaunt, Tom R., primary, Martin, Richard M., primary, Lewis, Sarah J., primary, and Lynch, Brigid M., primary

Published
2023
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25. Table S1 from Linking Physical Activity to Breast Cancer via Inflammation, Part 2: The Effect of Inflammation on Breast Cancer Risk

Author

Lou, Makayla W.C., primary, Drummond, Ann E., primary, Swain, Christopher T.V., primary, Milne, Roger L., primary, English, Dallas R., primary, Brown, Kristy A., primary, van Roekel, Eline H., primary, Skinner, Tina L., primary, Moore, Melissa M., primary, Gaunt, Tom R., primary, Martin, Richard M., primary, Lewis, Sarah J., primary, and Lynch, Brigid M., primary

Published
2023
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26. Figure S1E from Linking Physical Activity to Breast Cancer via Inflammation, Part 2: The Effect of Inflammation on Breast Cancer Risk

Author

Lou, Makayla W.C., primary, Drummond, Ann E., primary, Swain, Christopher T.V., primary, Milne, Roger L., primary, English, Dallas R., primary, Brown, Kristy A., primary, van Roekel, Eline H., primary, Skinner, Tina L., primary, Moore, Melissa M., primary, Gaunt, Tom R., primary, Martin, Richard M., primary, Lewis, Sarah J., primary, and Lynch, Brigid M., primary

Published
2023
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27. Table 1 from Linking Physical Activity to Breast Cancer Risk via Inflammation, Part 1: The Effect of Physical Activity on Inflammation

Author

Swain, Christopher T.V., primary, Drummond, Ann E., primary, Milne, Roger L., primary, English, Dallas R., primary, Brown, Kristy A., primary, Lou, Makayla W.C., primary, Boing, Leonessa, primary, Bageley, Amy, primary, Skinner, Tina L., primary, van Roekel, Eline H., primary, Moore, Melissa M., primary, Gaunt, Tom R., primary, Martin, Richard M., primary, Lewis, Sarah J., primary, and Lynch, Brigid M., primary

Published
2023
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28. Table 1 from Linking Physical Activity to Breast Cancer via Inflammation, Part 2: The Effect of Inflammation on Breast Cancer Risk

Author

Lou, Makayla W.C., primary, Drummond, Ann E., primary, Swain, Christopher T.V., primary, Milne, Roger L., primary, English, Dallas R., primary, Brown, Kristy A., primary, van Roekel, Eline H., primary, Skinner, Tina L., primary, Moore, Melissa M., primary, Gaunt, Tom R., primary, Martin, Richard M., primary, Lewis, Sarah J., primary, and Lynch, Brigid M., primary

Published
2023
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29. Figure 2 from Linking Physical Activity to Breast Cancer via Inflammation, Part 2: The Effect of Inflammation on Breast Cancer Risk

Author

Lou, Makayla W.C., primary, Drummond, Ann E., primary, Swain, Christopher T.V., primary, Milne, Roger L., primary, English, Dallas R., primary, Brown, Kristy A., primary, van Roekel, Eline H., primary, Skinner, Tina L., primary, Moore, Melissa M., primary, Gaunt, Tom R., primary, Martin, Richard M., primary, Lewis, Sarah J., primary, and Lynch, Brigid M., primary

Published
2023
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30. Figure 1 from Linking Physical Activity to Breast Cancer via Inflammation, Part 2: The Effect of Inflammation on Breast Cancer Risk

Author

Lou, Makayla W.C., primary, Drummond, Ann E., primary, Swain, Christopher T.V., primary, Milne, Roger L., primary, English, Dallas R., primary, Brown, Kristy A., primary, van Roekel, Eline H., primary, Skinner, Tina L., primary, Moore, Melissa M., primary, Gaunt, Tom R., primary, Martin, Richard M., primary, Lewis, Sarah J., primary, and Lynch, Brigid M., primary

Published
2023
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31. Figure 3 from Linking Physical Activity to Breast Cancer via Inflammation, Part 2: The Effect of Inflammation on Breast Cancer Risk

