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Nutritional quality...
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
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- Deschasaux, M. (author)
- Sorbonne Paris Nord University
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- Huybrechts, I. (author)
- International Agency for Research on Cancer, World Health Organization
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- Murphy, N. (author)
- International Agency for Research on Cancer, World Health Organization
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- Julia, C. (author)
- Sorbonne Paris Nord University
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- Hercberg, S. (author)
- Sorbonne Paris Nord University
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- Srour, B. (author)
- Sorbonne Paris Nord University
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- Kesse-Guyot, E. (author)
- Sorbonne Paris Nord University
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- Latino-Martel, P. (author)
- Sorbonne Paris Nord University
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- Biessy, C. (author)
- International Agency for Research on Cancer, World Health Organization
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- Casagrande, C. (author)
- International Agency for Research on Cancer, World Health Organization,Aarhus University
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- Jenab, M. (author)
- International Agency for Research on Cancer, World Health Organization
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- Ward, H. (author)
- Imperial College London
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- Weiderpass, E. (author)
- 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
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Dahm, C. C. (author)
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- Overvad, K. (author)
- Aarhus University
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- Kyro, C. (author)
- Danish Cancer Society
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- Olsen, A. (author)
- Danish Cancer Society
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- Affret, A. (author)
- Institut Gustave Roussy,University of Paris-Saclay
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- Boutron-Ruault, M. C. (author)
- Institut Gustave Roussy,University of Paris-Saclay
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- Mahamat-Saleh, Y. (author)
- University of Paris-Saclay,Institut Gustave Roussy
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- Kaaks, R. (author)
- German Cancer Research Centre
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- Kuhn, T. (author)
- German Cancer Research Centre,University of Ioannina,Imperial College London
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- Boeing, H. (author)
- German Institute of Human Nutrition
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- Schwingshackl, L. (author)
- German Institute of Human Nutrition
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- Bamia, C. (author)
- National and Kapodistrian University of Athens,Hellenic Health Foundation, Athens
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- Peppa, E. (author)
- Hellenic Health Foundation, Athens
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- Trichopoulou, A. (author)
- National and Kapodistrian University of Athens,Hellenic Health Foundation, Athens
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- Masala, G. (author)
- Cancer Research and Prevention Institute (ISPO)
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- Krogh, V. (author)
- Istituto Nazionale dei Tumori
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- Panico, S. (author)
- University of Naples Federico II
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- Tumino, R. (author)
- Civic and M.P Arezzo Hospital
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- Sacerdote, C. (author)
- Citta' della Salute e della Scienza Hospital-University of Turin
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- Buen-de-Mesquita, B. (author)
- Imperial College London,University of Malaya,National Institute for Public Health and the Environment (RIVM),University Medical Center Utrecht
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- Peeters, P. H. (author)
- University Medical Center Utrecht
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- Hjartaker, A. (author)
- University of Oslo
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- Rylander, C. (author)
- UiT The Arctic University of Norway, Tromsø
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- Skeie, G. (author)
- UiT The Arctic University of Norway, Tromsø
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- Quiros, J. R. (author)
- Public Health Directorate
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- Jakszyn, P. (author)
- Catalan Institute of Oncology,Ramon Llull University
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- Salamanca-Fernandez, E. (author)
- CIBER Epidemiology and Public Health (CIBERESP),University of Granada
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- Huerta, J. M. (author)
- Murcia Regional Health Council,CIBER Epidemiology and Public Health (CIBERESP)
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- Ardanaz, Eva (author)
- Health Research Institute of Navarra (IDISNA),CIBER Epidemiology and Public Health (CIBERESP)
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- Amiano, P. (author)
- CIBER Epidemiology and Public Health (CIBERESP),Basque Government
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- Ericson, Ulrika (author)
- Lund University,Lunds universitet,Diabetes - kardiovaskulär sjukdom,Forskargrupper vid Lunds universitet,Diabetes - Cardiovascular Disease,Lund University Research Groups
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- Sonestedt, Emily (author)
- Lund University,Lunds universitet,Nutritionsepidemiologi,Forskargrupper vid Lunds universitet,Nutrition Epidemiology,Lund University Research Groups
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- Huseinovic, Ena (author)
- University 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
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- Johansson, Ingegerd (author)
- Umeå University,Umeå universitet,Institutionen för odontologi
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- Khaw, K. T. (author)
- Addenbrooke's Hospital,University of Cambridge
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- Wareham, N. (author)
- University of Cambridge
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- Bradbury, K. E. (author)
- University of Oxford
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- Perez-Cornago, A. (author)
- University of Oxford
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Tsilidis, K. K. (author)
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- Ferrari, P. (author)
- International Agency for Research on Cancer, World Health Organization
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- Riboli, E. (author)
- Imperial College London
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Gunter, M. J. (author)
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- Touvier, M. (author)
- Sorbonne Paris Nord University
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(creator_code:org_t)
- 2018-09-18
- 2018
- English.
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In: Plos Medicine. - : Public Library of Science (PLoS). - 1549-1676 .- 1549-1277. ; 15:9
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https://doi.org/10.1...
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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Abstract
Subject headings
Close
- 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
- 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)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- cardiovascular-disease risk
- front-of-package
- dietary index
- prospective association
- su.vi.max cohort
- french adults
- validation
- database
- project
- france
- General & Internal Medicine
Publication and Content Type
- ref (subject category)
- art (subject category)
Find in a library
To the university's database
- 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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MEDICAL AND HEAL ...
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MEDICAL AND HEAL ...
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and Health Sciences
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and Nutrition and Di ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cancer and Oncol ...
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MEDICAL AND HEAL ...
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- Articles in the publication
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Plos Medicine
- By the university
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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