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Dietary index based on the Food Standards Agency nutrient profiling system and risk of Crohn's disease and ulcerative colitis

Meyer, Antoine (author)
INSERM, Centre for Research in Epidemiology and Population Health, U1018, Team 9, Institut Gustave Roussy, Université Paris Saclay, Paris, France; Department of Gastroenterology, University Hospital of Bicêtre, Assistance Publique-Hôpitaux de Paris and Université Paris-Saclay, Paris, France
Dong, Catherine (author)
INSERM, Centre for Research in Epidemiology and Population Health, U1018, Team 9, Institut Gustave Roussy, Université Paris Saclay, Paris, France; Department of Gastroenterology, University Hospital of Bicêtre, Assistance Publique-Hôpitaux de Paris and Université Paris-Saclay, Paris, France
Chan, Simon S. M. (author)
Department of Medicine, Norwich Medical School, University of East Anglia, Norwich, United Kingdom; Department of Gastroenterology, Norfolk and Norwich University Hospital NHS Trust, Norwich, United Kingdom
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Touvier, Mathilde (author)
Sorbonne Paris Nord University, INSERM U1153, INRAE U1125, CNAM, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center, University Paris Cité (CRESS), Bobigny, France
Julia, Chantal (author)
Sorbonne Paris Nord University, INSERM U1153, INRAE U1125, CNAM, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center, University Paris Cité (CRESS), Bobigny, France; Department of Public Health, GHU Paris-Seine-Saint-Denis, Assistance Publique des Hôpitaux de Paris (AP-HP), Bobigny, France
Huybrechts, Inge (author)
International Agency for Research on Cancer, Nutrition and Metabolism branch, Lyon, France
Nicolas, Geneviève (author)
International Agency for Research on Cancer, Nutrition and Metabolism branch, Lyon, France
Oldenburg, Bas (author)
Department of Gastroenterology and Hepatology, University Medical Centre, Utrecht, Netherlands
Heath, Alicia K. (author)
Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom
Tong, Tammy Y. N. (author)
Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom
Key, Timothy J. (author)
Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom
Tjønneland, Anne (author)
Danish Cancer Society Research Center, Copenhagen, Denmark; Department of Public Health, University of Copenhagen, Copenhagen, Denmark
Kyrø, Cecilie (author)
Danish Cancer Society Research Center, Copenhagen, Denmark
Kaaks, Rudolf (author)
Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
Katzke, Verena A. (author)
German Institute of Human Nutrition, Potsdam, Germany
Bergman, Manuela M. (author)
German Institute of Human Nutrition, Potsdam, Germany
Palli, Domenico (author)
Molecular and Nutritional Epidemiology Unit, Cancer Research and Prevention Institute – ISPO, Florence, Italy
Masala, Giovanna (author)
Molecular and Nutritional Epidemiology Unit, Cancer Research and Prevention Institute – ISPO, Florence, Italy
Tumino, Rosario (author)
Cancer Registry and Histopathology Department, Azienda Sanitaria Provinciale (ASP), Ragusa, Italy
Sacerdote, Carlotta (author)
Unit of Cancer Epidemiology, Città della Salute e della Scienza University-Hospital, Turin, Italy
Colorado-Yohar, Sandra M. (author)
Department of Epidemiology, Murcia Regional Health Council, IMIB-Arrixaca, Murcia, Spain; CIBER Epidemiologia y Salud Pública (CIBERESP), Madrid, Spain; Research Group on Demography and Health, National School of Public Health, University of Antioquia, Medellín, Colombia
Sánchez, Maria-Jose (author)
Escuela Andaluza de Salud Pública (EASP), Granada, Spain; Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain
Guevara, Marcela (author)
Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Instituto de Salud Pública y Laboral de Navarra, Pamplona, Spain
Grip, Olof (author)
Department of Gastroenterology and Hepatology, University Hospital Malmö, Malmö, Sweden
Holmgren, Johanna (author)
Department of Gastroenterology and Hepatology, University Hospital Malmö, Malmö, Sweden
Cross, Amanda (author)
Public Health Policy Evaluation Unit, School of Public Health, Imperial College London, London, United Kingdom
Karling, Pontus (author)
Umeå universitet,Avdelningen för medicin
Hultdin, Johan (author)
Umeå universitet,Klinisk kemi
Murphy, Neil (author)