Author

Lou, Makayla W.C., primary, Drummond, Ann E., primary, Swain, Christopher T.V., primary, Milne, Roger L., primary, English, Dallas R., primary, Brown, Kristy A., primary, van Roekel, Eline H., primary, Skinner, Tina L., primary, Moore, Melissa M., primary, Gaunt, Tom R., primary, Martin, Richard M., primary, Lewis, Sarah J., primary, and Lynch, Brigid M., primary

Published
2023
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32. Figure 3 from Linking Physical Activity to Breast Cancer Risk via Inflammation, Part 1: The Effect of Physical Activity on Inflammation

Author

Swain, Christopher T.V., primary, Drummond, Ann E., primary, Milne, Roger L., primary, English, Dallas R., primary, Brown, Kristy A., primary, Lou, Makayla W.C., primary, Boing, Leonessa, primary, Bageley, Amy, primary, Skinner, Tina L., primary, van Roekel, Eline H., primary, Moore, Melissa M., primary, Gaunt, Tom R., primary, Martin, Richard M., primary, Lewis, Sarah J., primary, and Lynch, Brigid M., primary

Published
2023
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33. Figure 2 from Linking Physical Activity to Breast Cancer Risk via Inflammation, Part 1: The Effect of Physical Activity on Inflammation

Author

Swain, Christopher T.V., primary, Drummond, Ann E., primary, Milne, Roger L., primary, English, Dallas R., primary, Brown, Kristy A., primary, Lou, Makayla W.C., primary, Boing, Leonessa, primary, Bageley, Amy, primary, Skinner, Tina L., primary, van Roekel, Eline H., primary, Moore, Melissa M., primary, Gaunt, Tom R., primary, Martin, Richard M., primary, Lewis, Sarah J., primary, and Lynch, Brigid M., primary

Published
2023
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34. Figure 4 from Linking Physical Activity to Breast Cancer via Inflammation, Part 2: The Effect of Inflammation on Breast Cancer Risk

Author

Lou, Makayla W.C., primary, Drummond, Ann E., primary, Swain, Christopher T.V., primary, Milne, Roger L., primary, English, Dallas R., primary, Brown, Kristy A., primary, van Roekel, Eline H., primary, Skinner, Tina L., primary, Moore, Melissa M., primary, Gaunt, Tom R., primary, Martin, Richard M., primary, Lewis, Sarah J., primary, and Lynch, Brigid M., primary

Published
2023
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35. Data from Linking Physical Activity to Breast Cancer Risk via Inflammation, Part 1: The Effect of Physical Activity on Inflammation

Author

Swain, Christopher T.V., primary, Drummond, Ann E., primary, Milne, Roger L., primary, English, Dallas R., primary, Brown, Kristy A., primary, Lou, Makayla W.C., primary, Boing, Leonessa, primary, Bageley, Amy, primary, Skinner, Tina L., primary, van Roekel, Eline H., primary, Moore, Melissa M., primary, Gaunt, Tom R., primary, Martin, Richard M., primary, Lewis, Sarah J., primary, and Lynch, Brigid M., primary

Published
2023
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36. Abstract 1010: Circulating biomarkers of vitamin B1, B2, and B3 status and their associations with clinical outcomes among non-metastatic colorectal cancer patients: results from the FOCUS Consortium

Author

Gigic, Biljana, primary, Ose, Jennifer, additional, Brezina, Stefanie, additional, Geijsen, Anne JMR, additional, Ulvik, Arve, additional, van Roekel, Eline H., additional, Holowatyj, Andreana N., additional, Kok, Dieuwertje E., additional, van Duijnhoven, Fränzel JB, additional, Damerell, Victoria, additional, Li, Christopher I., additional, Habermann, Nina, additional, Ulrich, Alexis B., additional, Weijenberg, Matty P., additional, Gsur, Andrea, additional, Ueland, Per M., additional, Kampman, Ellen, additional, Schneider, Martin, additional, and Ulrich, Cornelia M., additional

