Association between nutritional profiles of foods underlying Nutri-Score front-of-pack labels and mortality: EPIC cohort study in 10 European countries
Deschasaux, Mélanie ; Sonestedt, Emily LU
; Ericson, Ulrika
LU
and Touvier, Mathilde
(2020)
In The BMJ
370.
- 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,... (More)
- 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 (Less)
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https://lup.lub.lu.se/record/da76e7d4-9699-4004-8d55-8f4667b05921
- author
- Deschasaux, Mélanie
; Sonestedt, Emily
LU
; Ericson, Ulrika
LU
and Touvier, Mathilde
- author collaboration
- organization
- publishing date
- 2020
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- 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
- in
- The BMJ
- volume
- 370
- article number
- m3173
- publisher
- BMJ Publishing Group
- external identifiers
-
- scopus:85091127853
- pmid:32938660
- ISSN
- 1756-1833
- DOI
- 10.1136/bmj.m3173
- language
- English
- LU publication?
- yes
- id
- da76e7d4-9699-4004-8d55-8f4667b05921
- alternative location
- https://www.scopus.com/inward/record.uri?eid=2-s2.0-85091127853&doi=10.1136%2fbmj.m3173&partnerID=40&md5=ed6db8e2a0943af6b3941e1ed5f7f889
- date added to LUP
- 2020-11-27 11:51:11
- date last changed
- 2022-04-26 22:10:30
@article{da76e7d4-9699-4004-8d55-8f4667b05921,
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, P}},
author = {{Deschasaux, Mélanie and Sonestedt, Emily and Ericson, Ulrika and Touvier, Mathilde}},
issn = {{1756-1833}},
keywords = {{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}},
language = {{eng}},
publisher = {{BMJ Publishing Group}},
series = {{The BMJ}},
title = {{Association between nutritional profiles of foods underlying Nutri-Score front-of-pack labels and mortality: EPIC cohort study in 10 European countries}},
url = {{http://dx.doi.org/10.1136/bmj.m3173}},
doi = {{10.1136/bmj.m3173}},
volume = {{370}},
year = {{2020}},
}