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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

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

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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. / Deschasaux, Mélanie; Huybrechts, Inge; Julia, Chantal; Hercberg, Serge; Egnell, Manon; Srour, Bernard; Kesse-Guyot, Emmanuelle; Latino-Martel, Paule; Biessy, Carine; Casagrande, Corinne; Murphy, Neil; Jenab, Mazda; Ward, Heather A.; Weiderpass, Elisabete; Overvad, Kim; Tjønneland, Anne; Rostgaard-Hansen, Agnetha Linn; Boutron-Ruault, Marie Christine; Mancini, Francesca Romana; Mahamat-Saleh, Yahya; Kühn, Tilman; Katzke, Verena; Bergmann, Manuela M.; Schulze, Matthias B.; Trichopoulou, Antonia; Karakatsani, Anna; Peppa, Eleni; Masala, Giovanna; Agnoli, Claudia; De Magistris, Maria Santucci; Tumino, Rosario; Sacerdote, Carlotta; Boer, Jolanda Ma; Verschuren, Wm Monique; van der Schouw, Yvonne T.; Skeie, Guri; Braaten, Tonje; Redondo, M. Luisa; Agudo, Antonio; Petrova, Dafina; Colorado-Yohar, Sandra M.; Barricarte, Aurelio; Amiano, Pilar; Sonestedt, Emily; Ericson, Ulrika; Otten, Julia; Sundström, Björn; Wareham, Nicholas J.; Forouhi, Nita G.; Vineis, Paolo; Tsilidis, Konstantinos K.; Knuppel, Anika; Papier, Keren; Ferrari, Pietro; Riboli, Elio; Gunter, Marc J.; Touvier, Mathilde.

I: B M J, Bind 370, m3173, 2020.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

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, HA, Weiderpass, E, Overvad, K, Tjønneland, A, Rostgaard-Hansen, AL, Boutron-Ruault, MC, Mancini, FR, Mahamat-Saleh, Y, Kühn, T, Katzke, V, Bergmann, MM, Schulze, MB, Trichopoulou, A, Karakatsani, A, Peppa, E, Masala, G, Agnoli, C, De Magistris, MS, Tumino, R, Sacerdote, C, Boer, JM, Verschuren, WM, van der Schouw, YT, Skeie, G, Braaten, T, Redondo, ML, Agudo, A, Petrova, D, Colorado-Yohar, SM, Barricarte, A, Amiano, P, Sonestedt, E, Ericson, U, Otten, J, Sundström, B, Wareham, NJ, Forouhi, NG, Vineis, P, Tsilidis, KK, Knuppel, A, Papier, K, Ferrari, P, Riboli, E, Gunter, MJ & 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, bind 370, m3173. https://doi.org/10.1136/bmj.m3173

APA

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., ... 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, 370, [m3173]. https://doi.org/10.1136/bmj.m3173

Vancouver

Deschasaux M, Huybrechts I, Julia C, Hercberg S, Egnell M, Srour B o.a. 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. 2020;370. m3173. https://doi.org/10.1136/bmj.m3173