Published
2023
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37. Supplementary Methods and Material from A Comparative Study on the WCRF International/University of Bristol Methodology for Systematic Reviews of Mechanisms Underpinning Exposure–Cancer Associations

Author

Ertaylan, Gökhan, primary, Le Cornet, Charlotte, primary, van Roekel, Eline H., primary, Jung, Audrey Y., primary, Bours, Martijn J.L., primary, Damms-Machado, Antje, primary, van den Brandt, Piet A., primary, Schock, Helena, primary, de Kok, Theo M., primary, Theys, Jan, primary, Arts, Ilja C.W., primary, Kaaks, Rudolf, primary, Weijenberg, Matty P., primary, and Fortner, Renée Turzanski, primary

Published
2023
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40. Data from A Comparative Study on the WCRF International/University of Bristol Methodology for Systematic Reviews of Mechanisms Underpinning Exposure–Cancer Associations

Author

Ertaylan, Gökhan, primary, Le Cornet, Charlotte, primary, van Roekel, Eline H., primary, Jung, Audrey Y., primary, Bours, Martijn J.L., primary, Damms-Machado, Antje, primary, van den Brandt, Piet A., primary, Schock, Helena, primary, de Kok, Theo M., primary, Theys, Jan, primary, Arts, Ilja C.W., primary, Kaaks, Rudolf, primary, Weijenberg, Matty P., primary, and Fortner, Renée Turzanski, primary

Published
2023
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41. Linking Physical Activity to Breast Cancer Risk via Inflammation, Part 1: The Effect of Physical Activity on Inflammation

Author

Swain, Christopher T.V., primary, Drummond, Ann E., additional, Milne, Roger L., additional, English, Dallas R., additional, Brown, Kristy A., additional, Lou, Makayla W.C., additional, Boing, Leonessa, additional, Bageley, Amy, additional, Skinner, Tina L., additional, van Roekel, Eline H., additional, Moore, Melissa M., additional, Gaunt, Tom R., additional, Martin, Richard M., additional, Lewis, Sarah J., additional, and Lynch, Brigid M., additional

Published
2023
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42. Linking Physical Activity to Breast Cancer via Inflammation, Part 2: The Effect of Inflammation on Breast Cancer Risk

Author

Lou, Makayla W.C., primary, Drummond, Ann E., additional, Swain, Christopher T.V., additional, Milne, Roger L., additional, English, Dallas R., additional, Brown, Kristy A., additional, van Roekel, Eline H., additional, Skinner, Tina L., additional, Moore, Melissa M., additional, Gaunt, Tom R., additional, Martin, Richard M., additional, Lewis, Sarah J., additional, and Lynch, Brigid M., additional

Published
2023
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43. Longitudinal associations of fast foods, red and processed meat, alcohol, and sugar-sweetened drinks with quality of life and symptoms in colorectal cancer survivors up to 24 months post-treatment

Author

Kenkhuis, Marlou-Floor, Mols, Floortje, van Roekel, Eline H, Breedveld-Peters, José J L, Breukink, Stéphanie O, Janssen-Heijnen, Maryska L G, Keulen, Eric T P, van Duijnhoven, Fränzel J B, Weijenberg, Matty P, Bours, Martijn J L, Kenkhuis, Marlou-Floor, Mols, Floortje, van Roekel, Eline H, Breedveld-Peters, José J L, Breukink, Stéphanie O, Janssen-Heijnen, Maryska L G, Keulen, Eric T P, van Duijnhoven, Fränzel J B, Weijenberg, Matty P, and Bours, Martijn J L

