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http://hdl.handle.net/2445/174284
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DC Field | Value | Language |
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dc.contributor.author | Deschasaux, Mélanie | - |
dc.contributor.author | Huybrechts, Inge | - |
dc.contributor.author | Julia, Chantal | - |
dc.contributor.author | Hercberg, Serge | - |
dc.contributor.author | Egnell, Manon | - |
dc.contributor.author | Srour, Bernard | - |
dc.contributor.author | Kesse-Guyot, Emmanuelle | - |
dc.contributor.author | Latino-Martel, Paule | - |
dc.contributor.author | Biessy, Carine | - |
dc.contributor.author | Casagrande, Corinne | - |
dc.contributor.author | Murphy, Neil | - |
dc.contributor.author | Jenab, Mazda | - |
dc.contributor.author | Ward, Heather A. | - |
dc.contributor.author | Weiderpass, Elisabete | - |
dc.contributor.author | Overvad, Kim | - |
dc.contributor.author | Tjønneland, Anne | - |
dc.contributor.author | Rostgaard-Hansen, Agnetha Linn | - |
dc.contributor.author | Boutron-Ruault, Marie-Christine | - |
dc.contributor.author | Mancini, Francesca Romana | - |
dc.contributor.author | Mahamat-Saleh, Yahya | - |
dc.contributor.author | Kühn, Tilman | - |
dc.contributor.author | Katzke, Verena | - |
dc.contributor.author | Bergmann, Manuela M. | - |
dc.contributor.author | Schulze, Matthias B. | - |
dc.contributor.author | Trichopoulou, Antonia | - |
dc.contributor.author | Karakatsani, Anna | - |
dc.contributor.author | Peppa, Eleni | - |
dc.contributor.author | Masala, Giovanna | - |
dc.contributor.author | Agnoli, Claudia | - |
dc.contributor.author | Santucci de Magistris, Maria | - |
dc.contributor.author | Tumino, Rosario | - |
dc.contributor.author | Sacerdote, Carlotta | - |
dc.contributor.author | Boer, Jolanda M. A. | - |
dc.contributor.author | Verschuren, W. M. Monique | - |
dc.contributor.author | van der Schouw, Yvonne T. | - |
dc.contributor.author | Skeie, Guri | - |
dc.contributor.author | Braaten, Tonje | - |
dc.contributor.author | Redondo, M. Luisa | - |
dc.contributor.author | Agudo, Antonio | - |
dc.contributor.author | Petrova, Dafina | - |
dc.contributor.author | Colorado Yohar, Sandra | - |
dc.contributor.author | Barricarte, Aurelio | - |
dc.contributor.author | Amiano, Pilar | - |
dc.contributor.author | Sonestedt, Emily | - |
dc.contributor.author | Ericson, Ulrika | - |
dc.contributor.author | Otten, Julia | - |
dc.contributor.author | Sundström, Björn | - |
dc.contributor.author | Wareham, Nicholas J. | - |
dc.contributor.author | Forouhi, Nita G | - |
dc.contributor.author | Vineis, Paolo | - |
dc.contributor.author | Tsilidis, Konstantinos K. | - |
dc.contributor.author | Knuppel, Anika | - |
dc.contributor.author | Papier, Keren | - |
dc.contributor.author | Ferrari, Pietro | - |
dc.contributor.author | Riboli, Elio | - |
dc.contributor.author | Gunter, Marc J. | - |
dc.contributor.author | Touvier, Mathilde | - |
dc.date.accessioned | 2021-02-24T19:08:50Z | - |
dc.date.available | 2021-02-24T19:08:50Z | - |
dc.date.issued | 2020-09-16 | - |
dc.identifier.uri | http://hdl.handle.net/2445/174284 | - |
dc.description.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. | - |
dc.format.extent | 13 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | BMJ | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1136/bmj.m3173 | - |
dc.relation.ispartof | BMJ, 2020, vol. 370 | - |
dc.relation.uri | https://doi.org/10.1136/bmj.m3173 | - |
dc.rights | cc by-nc (c) Deschasaux et al., 2020 | - |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/3.0/es/ | * |
dc.source | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) | - |
dc.subject.classification | Nutrició | - |
dc.subject.classification | Mortalitat | - |
dc.subject.other | Nutrition | - |
dc.subject.other | Mortality | - |
dc.title | Association between nutritional profiles of foods underlying Nutri-Score front-of-pack labels and mortality: EPIC cohort study in 10 European countries | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.date.updated | 2021-02-16T08:45:49Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
Appears in Collections: | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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bmj.m3173.full.pdf | 448.14 kB | Adobe PDF | View/Open |
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