Association between nutritional profiles of foods underlying Nutri-Score front-of-pack labels and mortality: EPIC cohort study in 10 European countries

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Search: WFRF:(Vineis Paolo) > (2020-2024) > Association between...

Details
MARC

Deschasaux, MelanieParis-Sorbonne University (author)

Association between nutritional profiles of foods underlying Nutri-Score front-of-pack labels and mortality : EPIC cohort study in 10 European countries

Article/chapterEnglish2020

Publisher, publication year, extent ...

2020-09-16
BMJ Publishing Group Ltd,2020
electronicrdacarrier

Numbers

LIBRIS-ID:oai:DiVA.org:umu-176195
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-176195URI
https://doi.org/10.1136/bmj.m3173DOI
https://lup.lub.lu.se/record/da76e7d4-9699-4004-8d55-8f4667b05921URI

Supplementary language notes

Language:English
Summary in:English

Part of subdatabase

SwePubSwePub

Classification

Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

OBJECTIVE To determine if the Food Standards Agency nutrient profiling system (FSAm-NPS), which grades the nutritional quality of food products and is used to derive the Nutri-Score front-of-packet label to guide consumers towards healthier food choices, is associated with mortality. DESIGN Population based cohort study. SETTING European Prospective Investigation into Cancer and Nutrition (EPIC) cohort from 23 centres in 10 European countries. PARTICIPANTS 521 324 adults; at recruitment, country specific and validated dietary questionnaires were used to assess their usual dietary intakes. A FSAm-NPS score was calculated for each food item per 100 g content of energy, sugars, saturated fatty acids, sodium, fibre, and protein, and of fruit, vegetables, legumes, and nuts. The FSAm-NPS dietary index was calculated for each participant as an energy weighted mean of the FSAm-NPS score of all foods consumed. The higher the score the lower the overall nutritional quality of the diet. MAIN OUTCOME MEASURE Associations between the FSAm-NPS dietary index score and mortality, assessed using multivariable adjusted Cox proportional hazards regression models. RESULTS After exclusions, 501 594 adults (median follow-up 17.2 years, 8 162 730 person years) were included in the analyses. Those with a higher FSAm-NPS dietary index score (highest versus lowest fifth) showed an increased risk of all cause mortality (n=53 112 events from non-external causes; hazard ratio 1.07, 95% confidence interval 1.03 to 1.10, P(0.001 for trend) and mortality from cancer (1.08, 1.03 to 1.13, P(0.001 for trend) and diseases of the circulatory (1.04, 0.98 to 1.11, P=0.06 for trend), respiratory (1.39, 1.22 to 1.59, P(0.001), and digestive (1.22, 1.02 to 1.45, P=0.03 for trend) systems. The age standardised absolute rates for all cause mortality per 10 000 persons over 10 years were 760 (men=1237; women=563) for those in the highest fifth of the FSAm-NPS dietary index score and 661 (men=1008; women=518) for those in the lowest fifth. CONCLUSIONS In this large multinational European cohort, consuming foods with a higher FSAm-NPS score (lower nutritional quality) was associated with a higher mortality for all causes and for cancer and diseases of the circulatory, respiratory, and digestive systems, supporting the relevance of FSAm-NPS to characterise healthier food choices in the context of public health policies (eg, the Nutri-Score) for European populations. This is important considering ongoing discussions about the potential implementation of a unique nutrition labelling system at the European Union level.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Näringslära hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nutrition and Dietetics hsv//eng
adult
cohort analysis
Europe
female
food packaging
food preference
human
male
middle aged
mortality
nutritional assessment
nutritional value
proportional hazards model
questionnaire
Adult
Cohort Studies
Female
Food Labeling
Food Preferences
Humans
Male
Middle Aged
Mortality
Nutrition Assessment
Nutritive Value
Proportional Hazards Models
Surveys and Questionnaires

Added entries (persons, corporate bodies, meetings, titles ...)