Abstract

Unhealthy dietary habits can contribute to the development of colorectal cancer (CRC). Such habits may also be associated with post-treatment symptoms experienced by CRC survivors. Therefore, we aimed to assess longitudinal associations of post-treatment unhealthy dietary habits, i.e. intake of ultra-processed foods (UPF), red and processed meat, alcohol and sugar-sweetened drinks, with health-related quality of life (HRQoL), fatigue and chemotherapy-induced peripheral neuropathy (CIPN) in CRC survivors from 6 weeks up to 24 months post-treatment. In a prospective cohort among stage I-III CRC survivors (n 396), five repeated home visits from diagnosis up to 24 months post-treatment were executed. Dietary intake was measured by 7-d dietary records to quantify consumption of UPF, red and processed meat, alcohol and sugar-sweetened drinks. HRQoL, fatigue and CIPN were measured by validated questionnaires. We applied confounder-adjusted linear mixed models to analyse longitudinal associations from 6 weeks until 24 months post-treatment. We applied a post hoc time-lag analysis for alcohol to explore the directionality. Results showed that higher post-treatment intake of UPF and sugar-sweetened drinks was longitudinally associated with worsened HRQoL and more fatigue, while higher intake of UPF and processed meat was associated with increased CIPN symptoms. In contrast, post-treatment increases in alcohol intake were longitudinally associated with better HRQoL and less fatigue; however, time-lag analysis attenuated these associations. In conclusion, unhealthy dietary habits are longitudinally associated with lower HRQoL and more symptoms, except for alcohol. Results from time-lag analysis suggest no biological effect of alcohol; hence, the longitudinal association for alcohol should be interpreted with caution.

Published
2023

47. Linking Physical Activity to Breast Cancer Risk via Insulin/Insulin-Like Growth Factor Signaling System, Part 1: The Effect of Physical Activity on the Insulin/Insulin-Like Growth Factor Signaling System

Author

Swain, Christopher T.V., primary, Drummond, Ann E., additional, Milne, Roger L., additional, English, Dallas R., additional, Brown, Kristy A., additional, Chong, Jamie E., additional, Skinner, Tina L., additional, van Roekel, Eline H., additional, Moore, Melissa M., additional, Gaunt, Tom R., additional, Martin, Richard M., additional, Lewis, Sarah J., additional, and Lynch, Brigid M., additional

Published
2022
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48. Linking Physical Activity to Breast Cancer Risk via the Insulin/Insulin-like Growth Factor Signaling System, Part 2: The Effect of Insulin/Insulin-like Growth Factor Signaling on Breast Cancer Risk

Author

Drummond, Ann E., primary, Swain, Christopher T.V., additional, Milne, Roger L., additional, English, Dallas R., additional, Brown, Kristy A., additional, Skinner, Tina L., additional, Lay, Jannelle, additional, van Roekel, Eline H., additional, Moore, Melissa M., additional, Gaunt, Tom R., additional, Martin, Richard M., additional, Lewis, Sarah J., additional, and Lynch, Brigid M., additional

Published
2022
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49. Longitudinal associations of fast foods, red and processed meat, alcohol and sugar-sweetened drinks with quality of life and symptoms in colorectal cancer survivors up to 24 months post-treatment

Author

Kenkhuis, Marlou-Floor, primary, Mols, Floortje, additional, van Roekel, Eline H., additional, Breedveld-Peters, José J. L., additional, Breukink, Stéphanie, additional, Janssen-Heijnen, Maryska, additional, Keulen, Eric, additional, van Duijnhoven, Fränzel J., additional, Weijenberg, Matty P., additional, and Bours, Martijn, additional

Published
2022
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50. Longitudinal associations of plasma metabolites with persistent fatigue among colorectal cancer survivors up to 2 years after treatment

Author

van Roekel, Eline H., primary, Bours, Martijn J. L., additional, Breukink, Stéphanie O., additional, Aquarius, Michèl, additional, Keulen, Eric T. P., additional, Gicquiau, Audrey, additional, Rinaldi, Sabina, additional, Vineis, Paolo, additional, Arts, Ilja C. W., additional, Gunter, Marc J., additional, Leitzmann, Michael F., additional, Scalbert, Augustin, additional, and Weijenberg, Matty P., additional

Published
2022
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