International Agency for Research on Cancer, World Health Organization, Lyon, France
Deschasaux-Tanguy, Mélanie (author)
Sorbonne Paris Nord University, INSERM U1153, INRAE U1125, CNAM, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center, University Paris Cité (CRESS), Bobigny, France; Department of Public Health, GHU Paris-Seine-Saint-Denis, Assistance Publique des Hôpitaux de Paris (AP-HP), Bobigny, France
Hercberg, Serge (author)
Sorbonne Paris Nord University, INSERM U1153, INRAE U1125, CNAM, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center, University Paris Cité (CRESS), Bobigny, France; Department of Public Health, GHU Paris-Seine-Saint-Denis, Assistance Publique des Hôpitaux de Paris (AP-HP), Bobigny, France
Galan, Pilar (author)
Sorbonne Paris Nord University, INSERM U1153, INRAE U1125, CNAM, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center, University Paris Cité (CRESS), Bobigny, France; Department of Public Health, GHU Paris-Seine-Saint-Denis, Assistance Publique des Hôpitaux de Paris (AP-HP), Bobigny, France
Mahamat-Saleh, Yahya (author)
INSERM, Centre for Research in Epidemiology and Population Health, U1018, Team 9, Institut Gustave Roussy, Université Paris Saclay, Paris, France
Amiot, Aurélien (author)
INSERM, Centre for Research in Epidemiology and Population Health, U1018, Team 9, Institut Gustave Roussy, Université Paris Saclay, Paris, France; Department of Gastroenterology, University Hospital of Bicêtre, Assistance Publique-Hôpitaux de Paris and Université Paris-Saclay, Paris, France
Gunter, Marc J. (author)
Umeå universitet,Klinisk kemi
Boutron-Ruault, Marie-Christine (author)
INSERM, Centre for Research in Epidemiology and Population Health, U1018, Team 9, Institut Gustave Roussy, Université Paris Saclay, Paris, France
Carbonnel, Franck (author)
INSERM, Centre for Research in Epidemiology and Population Health, U1018, Team 9, Institut Gustave Roussy, Université Paris Saclay, Paris, France; Department of Gastroenterology, University Hospital of Bicêtre, Assistance Publique-Hôpitaux de Paris and Université Paris-Saclay, Paris, France
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 (creator_code:org_t)
John Wiley & Sons, 2024
2024
English.
In: Alimentary Pharmacology and Therapeutics. - : John Wiley & Sons. - 0269-2813 .- 1365-2036. ; 59:4, s. 558-568
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background: Nutri-score is now widely available in food packages in Europe.Aim: To study the overall nutritional quality of the diet in relation to risks of Crohn's disease (CD) and ulcerative colitis (UC), in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort.Methods: We collected dietary data at baseline from validated food frequency questionnaires. We used a dietary index based on the UK Food Standards Agency modified nutrient profiling system (FSAm-NPS-DI) underlying the Nutri-Score label, to measure the nutritional quality of the diet. We estimated the association between FSAm-NPS-DI score, and CD and UC risks using Cox models stratified by centre, sex and age; and adjusted for smoking status, BMI, physical activity, energy intake, educational level and alcohol intake.Results: We included 394,255 participants (68.1% women; mean age at recruitment 52.1 years). After a mean follow-up of 13.6 years, there were 184 incident cases of CD and 459 incident cases of UC. Risk of CD was higher in those with a lower nutritional quality, that is higher FSAm-NPS-DI Score (fourth vs. first quartile: aHR: 2.04, 95% CI: 1.24–3.36; p-trend: <0.01). Among items of the FSAm-NPS-DI Score, low intakes of dietary fibre and fruits/vegetables/legumes/nuts were associated with higher risk of CD. Nutritional quality was not associated with risk of UC (fourth vs. first quartile of the FSAm-NPS-DI Score: aHR: 0.91, 95% CI: 0.69–1.21; p-trend: 0.76).Conclusions: A diet with low nutritional quality as measured by the FSAm-NPS-DI Score is associated with a higher risk of CD but not UC.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Näringslära (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nutrition and Dietetics (hsv//eng)

Keyword

dietary
EPIC
FSAm-NPS DI score
inflammatory bowel disease
nutri-score

Publication and Content Type

ref (subject category)
art (subject category)

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