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  • Deschasaux, M.Sorbonne Paris Nord University (författare)

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

  • Artikel/kapitelEngelska2018

Förlag, utgivningsår, omfång ...

  • 2018-09-18
  • Public Library of Science (PLoS),2018

Nummerbeteckningar

  • LIBRIS-ID:oai:gup.ub.gu.se/272772
  • https://gup.ub.gu.se/publication/272772URI
  • https://doi.org/10.1371/journal.pmed.1002651DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-153825URI
  • https://lup.lub.lu.se/record/d5abfdd9-6b43-4384-a36a-ac2f8b7c93a5URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:139300586URI

Kompletterande språkuppgifter

  • Språk:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • 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.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Huybrechts, I.International Agency for Research on Cancer, World Health Organization (författare)
  • Murphy, N.International Agency for Research on Cancer, World Health Organization (författare)
  • Julia, C.Sorbonne Paris Nord University (författare)
  • Hercberg, S.Sorbonne Paris Nord University (författare)
  • Srour, B.Sorbonne Paris Nord University (författare)
  • Kesse-Guyot, E.Sorbonne Paris Nord University (författare)
  • Latino-Martel, P.Sorbonne Paris Nord University (författare)
  • Biessy, C.International Agency for Research on Cancer, World Health Organization (författare)
  • Casagrande, C.International Agency for Research on Cancer, World Health Organization,Aarhus University (författare)
  • Jenab, M.International Agency for Research on Cancer, World Health Organization (författare)
  • Ward, H.Imperial College London (författare)
  • 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 (författare)
  • Dahm, C. C. (författare)
  • Overvad, K.Aarhus University (författare)
  • Kyro, C.Danish Cancer Society (författare)
  • Olsen, A.Danish Cancer Society (författare)
  • Affret, A.Institut Gustave Roussy,University of Paris-Saclay (författare)
  • Boutron-Ruault, M. C.Institut Gustave Roussy,University of Paris-Saclay (författare)
  • Mahamat-Saleh, Y.University of Paris-Saclay,Institut Gustave Roussy (författare)
  • Kaaks, R.German Cancer Research Centre (författare)
  • Kuhn, T.German Cancer Research Centre,University of Ioannina,Imperial College London (författare)
  • Boeing, H.German Institute of Human Nutrition (författare)
  • Schwingshackl, L.German Institute of Human Nutrition (författare)
  • Bamia, C.National and Kapodistrian University of Athens,Hellenic Health Foundation, Athens (författare)
  • Peppa, E.Hellenic Health Foundation, Athens (författare)
  • Trichopoulou, A.National and Kapodistrian University of Athens,Hellenic Health Foundation, Athens (författare)
  • Masala, G.Cancer Research and Prevention Institute (ISPO) (författare)
  • Krogh, V.Istituto Nazionale dei Tumori (författare)
  • Panico, S.University of Naples Federico II (författare)
  • Tumino, R.Civic and M.P Arezzo Hospital (författare)
  • Sacerdote, C.Citta' della Salute e della Scienza Hospital-University of Turin (författare)
  • Buen-de-Mesquita, B.Imperial College London,University of Malaya,National Institute for Public Health and the Environment (RIVM),University Medical Center Utrecht (författare)
  • Peeters, P. H.University Medical Center Utrecht (författare)
  • Hjartaker, A.University of Oslo (författare)
  • Rylander, C.UiT The Arctic University of Norway, Tromsø (författare)
  • Skeie, G.UiT The Arctic University of Norway, Tromsø (författare)
  • Quiros, J. R.Public Health Directorate (författare)
  • Jakszyn, P.Catalan Institute of Oncology,Ramon Llull University (författare)
  • Salamanca-Fernandez, E.CIBER Epidemiology and Public Health (CIBERESP),University of Granada (författare)
  • Huerta, J. M.Murcia Regional Health Council,CIBER Epidemiology and Public Health (CIBERESP) (författare)
  • Ardanaz, EvaHealth Research Institute of Navarra (IDISNA),CIBER Epidemiology and Public Health (CIBERESP)(Swepub:lu)extLU-05 (författare)
  • Amiano, P.CIBER Epidemiology and Public Health (CIBERESP),Basque Government (författare)
  • Ericson, UlrikaLund University,Lunds universitet,Diabetes - kardiovaskulär sjukdom,Forskargrupper vid Lunds universitet,Diabetes - Cardiovascular Disease,Lund University Research Groups(Swepub:lu)medf-upe (författare)
  • Sonestedt, EmilyLund University,Lunds universitet,Nutritionsepidemiologi,Forskargrupper vid Lunds universitet,Nutrition Epidemiology,Lund University Research Groups(Swepub:lu)medf-eso (författare)
  • 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 (författare)
  • Johansson, IngegerdUmeå University,Umeå universitet,Institutionen för odontologi(Swepub:umu)injo0003 (författare)
  • Khaw, K. T.Addenbrooke's Hospital,University of Cambridge (författare)
  • Wareham, N.University of Cambridge (författare)
  • Bradbury, K. E.University of Oxford (författare)
  • Perez-Cornago, A.University of Oxford (författare)
  • Tsilidis, K. K. (författare)
  • Ferrari, P.International Agency for Research on Cancer, World Health Organization (författare)
  • Riboli, E.Imperial College London (författare)
  • Gunter, M. J. (författare)
  • Touvier, M.Sorbonne Paris Nord University (författare)
  • Sorbonne Paris Nord UniversityInternational Agency for Research on Cancer, World Health Organization (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Plos Medicine: Public Library of Science (PLoS)15:91549-16761549-1277

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