Solia Adriouch1, Chantal Julia2, Emmanuelle Kesse-Guyot3, Pauline Ducrot3, Sandrine Péneau3, Caroline Méjean3, Karen E Assmann3, Mélanie Deschasaux3, Serge Hercberg2, Mathilde Touvier3, Léopold K Fezeu3. 1. Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, Inserm (U1153), Inra (U1125), Cnam, COMUE Sorbonne Paris Cité, F-93017 Bobigny, France. Electronic address: s.adriouch@eren.smbh.univ-paris13.fr. 2. Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, Inserm (U1153), Inra (U1125), Cnam, COMUE Sorbonne Paris Cité, F-93017 Bobigny, France; Département de Santé Publique, Hôpital Avicenne, F-93017 Bobigny, France. 3. Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, Inserm (U1153), Inra (U1125), Cnam, COMUE Sorbonne Paris Cité, F-93017 Bobigny, France.
Abstract
BACKGROUND: In France, the implementation of a front-of-pack (FOP) nutrition label-the 5-Colour Nutrition Label (5-CNL) is currently under consideration as a strategic tool to allow consumers making healthier food choices. This FOP label is based on the British Food Standards Agency Nutrient Profiling System (FSA-NPS), reflecting the overall nutritional quality of foods. At the individual level, an energy-weighted mean of all FSA-NPS scores of foods usually consumed has been elaborated (FSA-NPS DI). Our objective was to investigate the prospective association between the FSA-NPS DI and cardiovascular disease (CVD) risk. METHODS: 75,801 participants to the NutriNet-Santé cohort, who completed at least three 24h dietary records during the first 2y of the follow-up, were followed between 2009 and 2016. Multivariable Cox proportional hazards models were used to characterize the associations between FSA-NPS DI and the incidence of CVDs. RESULTS: 509 major cardiovascular events were diagnosed (262 coronary heart diseases and 247 strokes). A higher FSA-NPS DI, characterizing lower dietary quality, was associated with increased CVD risk (HRfor a 1-point increment=1.08 (1.03-1.13); HRQ4vs.Q1=1.40 (1.06-1.84), Ptrend Q4-Q1=0.01). This association tended to be stronger in overweight subjects (HRfor a 1-point increment=1.12 (1.04-1.19); Pinteraction=0.003). CONCLUSIONS: These results suggest that lower dietary quality, as reflected by a higher FSA-NPS DI, may be associated with a significant increase in cardiovascular risk, especially in at-risk individuals (overweight population). They support the public health relevance of developing a front-of-pack nutrition label based on this score.
BACKGROUND: In France, the implementation of a front-of-pack (FOP) nutrition label-the 5-Colour Nutrition Label (5-CNL) is currently under consideration as a strategic tool to allow consumers making healthier food choices. This FOP label is based on the British Food Standards Agency Nutrient Profiling System (FSA-NPS), reflecting the overall nutritional quality of foods. At the individual level, an energy-weighted mean of all FSA-NPS scores of foods usually consumed has been elaborated (FSA-NPS DI). Our objective was to investigate the prospective association between the FSA-NPS DI and cardiovascular disease (CVD) risk. METHODS: 75,801 participants to the NutriNet-Santé cohort, who completed at least three 24h dietary records during the first 2y of the follow-up, were followed between 2009 and 2016. Multivariable Cox proportional hazards models were used to characterize the associations between FSA-NPS DI and the incidence of CVDs. RESULTS: 509 major cardiovascular events were diagnosed (262 coronary heart diseases and 247 strokes). A higher FSA-NPS DI, characterizing lower dietary quality, was associated with increased CVD risk (HRfor a 1-point increment=1.08 (1.03-1.13); HRQ4vs.Q1=1.40 (1.06-1.84), Ptrend Q4-Q1=0.01). This association tended to be stronger in overweight subjects (HRfor a 1-point increment=1.12 (1.04-1.19); Pinteraction=0.003). CONCLUSIONS: These results suggest that lower dietary quality, as reflected by a higher FSA-NPS DI, may be associated with a significant increase in cardiovascular risk, especially in at-risk individuals (overweight population). They support the public health relevance of developing a front-of-pack nutrition label based on this score.
Authors: Xiong-Fei Pan; Dianna J Magliano; Miaobing Zheng; Maria Shahid; Fraser Taylor; Chantal Julia; Cliona Ni Mhurchu; An Pan; Jonathan E Shaw; Bruce Neal; Jason H Y Wu Journal: Curr Dev Nutr Date: 2020-10-14
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: Ghadeer S Aljuraiban; Rachel Gibson; Linda M Oude Griep; Nagako Okuda; Lyn M Steffen; Linda Van Horn; Queenie Chan Journal: Adv Nutr Date: 2020-01-01 Impact factor: 8.701
Authors: Stefan Storcksdieck Genannt Bonsmann; Marguerite Robinson; Jan Wollgast; Sandra Caldeira Journal: PLoS One Date: 2019-10-23 Impact factor: 3.240
Authors: Oliver T Mytton; Emma Boyland; Jean Adams; Brendan Collins; Martin O'Connell; Simon J Russell; Kate Smith; Rebekah Stroud; Russell M Viner; Linda J Cobiac Journal: PLoS Med Date: 2020-10-13 Impact factor: 11.069