Huybrechts, Inge (author)
Julia, Chantal (author)
Hercberg, Serge (author)
Egnell, Manon (author)
Srour, Bernard (author)
Kesse-Guyot, Emmanuelle (author)
Latino-Martel, Paule (author)
Biessy, Carine (author)
Casagrande, Corinne (author)
Murphy, Neil (author)
Jenab, Mazda (author)
Ward, Heather A. (author)
Weiderpass, Elisabete (author)
Overvad, Kim (author)
Tjonneland, Anne (author)
Rostgaard-Hansen, Agnetha Linn (author)
Boutron-Ruault, Marie-Christine (author)
Mancini, Francesca Romana (author)
Mahamat-Saleh, Yahya (author)
Kuehn, Tilman (author)
Katzke, Verena (author)
Bergmann, Manuela M. (author)
Schulze, Matthias B. (author)
Trichopoulou, Antonia (author)
Karakatsani, Anna (author)
Peppa, Eleni (author)
Masala, Giovanna (author)
Agnoli, Claudia (author)
De Magistris, Maria Santucci (author)
Tumino, Rosario (author)
Sacerdote, Carlotta (author)
Boer, Jolanda M. A. (author)
Verschuren, W. M. Monique (author)
van der Schouw, Yvonne T. (author)
Skeie, Guri (author)
Braaten, Tonje (author)
Luisa Redondo, M. (author)
Agudo, Antonio (author)
Petrova, Dafina (author)
Colorado-Yohar, Sandra M. (author)
Barricarte, Aurelio (author)
Amiano, Pilar (author)
Sonestedt, EmilyLund University,Lunds universitet,Nutritionsepidemiologi,Forskargrupper vid Lunds universitet,Nutrition Epidemiology,Lund University Research Groups(Swepub:lu)medf-eso (author)
Ericson, UlrikaLund University,Lunds universitet,Diabetes - kardiovaskulär sjukdom,Forskargrupper vid Lunds universitet,Diabetes - Cardiovascular Disease,Lund University Research Groups(Swepub:lu)medf-upe (author)
Otten, Julia,1973-Umeå universitet,Avdelningen för medicin(Swepub:umu)juot0001 (author)
Sundström, Björn,1968-Umeå universitet,Reumatologi(Swepub:umu)bjnsum99 (author)
Wareham, Nicholas J. (author)
Forouhi, Nita G. (author)
Vineis, Paolo (author)
Tsilidis, Konstantinos K. (author)
Knuppel, Anika (author)
Papier, Keren (author)
Ferrari, Pietro (author)
Riboli, Elio (author)
Gunter, Marc J. (author)
Touvier, MathildeCentre of Epidemiology And Biostatistics Sorbonne Paris Cité Center (CRESS) (author)
Paris-Sorbonne UniversityNutritionsepidemiologi (creator_code:org_t)
et al.

Related titles

In:The BMJ: BMJ Publishing Group Ltd3701756-1833

Internet link

Find in a library

The BMJ (Search for host publication in LIBRIS)

To the university's database

Find more in SwePub

By the author/editor: Deschasaux, Mela ...; Huybrechts, Inge; Julia, Chantal; Hercberg, Serge; Egnell, Manon; Srour, Bernard; show more...; Kesse-Guyot, Emm ...; Latino-Martel, P ...; Biessy, Carine; Casagrande, Cori ...; Murphy, Neil; Jenab, Mazda; Ward, Heather A.; Weiderpass, Elis ...; Overvad, Kim; Tjonneland, Anne; Rostgaard-Hansen ...; Boutron-Ruault, ...; Mancini, Frances ...; Mahamat-Saleh, Y ...; Kuehn, Tilman; Katzke, Verena; Bergmann, Manuel ...; Schulze, Matthia ...; Trichopoulou, An ...; Karakatsani, Ann ...; Peppa, Eleni; Masala, Giovanna; Agnoli, Claudia; De Magistris, Ma ...; Tumino, Rosario; Sacerdote, Carlo ...; Boer, Jolanda M. ...; Verschuren, W. M ...; van der Schouw, ...; Skeie, Guri; Braaten, Tonje; Luisa Redondo, M ...; Agudo, Antonio; Petrova, Dafina; Colorado-Yohar, ...; Barricarte, Aure ...; Amiano, Pilar; Sonestedt, Emily; Ericson, Ulrika; Otten, Julia, 19 ...; Sundström, Björn ...; Wareham, Nichola ...; Forouhi, Nita G.; Vineis, Paolo; Tsilidis, Konsta ...; Knuppel, Anika; Papier, Keren; Ferrari, Pietro; Riboli, Elio; Gunter, Marc J.; Touvier, Mathild ...; show less...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nutrition and Di ...

Articles in the publication: The BMJ

By the university: Umeå University; Lund University

Search outside SwePub

Extend your search to:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se