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Association between nutritional profiles of foods underlying Nutri-Score front-of-pack labels and mortality: EPIC cohort study in 10 European countries
- Source :
- The BMJ, BMJ-British Medical Journal, BMJ-British Medical Journal, BMJ, 2020, pp.m3173. ⟨10.1136/bmj.m3173⟩, Deschasaux, M, Huybrechts, I, Julia, C, Hercberg, S, Egnell, M, Srour, B, Kesse-Guyot, E, Latino-Martel, P, Biessy, C, Casagrande, C, Murphy, N, Jenab, M, Ward, H A, Weiderpass, E, Overvad, K, Tjønneland, A, Rostgaard-Hansen, A L, Boutron-Ruault, M C, Mancini, F R, Mahamat-Saleh, Y, Kühn, T, Katzke, V, Bergmann, M M, Schulze, M B, Trichopoulou, A, Karakatsani, A, Peppa, E, Masala, G, Agnoli, C, De Magistris, M S, Tumino, R, Sacerdote, C, Boer, J M, Verschuren, W M, van der Schouw, Y T, Skeie, G, Braaten, T, Redondo, M L, Agudo, A, Petrova, D, Colorado-Yohar, S M, Barricarte, A, Amiano, P, Sonestedt, E, Ericson, U, Otten, J, Sundström, B, Wareham, N J, Forouhi, N G, Vineis, P, Tsilidis, K K, Knuppel, A, Papier, K, Ferrari, P, Riboli, E, Gunter, M J & Touvier, M 2020, ' Association between nutritional profiles of foods underlying Nutri-Score front-of-pack labels and mortality : EPIC cohort study in 10 European countries ', B M J, vol. 370, m3173 . https://doi.org/10.1136/bmj.m3173, Deschasaux, M, Huybrechts, I, Julia, C, Hercberg, S, Egnell, M, Srour, B, Kesse-Guyot, E, Latino-Martel, P, Biessy, C, Casagrande, C, Murphy, N, Jenab, M, Ward, H A, Weiderpass, E, Overvad, K, Tjønneland, A, Rostgaard-Hansen, A L, Boutron-Ruault, M-C, Mancini, F R, Mahamat-Saleh, Y, Kühn, T, Katzke, V, Bergmann, M M, Schulze, M B, Trichopoulou, A, Karakatsani, A, Peppa, E, Masala, G, Agnoli, C, De Magistris, M S, Tumino, R, Sacerdote, C, Boer, J M, Verschuren, W M, van der Schouw, Y T, Skeie, G, Braaten, T, Redondo, M L, Agudo, A, Petrova, D, Colorado-Yohar, S M, Barricarte, A, Amiano, P, Sonestedt, E, Ericson, U, Otten, J, Sundström, B, Wareham, N J, Forouhi, N G, Vineis, P, Tsilidis, K K, Knuppel, A, Papier, K, Ferrari, P, Riboli, E, Gunter, M J & Touvier, M 2020, ' Association between nutritional profiles of foods underlying Nutri-Score front-of-pack labels and mortality : EPIC cohort study in 10 European countries ', B M J, vol. 370, m3173 . https://doi.org/10.1136/bmj.m3173, Dipòsit Digital de la UB, Universidad de Barcelona
- Publication Year :
- 2020
- Publisher :
- BMJ Publishing Group Ltd., 2020.
-
Abstract
- 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, PConclusions: 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.
- Subjects :
- Adult
Male
1117 Public Health and Health Services
Cohort Studies
Food Preferences
Food Labeling
General & Internal Medicine
Surveys and Questionnaires
Mortalitat
Humans
Mortality
Nutrició
ComputingMilieux_MISCELLANEOUS
Nutrition
Proportional Hazards Models
Research
Klinisk medicin
1103 Clinical Sciences
Middle Aged
Europe
Nutrition Assessment
Female
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
Clinical Medicine
Nutritive Value
[SDV.AEN]Life Sciences [q-bio]/Food and Nutrition
Subjects
Details
- Language :
- English
- ISSN :
- 17561833 and 09598138
- Volume :
- 370
- Database :
- OpenAIRE
- Journal :
- The BMJ
- Accession number :
- edsair.pmid.dedup....e57b90f9733328b72d8cecf78a766e65