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FältnamnIndikatorerMetadata
00011130naa a2201297 4500
001oai:gup.ub.gu.se/272772
003SwePub
008240528s2018 | |||||||||||000 ||eng|
009oai:DiVA.org:umu-153825
009oai:lup.lub.lu.se:d5abfdd9-6b43-4384-a36a-ac2f8b7c93a5
009oai:prod.swepub.kib.ki.se:139300586
024a https://gup.ub.gu.se/publication/2727722 URI
024a https://doi.org/10.1371/journal.pmed.10026512 DOI
024a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1538252 URI
024a https://lup.lub.lu.se/record/d5abfdd9-6b43-4384-a36a-ac2f8b7c93a52 URI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1393005862 URI
040 a (SwePub)gud (SwePub)umud (SwePub)lud (SwePub)ki
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Deschasaux, M.u Sorbonne Paris Nord University4 aut
2451 0a 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
264 c 2018-09-18
264 1b Public Library of Science (PLoS),c 2018
520 a 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.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicin0 (SwePub)3022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicine0 (SwePub)3022 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Näringslära0 (SwePub)303042 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Nutrition and Dietetics0 (SwePub)303042 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Cancer och onkologi0 (SwePub)302032 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cancer and Oncology0 (SwePub)302032 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
653 a cardiovascular-disease risk
653 a front-of-package
653 a dietary index
653 a prospective association
653 a su.vi.max cohort
653 a french adults
653 a validation
653 a database
653 a project
653 a france
653 a General & Internal Medicine
700a Huybrechts, I.u International Agency for Research on Cancer, World Health Organization4 aut
700a Murphy, N.u International Agency for Research on Cancer, World Health Organization4 aut
700a Julia, C.u Sorbonne Paris Nord University4 aut
700a Hercberg, S.u Sorbonne Paris Nord University4 aut
700a Srour, B.u Sorbonne Paris Nord University4 aut
700a Kesse-Guyot, E.u Sorbonne Paris Nord University4 aut
700a Latino-Martel, P.u Sorbonne Paris Nord University4 aut
700a Biessy, C.u International Agency for Research on Cancer, World Health Organization4 aut
700a Casagrande, C.u International Agency for Research on Cancer, World Health Organization,Aarhus University4 aut
700a Jenab, M.u International Agency for Research on Cancer, World Health Organization4 aut
700a Ward, H.u Imperial College London4 aut
700a Weiderpass, E.u 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 Helsinki4 aut
700a Dahm, C. C.4 aut
700a Overvad, K.u Aarhus University4 aut
700a Kyro, C.u Danish Cancer Society4 aut
700a Olsen, A.u Danish Cancer Society4 aut
700a Affret, A.u Institut Gustave Roussy,University of Paris-Saclay4 aut
700a Boutron-Ruault, M. C.u Institut Gustave Roussy,University of Paris-Saclay4 aut
700a Mahamat-Saleh, Y.u University of Paris-Saclay,Institut Gustave Roussy4 aut
700a Kaaks, R.u German Cancer Research Centre4 aut
700a Kuhn, T.u German Cancer Research Centre,University of Ioannina,Imperial College London4 aut
700a Boeing, H.u German Institute of Human Nutrition4 aut
700a Schwingshackl, L.u German Institute of Human Nutrition4 aut
700a Bamia, C.u National and Kapodistrian University of Athens,Hellenic Health Foundation, Athens4 aut
700a Peppa, E.u Hellenic Health Foundation, Athens4 aut
700a Trichopoulou, A.u National and Kapodistrian University of Athens,Hellenic Health Foundation, Athens4 aut
700a Masala, G.u Cancer Research and Prevention Institute (ISPO)4 aut
700a Krogh, V.u Istituto Nazionale dei Tumori4 aut
700a Panico, S.u University of Naples Federico II4 aut
700a Tumino, R.u Civic and M.P Arezzo Hospital4 aut
700a Sacerdote, C.u Citta' della Salute e della Scienza Hospital-University of Turin4 aut
700a Buen-de-Mesquita, B.u Imperial College London,University of Malaya,National Institute for Public Health and the Environment (RIVM),University Medical Center Utrecht4 aut
700a Peeters, P. H.u University Medical Center Utrecht4 aut
700a Hjartaker, A.u University of Oslo4 aut
700a Rylander, C.u UiT The Arctic University of Norway, Tromsø4 aut
700a Skeie, G.u UiT The Arctic University of Norway, Tromsø4 aut
700a Quiros, J. R.u Public Health Directorate4 aut
700a Jakszyn, P.u Catalan Institute of Oncology,Ramon Llull University4 aut
700a Salamanca-Fernandez, E.u CIBER Epidemiology and Public Health (CIBERESP),University of Granada4 aut
700a Huerta, J. M.u Murcia Regional Health Council,CIBER Epidemiology and Public Health (CIBERESP)4 aut
700a Ardanaz, Evau Health Research Institute of Navarra (IDISNA),CIBER Epidemiology and Public Health (CIBERESP)4 aut0 (Swepub:lu)extLU-05
700a Amiano, P.u CIBER Epidemiology and Public Health (CIBERESP),Basque Government4 aut
700a Ericson, Ulrikau Lund University,Lunds universitet,Diabetes - kardiovaskulär sjukdom,Forskargrupper vid Lunds universitet,Diabetes - Cardiovascular Disease,Lund University Research Groups4 aut0 (Swepub:lu)medf-upe
700a Sonestedt, Emilyu Lund University,Lunds universitet,Nutritionsepidemiologi,Forskargrupper vid Lunds universitet,Nutrition Epidemiology,Lund University Research Groups4 aut0 (Swepub:lu)medf-eso
700a Huseinovic, Enau 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 Nutrition4 aut0 (Swepub:gu)xhusen
700a Johansson, Ingegerdu Umeå University,Umeå universitet,Institutionen för odontologi4 aut0 (Swepub:umu)injo0003
700a Khaw, K. T.u Addenbrooke's Hospital,University of Cambridge4 aut
700a Wareham, N.u University of Cambridge4 aut
700a Bradbury, K. E.u University of Oxford4 aut
700a Perez-Cornago, A.u University of Oxford4 aut
700a Tsilidis, K. K.4 aut
700a Ferrari, P.u International Agency for Research on Cancer, World Health Organization4 aut
700a Riboli, E.u Imperial College London4 aut
700a Gunter, M. J.4 aut
700a Touvier, M.u Sorbonne Paris Nord University4 aut
710a Sorbonne Paris Nord Universityb International Agency for Research on Cancer, World Health Organization4 org
773t Plos Medicined : Public Library of Science (PLoS)g 15:9q 15:9x 1549-1676x 1549-1277
856u https://doi.org/10.1371/journal.pmed.1002651
856u https://doi.org/10.1371/journal.pmed.1002651y Fulltext
856u https://umu.diva-portal.org/smash/get/diva2:1269786/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856u http://dx.doi.org/10.1371/journal.pmed.1002651x freey FULLTEXT
8564 8u https://gup.ub.gu.se/publication/272772
8564 8u https://doi.org/10.1371/journal.pmed.1002651
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-153825
8564 8u https://lup.lub.lu.se/record/d5abfdd9-6b43-4384-a36a-ac2f8b7c93a5
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:139300586

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