Author

Deschasaux, Mélanie ; Huybrechts, Inge ; Julia, Chantal ; Hercberg, Serge ; Egnell, Manon ; Srour, Bernard ; Kesse-Guyot, Emmanuelle ; Latino-Martel, Paule ; Biessy, Carine ; Casagrande, Corinne ; Murphy, Neil ; Jenab, Mazda ; Ward, Heather A. ; Weiderpass, Elisabete ; Overvad, Kim ; Tjønneland, Anne ; Rostgaard-Hansen, Agnetha Linn ; Boutron-Ruault, Marie Christine ; Mancini, Francesca Romana ; Mahamat-Saleh, Yahya ; Kühn, Tilman ; Katzke, Verena ; Bergmann, Manuela M. ; Schulze, Matthias B. ; Trichopoulou, Antonia ; Karakatsani, Anna ; Peppa, Eleni ; Masala, Giovanna ; Agnoli, Claudia ; De Magistris, Maria Santucci ; Tumino, Rosario ; Sacerdote, Carlotta ; Boer, Jolanda Ma ; Verschuren, Wm Monique ; van der Schouw, Yvonne T. ; Skeie, Guri ; Braaten, Tonje ; Redondo, M. Luisa ; Agudo, Antonio ; Petrova, Dafina ; Colorado-Yohar, Sandra M. ; Barricarte, Aurelio ; Amiano, Pilar ; Sonestedt, Emily ; Ericson, Ulrika ; Otten, Julia ; Sundström, Björn ; Wareham, Nicholas J. ; Forouhi, Nita G. ; Vineis, Paolo ; Tsilidis, Konstantinos K. ; Knuppel, Anika ; Papier, Keren ; Ferrari, Pietro ; Riboli, Elio ; Gunter, Marc J. ; Touvier, Mathilde. / Association between nutritional profiles of foods underlying Nutri-Score front-of-pack labels and mortality : EPIC cohort study in 10 European countries. I: B M J. 2020 ; Bind 370.

Bibtex

@article{8f5da1230d394da9af8552d1e98a07ae,
title = "Association between nutritional profiles of foods underlying Nutri-Score front-of-pack labels and mortality: EPIC cohort study in 10 European countries",
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<0.001 for trend) and mortality from cancer (1.08, 1.03 to 1.13, P<0.001 for trend) and diseases of the circulatory (1.04, 0.98 to 1.11, P=0.06 for trend), respiratory (1.39, 1.22 to 1.59, P<0.001), and digestive (1.22, 1.02 to 1.45, P=0.03 for trend) systems. The age standardised absolute rates for all cause mortality per 10 000 persons over 10 years were 760 (men=1237; women=563) for those in the highest fifth of the FSAm-NPS dietary index score and 661 (men=1008; women=518) for those in the lowest fifth. Conclusions: 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.",
author = "M{\'e}lanie Deschasaux and Inge Huybrechts and Chantal Julia and Serge Hercberg and Manon Egnell and Bernard Srour and Emmanuelle Kesse-Guyot and Paule Latino-Martel and Carine Biessy and Corinne Casagrande and Neil Murphy and Mazda Jenab and Ward, {Heather A.} and Elisabete Weiderpass and Kim Overvad and Anne Tj{\o}nneland and Rostgaard-Hansen, {Agnetha Linn} and Boutron-Ruault, {Marie Christine} and Mancini, {Francesca Romana} and Yahya Mahamat-Saleh and Tilman K{\"u}hn and Verena Katzke and Bergmann, {Manuela M.} and Schulze, {Matthias B.} and Antonia Trichopoulou and Anna Karakatsani and Eleni Peppa and Giovanna Masala and Claudia Agnoli and {De Magistris}, {Maria Santucci} and Rosario Tumino and Carlotta Sacerdote and Boer, {Jolanda Ma} and Verschuren, {Wm Monique} and {van der Schouw}, {Yvonne T.} and Guri Skeie and Tonje Braaten and Redondo, {M. Luisa} and Antonio Agudo and Dafina Petrova and Colorado-Yohar, {Sandra M.} and Aurelio Barricarte and Pilar Amiano and Emily Sonestedt and Ulrika Ericson and Julia Otten and Bj{\"o}rn Sundstr{\"o}m and Wareham, {Nicholas J.} and Forouhi, {Nita G.} and Paolo Vineis and Tsilidis, {Konstantinos K.} and Anika Knuppel and Keren Papier and Pietro Ferrari and Elio Riboli and Gunter, {Marc J.} and Mathilde Touvier",
note = "(Ekstern)",
year = "2020",
doi = "10.1136/bmj.m3173",
language = "English",
volume = "370",
journal = "B M J",
issn = "0959-8146",
publisher = "BMJ Publishing Group",

