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Nutritional quality...
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Deschasaux, M.Sorbonne Paris Nord University
(author)
Nutritional quality of food as represented by the FSAm-NPS nutrient profiling system underlying the Nutri-Score label and cancer risk in Europe: Results from the EPIC prospective cohort study
- Article/chapterEnglish2018
Publisher, publication year, extent ...
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2018-09-18
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Public Library of Science (PLoS),2018
Numbers
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LIBRIS-ID:oai:gup.ub.gu.se/272772
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https://gup.ub.gu.se/publication/272772URI
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https://doi.org/10.1371/journal.pmed.1002651DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-153825URI
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https://lup.lub.lu.se/record/d5abfdd9-6b43-4384-a36a-ac2f8b7c93a5URI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:139300586URI
Supplementary language notes
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Classification
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Background Helping consumers make healthier food choices is a key issue for the prevention of cancer and other diseases. In many countries, political authorities are considering the implementation of a simplified labelling system to reflect the nutritional quality of food products. The Nutri-Score, a five-colour nutrition label, is derived from the Nutrient Profiling System of the British Food Standards Agency (modified version) (FSAm-NPS). How the consumption of foods with high/low FSAm-NPS relates to cancer risk has been studied in national/regional cohorts but has not been characterized in diverse European populations. This prospective analysis included 471,495 adults from the European Prospective Investigation into Cancer and Nutrition (EPIC, 1992-2014, median follow-up: 15.3 y), among whom there were 49,794 incident cancer cases (main locations: breast, n = 12,063; prostate, n = 6,745; colon-rectum, n = 5,806). Usual food intakes were assessed with standardized country-specific diet assessment methods. The FSAm-NPS was calculated for each food/beverage using their 100-g content in energy, sugar, saturated fatty acid, sodium, fibres, proteins, and fruits/vegetables/legumes/nuts. The FSAm-NPS scores of all food items usually consumed by a participant were averaged to obtain the individual FSAm-NPS Dietary Index (DI) scores. Multi-adjusted Cox proportional hazards models were computed. A higher FSAm-NPS DI score, reflecting a lower nutritional quality of the food consumed, was associated with a higher risk of total cancer (HRQ5 versus (Q1) = 1.07; 95% CI 1.03-1.10, P-trend < 0.001). Absolute cancer rates in those with high and low (quintiles 5 and 1) FSAm-NPS DI scores were 81.4 and 69.5 cases/10,000 person-years, respectively. Higher FSAm-NPS DI scores were specifically associated with higher risks of cancers of the colon-rectum, upper aerodigestive tract and stomach, lung for men, and liver and postmenopausal breast for women (all P < 0.05). The main study limitation is that it was based on an observational cohort using self-reported dietary data obtained through a single baseline food frequency questionnaire; thus, exposure misclassification and residual confounding cannot be ruled out. In this large multinational European cohort, the consumption of food products with a higher FSAm-NPS score (lower nutritional quality) was associated with a higher risk of cancer. This supports the relevance of the FSAm-NPS as underlying nutrient profiling system for front-of-pack nutrition labels, as well as for other public health nutritional measures.
Subject headings and genre
Added entries (persons, corporate bodies, meetings, titles ...)
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Huybrechts, I.International Agency for Research on Cancer, World Health Organization
(author)
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Murphy, N.International Agency for Research on Cancer, World Health Organization
(author)
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Julia, C.Sorbonne Paris Nord University
(author)
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Hercberg, S.Sorbonne Paris Nord University
(author)
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Srour, B.Sorbonne Paris Nord University
(author)
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Kesse-Guyot, E.Sorbonne Paris Nord University
(author)
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Latino-Martel, P.Sorbonne Paris Nord University
(author)
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Biessy, C.International Agency for Research on Cancer, World Health Organization
(author)
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Casagrande, C.International Agency for Research on Cancer, World Health Organization,Aarhus University
(author)
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Jenab, M.International Agency for Research on Cancer, World Health Organization
(author)
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Ward, H.Imperial College London
(author)
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Weiderpass, E.Karolinska Institutet,Karolinska Institute,Folkhälsan Research Center,Cancer Registry of Norway, Institute of Population-Based Cancer Research,UiT The Arctic University of Norway, Tromsø,University of Helsinki
(author)
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Dahm, C. C.
