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Title: Associations Between the Modified Food Standard Agency Nutrient Profiling System Dietary Index and Cardiovascular Risk Factors in an Elderly Population
Author: Khoury, Nadine
Gómez Donoso, Clara
Martínez, María Ángeles
Martínez-González, Miguel Ángel, 1957-
Corella Piquer, Dolores
Fitó Colomer, Montserrat
Martínez, J. Alfredo, 1957-
Alonso Gómez, Ángel M.
Wärnberg, Julia
Vioque, Jesús
Romaguera, Dora
León Acuña, Ana
Tinahones, Francisco J.
Santos Lozano, Jose Manuel
Serra Majem, Lluís
Massó Guijarro, Paloma
Tur, Josep A.
Martín Sánchez, Vicente
Pintó Sala, Xavier
Delgado Rodríguez, Miguel, 1958-
Matía Martín, Pilar
Vidal i Cortada, Josep
Vázquez Martínez, C.
Daimiel, Lidia
Ros Rahola, Emilio
Bes Rastrollo, Maira
Barragan, Rocio
Castañer, Olga
Torres Peña, Jose D.
Notario Barandiaran, Leyre
Muñoz Bravo, Carlos
Abete, Itziar
Prohens, Lara
Cano Ibáñez, Naomi
Tojal Sierra, Lucas
Fernández García, José C.
Sayon Orea, Carmen
Pascual, Maria
Sorlí, José V.
Zomeño Fajardo, María Dolores
Peña Orihuela, Patricia J.
Signes Pastor, Antonio J.
Basterra Gortari, F. Javier
Schröeder, Helmut
Salas Salvadó, Jordi
Babio, Nancy
Keywords: Pes corporal
Sistema cardiovascular
Body weight
Cardiovascular system
Issue Date: 14-Jul-2022
Publisher: Frontiers Media SA
Abstract: Background: Helping consumers to improve the nutritional quality of their diet is a key public health action to prevent cardiovascular diseases (CVDs). The modified version of the Food Standard Agency Nutrient Profiling System Dietary Index (FSAm-NPS DI) underpinning the Nutri-Score front-of-pack label has been used in public health strategies to address the deleterious consequences of poor diets. This study aimed to assess the association between the FSAm-NPS DI and some CVD risk factors including body mass index (BMI), waist circumference, plasma glucose levels, triglyceride levels, high-density lipoprotein (HDL) and low-density lipoprotein (LDL) cholesterol, and diastolic and systolic blood pressure. Materials and Methods: Dietary intake was assessed at baseline and after 1 year of follow-up using a 143-item validated semi-quantitative food-frequency questionnaire. Dietary indices based on FSAm-NPS applied at an individual level were computed to characterize the diet quality of 5,921 participants aged 55-75 years with overweight/obesity and metabolic syndrome from the PREDIMED-plus cohort. Associations between the FSAm-NPS DI and CVD risk factors were assessed using linear regression models. Results: Compared to participants with a higher nutritional quality of diet (measured by a lower FSAm-NPS DI at baseline or a decrease in FSAm-NPS DI after 1 year), those participants with a lower nutritional quality of diet (higher FSAm-NPS DI or an increase in score) showed a significant increase in the levels of plasma glucose, triglycerides, diastolic blood pressure, BMI, and waist circumference (beta coefficient [95% confidence interval]; P for trend) (1.67 [0.43, 2.90]; <0.001; 6.27 [2.46, 10.09]; <0.001; 0.56 [0.08, 1.05]; 0.001; 0.51 [0.41, 0.60]; <0.001; 1.19 [0.89, 1.50]; <0.001, respectively). No significant associations in relation to changes in HDL and LDL-cholesterol nor with systolic blood pressure were shown. Conclusion: This prospective cohort study suggests that the consumption of food items with a higher FSAm-NPS DI is associated with increased levels of several major risk factors for CVD including adiposity, fasting plasma glucose, triglycerides, and diastolic blood pressure. However, results must be cautiously interpreted because no significant prospective associations were identified for critical CVD risk factors, such as HDL and LDL-cholesterol, and systolic blood pressure.
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It is part of: Frontiers in Nutrition, 2022, vol. 9
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ISSN: 2296-861X
Appears in Collections:Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
Publicacions de projectes de recerca finançats per la UE

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