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. 2021 Mar 1;113(6):1468–1481. doi: 10.1093/ajcn/nqaa422

TABLE 3.

Results of cross-sectional linear regression analyses of B-vitamin supplement use 6 months after diagnosis and of associations of changes in B-vitamin supplement use between diagnosis and 6 months after diagnosis with health-related quality of life

Cross-sectional analysis of B-vitamin use at 6 months (yes/no) Analysis of changes in B-vitamin1 use
Nonuse Use at diagnosis and 6 months Started use after diagnosis Stopped use after diagnosis
n = 323 n = 1173 n = 232 n = 91 n = 167
β (95% CI) β (95% CI) β (95% CI) β (95% CI)
Global quality of life
 Sex and age adjusted 0.8 (−1.6, 3.2) REF 2.2 (−0.6, 5.0) −3.5 (−7.7, 0.8) −1.5 (−4.8, 1.7)
 Fully adjusted2 0.6 (−2.6, 3.8) 0.5 (−3.0, 4.0) −2.4 (−7.3, 2.4) −3.0 (−6.3, 0.2)
Physical functioning
 Sex and age adjusted −1.2 (−3.5, 1.0) REF −0.1 (−2.7, 2.6) −4.5 (−8.5, −0.6) −0.6 (−3.7, 2.4)
 Fully adjusted2 0.5 (−2.4, 3.5) 0.6 (−2.7, 3.9) −2.3 (−6.9, 2.2) −1.1 (−4.2, 1.9)
Role functioning
 Sex and age adjusted 0.1 (−3.5, 3.7) REF 1.7 (−2.5, 5.8) −4.0 (−10.3, 2.2) −0.4 (−5.2, 4.4)
 Fully adjusted2 1.7 (−3.1, 6.4) 1.6 (−3.7, 6.8) −1.8 (−9.0, 5.4) −2.1 (−7.0, 2.7)
Emotional functioning
 Sex and age adjusted 1.3 (−1.2, 3.7) REF 2.9 (0.1–5.7) −2.9 (−7.1, 1.3) −0.3 (−3.6, 2.9)
 Fully adjusted2 0.4 (−2.7, 3.5) 1.4 (−2.1, 4.8) −3.5 (−8.3, 1.2) −0.9 (−4.1, 2.3)
Cognitive functioning
 Sex and age adjusted −2.2 (−4.7, 0.2) REF −1.8 (−4.7, 1.0) −5.1 (−9.4, −0.9) −3.7 (−6.9, −0.5)
 Fully adjusted2 −1.6 (−4.9, 1.8) −2.3 (−6.0, 1.4) −4.2 (−9.3, 0.9) −4.7 (−8.1, −1.3)
Social functioning
 Sex and age adjusted 0.8 (−2.1, 3.7) REF 2.5 (−0.9, 5.9) −3.9 (−9.0, 1.2) −1.1 (−5.0, 2.8)
 Fully adjusted2 −0.1 (−3.9, 3.7) 0.3 (−3.9, 4.5) −3.3 (−9.1, 2.5) −2.3 (−6.2, 1.6)
Fatigue
 Sex and age adjusted −0.1 (−3.3, 3.0) REF −1.5 (−5.1, 2.1) 5.8 (0.4–11.3) 5.6 (1.4–9.7)
 Fully adjusted2 −2.1 (−6.1, 2.0) −1.6 (−6.0, 2.9) 3.0 (−3.1, 9.2) 7.1 (2.9–11.2)3
1

B-vitamin supplement use was defined as the use of dietary supplements containing at least 1 of the B vitamins: folic acid, vitamin B2, vitamin B6, or vitamin B12.

2

Fully adjusted model: adjusted for sex, age, cohort (COLON, EnCoRe, ColoCare), neo-adjuvant therapy (yes/no), adjuvant therapy (yes/no), cancer stage (I, II, III), total energy intake (kcal/day), BMI (kg/m2), adherence to physical activity guidelines (yes/no), and any supplement use (yes/no).

3

Statistically significant after FDR adjustment for multiple testing.