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Isabel Drake

Isabel Drake

Associate professor

Isabel Drake

Diet and BMI Correlate with Metabolite Patterns Associated with Aggressive Prostate Cancer


  • Zoe S. Grenville
  • Urwah Noor
  • Mathilde His
  • Vivian Viallon
  • Sabina Rinaldi
  • Elom K. Aglago
  • Pilar Amiano
  • Louise Brunkwall
  • María Dolores Chirlaque
  • Isabel Drake
  • Fabian Eichelmann
  • Heinz Freisling
  • Sara Grioni
  • Alicia K. Heath
  • Rudolf Kaaks
  • Verena Katzke
  • Ana Lucia Mayén-Chacon
  • Lorenzo Milani
  • Conchi Moreno-Iribas
  • Valeria Pala
  • Anja Olsen
  • Maria Jose Sánchez
  • Matthias B. Schulze
  • Anne Tjønneland
  • Konstantinos K. Tsilidis
  • Elisabete Weiderpass
  • Anna Winkvist
  • Raul Zamora-Ros
  • Timothy J. Key
  • Karl Smith-Byrne
  • Ruth C. Travis
  • Julie A. Schmidt

Summary, in English

Three metabolite patterns have previously shown prospective inverse associations with the risk of aggressive prostate cancer within the European Prospective Investigation into Cancer and Nutrition (EPIC). Here, we investigated dietary and lifestyle correlates of these three prostate cancer-related metabolite patterns, which included: 64 phosphatidylcholines and three hydroxysphingomyelins (Pattern 1), acylcarnitines C18:1 and C18:2, glutamate, ornithine, and taurine (Pattern 2), and 8 lysophosphatidylcholines (Pattern 3). In a two-stage cross-sectional discovery (n = 2524) and validation (n = 518) design containing 3042 men free of cancer in EPIC, we estimated the associations of 24 dietary and lifestyle variables with each pattern and the contributing individual metabolites. Associations statistically significant after both correction for multiple testing (False Discovery Rate = 0.05) in the discovery set and at p < 0.05 in the validation set were considered robust. Intakes of alcohol, total fish products, and its subsets total fish and lean fish were positively associated with Pattern 1. Body mass index (BMI) was positively associated with Pattern 2, which appeared to be driven by a strong positive BMI-glutamate association. Finally, both BMI and fatty fish were inversely associated with Pattern 3. In conclusion, these results indicate associations of fish and its subtypes, alcohol, and BMI with metabolite patterns that are inversely associated with risk of aggressive prostate cancer.


  • Diabetes - Cardiovascular Disease
  • EXODIAB: Excellence of Diabetes Research in Sweden
  • EpiHealth: Epidemiology for Health
  • LUCC: Lund University Cancer Centre

Publishing year










Document type

Journal article




  • Nutrition and Dietetics
  • Cancer and Oncology


  • cross-sectional
  • diet
  • metabolites
  • prostate cancer



Research group

  • Diabetes - Cardiovascular Disease


  • ISSN: 2072-6643