(author)
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Overvad, K.Aarhus University
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Kyro, C.Danish Cancer Society
(author)
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Olsen, A.Danish Cancer Society
(author)
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Affret, A.Institut Gustave Roussy,University of Paris-Saclay
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Boutron-Ruault, M. C.Institut Gustave Roussy,University of Paris-Saclay
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Mahamat-Saleh, Y.University of Paris-Saclay,Institut Gustave Roussy
(author)
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Kaaks, R.German Cancer Research Centre
(author)
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Kuhn, T.German Cancer Research Centre,University of Ioannina,Imperial College London
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Boeing, H.German Institute of Human Nutrition
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Schwingshackl, L.German Institute of Human Nutrition
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Bamia, C.National and Kapodistrian University of Athens,Hellenic Health Foundation, Athens
(author)
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Peppa, E.Hellenic Health Foundation, Athens
(author)
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Trichopoulou, A.National and Kapodistrian University of Athens,Hellenic Health Foundation, Athens
(author)
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Masala, G.Cancer Research and Prevention Institute (ISPO)
(author)
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Krogh, V.Istituto Nazionale dei Tumori
(author)
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Panico, S.University of Naples Federico II
(author)
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Tumino, R.Civic and M.P Arezzo Hospital
(author)
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Sacerdote, C.Citta' della Salute e della Scienza Hospital-University of Turin
(author)
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Buen-de-Mesquita, B.Imperial College London,University of Malaya,National Institute for Public Health and the Environment (RIVM),University Medical Center Utrecht
(author)
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Peeters, P. H.University Medical Center Utrecht
(author)
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Hjartaker, A.University of Oslo
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Rylander, C.UiT The Arctic University of Norway, Tromsø
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Skeie, G.UiT The Arctic University of Norway, Tromsø
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Quiros, J. R.Public Health Directorate
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Jakszyn, P.Catalan Institute of Oncology,Ramon Llull University
(author)
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Salamanca-Fernandez, E.CIBER Epidemiology and Public Health (CIBERESP),University of Granada
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Huerta, J. M.Murcia Regional Health Council,CIBER Epidemiology and Public Health (CIBERESP)
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Ardanaz, EvaHealth Research Institute of Navarra (IDISNA),CIBER Epidemiology and Public Health (CIBERESP)(Swepub:lu)extLU-05
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Amiano, P.CIBER Epidemiology and Public Health (CIBERESP),Basque Government
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Ericson, UlrikaLund University,Lunds universitet,Diabetes - kardiovaskulär sjukdom,Forskargrupper vid Lunds universitet,Diabetes - Cardiovascular Disease,Lund University Research Groups(Swepub:lu)medf-upe
(author)
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Sonestedt, EmilyLund University,Lunds universitet,Nutritionsepidemiologi,Forskargrupper vid Lunds universitet,Nutrition Epidemiology,Lund University Research Groups(Swepub:lu)medf-eso
(author)
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Huseinovic, EnaUniversity of Gothenburg,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition(Swepub:gu)xhusen
(author)
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Johansson, IngegerdUmeå University,Umeå universitet,Institutionen för odontologi(Swepub:umu)injo0003
(author)
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Khaw, K. T.Addenbrooke's Hospital,University of Cambridge
(author)
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Wareham, N.University of Cambridge
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Bradbury, K. E.University of Oxford
(author)
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Perez-Cornago, A.University of Oxford
(author)
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Tsilidis, K. K.
(author)
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Ferrari, P.International Agency for Research on Cancer, World Health Organization
(author)
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Riboli, E.Imperial College London
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Gunter, M. J.
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Touvier, M.Sorbonne Paris Nord University
(author)
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Sorbonne Paris Nord UniversityInternational Agency for Research on Cancer, World Health Organization
(creator_code:org_t)
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In:Plos Medicine: Public Library of Science (PLoS)15:91549-16761549-1277
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- By the author/editor
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Deschasaux, M.
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Huybrechts, I.
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Murphy, N.
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Julia, C.
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Hercberg, S.
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Srour, B.
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show more...
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Kesse-Guyot, E.
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Latino-Martel, P ...
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Biessy, C.
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Casagrande, C.
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Jenab, M.
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Ward, H.
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Weiderpass, E.
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Dahm, C. C.
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Overvad, K.
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Kyro, C.
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Olsen, A.
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Affret, A.
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Boutron-Ruault, ...
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Mahamat-Saleh, Y ...
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Kaaks, R.
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Kuhn, T.
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Boeing, H.
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Schwingshackl, L ...
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Bamia, C.
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Peppa, E.
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Trichopoulou, A.
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Masala, G.
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Krogh, V.
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Panico, S.
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Tumino, R.
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Sacerdote, C.
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Buen-de-Mesquita ...
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Peeters, P. H.
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Hjartaker, A.
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Rylander, C.
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Skeie, G.
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Quiros, J. R.
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Jakszyn, P.
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Salamanca-Fernan ...
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Huerta, J. M.
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Ardanaz, Eva
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Amiano, P.
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Ericson, Ulrika
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Sonestedt, Emily
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Huseinovic, Ena
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Johansson, Ingeg ...
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Khaw, K. T.
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Wareham, N.
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Bradbury, K. E.
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Perez-Cornago, A ...
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Tsilidis, K. K.
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Ferrari, P.
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Riboli, E.
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Gunter, M. J.
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Touvier, M.
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Plos Medicine
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University of Gothenburg
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Umeå University
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Lund University
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Karolinska Institutet