Chantal Julia1, Pauline Ducrot2, Camille Lassale2, Léopold Fézeu2, Caroline Méjean2, Sandrine Péneau2, Mathilde Touvier2, Serge Hercberg1, Emmanuelle Kesse-Guyot2. 1. Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, Inserm (U11530, Inra(U1125), Cnam, COMUE Sorbonne Paris Cité, 74 rue Marcel Cachin, F-93017 Bobigny, France; Département de Santé Publique, Hôpital Avicenne (AP-HP), F-93017 Bobigny, France. 2. Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, Inserm (U11530, Inra(U1125), Cnam, COMUE Sorbonne Paris Cité, 74 rue Marcel Cachin, F-93017 Bobigny, France.
Abstract
BACKGROUND/ OBJECTIVES: The scoring of the nutritional quality of individual foods using nutrient profiling systems (NPS) has been suggested as a basis for public health preventive measures. Used for front-of-package labeling, such scoring would help consumers in making healthier food choices. An individual dietary score based on the Food Standards Agency NPS has been developed (FSA-NPS-DI), but its long term association with weight gain has not been investigated. Our objectives were to investigate long-term associations between the FSA-NPS DI and weight gain and overweight/obesity onset in a middle-aged French population. SUBJECTS/ METHODS: Subjects included in the French SU.VI.MAX cohort with at least three dietary records at baseline and available anthropometric measurements at baseline and at a 13-year follow-up examination were included in the study. FSA-NPS DI at baseline was computed for each subject. Association between FSA-NPS DI and weight and BMI gain were investigated with ANCOVA and associations with overweight/obesity onset with logistic regression models. RESULTS: Higher baseline FSA-NPS DI (reflecting a poorer diet) was associated with higher weight and BMI gain (beta Q4 versus Q1=0.70; (95%CI 0.01; 1.38), P for trend=0.04). A 16% higher risk of obesity for a 1 point increase of FSA-NPS DI was observed only in men. CONCLUSIONS: Our results suggest that a shift in nutritional quality of the foods and beverages within an individual's diet, as expressed by the FSA-NPS DI would be associated with lower weight gain in the long term. Using the FSA-NPS as a basis for food labeling might therefore contribute to tackle obesity.
BACKGROUND/ OBJECTIVES: The scoring of the nutritional quality of individual foods using nutrient profiling systems (NPS) has been suggested as a basis for public health preventive measures. Used for front-of-package labeling, such scoring would help consumers in making healthier food choices. An individual dietary score based on the Food Standards Agency NPS has been developed (FSA-NPS-DI), but its long term association with weight gain has not been investigated. Our objectives were to investigate long-term associations between the FSA-NPS DI and weight gain and overweight/obesity onset in a middle-aged French population. SUBJECTS/ METHODS: Subjects included in the French SU.VI.MAX cohort with at least three dietary records at baseline and available anthropometric measurements at baseline and at a 13-year follow-up examination were included in the study. FSA-NPS DI at baseline was computed for each subject. Association between FSA-NPS DI and weight and BMI gain were investigated with ANCOVA and associations with overweight/obesity onset with logistic regression models. RESULTS: Higher baseline FSA-NPS DI (reflecting a poorer diet) was associated with higher weight and BMI gain (beta Q4 versus Q1=0.70; (95%CI 0.01; 1.38), P for trend=0.04). A 16% higher risk of obesity for a 1 point increase of FSA-NPS DI was observed only in men. CONCLUSIONS: Our results suggest that a shift in nutritional quality of the foods and beverages within an individual's diet, as expressed by the FSA-NPS DI would be associated with lower weight gain in the long term. Using the FSA-NPS as a basis for food labeling might therefore contribute to tackle obesity.
Authors: Oliver T Mytton; Nita G Forouhi; Peter Scarborough; Marleen Lentjes; Robert Luben; Mike Rayner; Kay Tee Khaw; Nicholas J Wareham; Pablo Monsivais Journal: PLoS Med Date: 2018-01-04 Impact factor: 11.069
Authors: Ada L Garcia; Rebecca Reardon; Elizabeth Hammond; Alison Parrett; Anne Gebbie-Diben Journal: Int J Environ Res Public Health Date: 2017-04-04 Impact factor: 3.390