}

RIS

TY - JOUR

T1 - Association between nutritional profiles of foods underlying Nutri-Score front-of-pack labels and mortality

T2 - EPIC cohort study in 10 European countries

AU - Deschasaux, Mélanie

AU - Huybrechts, Inge

AU - Julia, Chantal

AU - Hercberg, Serge

AU - Egnell, Manon

AU - Srour, Bernard

AU - Kesse-Guyot, Emmanuelle

AU - Latino-Martel, Paule

AU - Biessy, Carine

AU - Casagrande, Corinne

AU - Murphy, Neil

AU - Jenab, Mazda

AU - Ward, Heather A.

AU - Weiderpass, Elisabete

AU - Overvad, Kim

AU - Tjønneland, Anne

AU - Rostgaard-Hansen, Agnetha Linn

AU - Boutron-Ruault, Marie Christine

AU - Mancini, Francesca Romana

AU - Mahamat-Saleh, Yahya

AU - Kühn, Tilman

AU - Katzke, Verena

AU - Bergmann, Manuela M.

AU - Schulze, Matthias B.

AU - Trichopoulou, Antonia

AU - Karakatsani, Anna

AU - Peppa, Eleni

AU - Masala, Giovanna

AU - Agnoli, Claudia

AU - De Magistris, Maria Santucci

AU - Tumino, Rosario

AU - Sacerdote, Carlotta

AU - Boer, Jolanda Ma

AU - Verschuren, Wm Monique

AU - van der Schouw, Yvonne T.

AU - Skeie, Guri

AU - Braaten, Tonje

AU - Redondo, M. Luisa

AU - Agudo, Antonio

AU - Petrova, Dafina

AU - Colorado-Yohar, Sandra M.

AU - Barricarte, Aurelio

AU - Amiano, Pilar

AU - Sonestedt, Emily

AU - Ericson, Ulrika

AU - Otten, Julia

AU - Sundström, Björn

AU - Wareham, Nicholas J.

AU - Forouhi, Nita G.

AU - Vineis, Paolo

AU - Tsilidis, Konstantinos K.

AU - Knuppel, Anika

AU - Papier, Keren

AU - Ferrari, Pietro

AU - Riboli, Elio

AU - Gunter, Marc J.

AU - Touvier, Mathilde

N1 - (Ekstern)

PY - 2020

Y1 - 2020

N2 - 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<0.001 for trend) and mortality from cancer (1.08, 1.03 to 1.13, P<0.001 for trend) and diseases of the circulatory (1.04, 0.98 to 1.11, P=0.06 for trend), respiratory (1.39, 1.22 to 1.59, P<0.001), and digestive (1.22, 1.02 to 1.45, P=0.03 for trend) systems. The age standardised absolute rates for all cause mortality per 10 000 persons over 10 years were 760 (men=1237; women=563) for those in the highest fifth of the FSAm-NPS dietary index score and 661 (men=1008; women=518) for those in the lowest fifth. Conclusions: 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.

AB - 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<0.001 for trend) and mortality from cancer (1.08, 1.03 to 1.13, P<0.001 for trend) and diseases of the circulatory (1.04, 0.98 to 1.11, P=0.06 for trend), respiratory (1.39, 1.22 to 1.59, P<0.001), and digestive (1.22, 1.02 to 1.45, P=0.03 for trend) systems. The age standardised absolute rates for all cause mortality per 10 000 persons over 10 years were 760 (men=1237; women=563) for those in the highest fifth of the FSAm-NPS dietary index score and 661 (men=1008; women=518) for those in the lowest fifth. Conclusions: 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.

U2 - 10.1136/bmj.m3173

DO - 10.1136/bmj.m3173

M3 - Journal article

C2 - 32938660

AN - SCOPUS:85091127853

VL - 370

JO - B M J

JF - B M J

SN - 0959-8146

M1 - m3173

ER -

ID: 249161089