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Association between a dietary quality index based on the food standard agency nutrient profiling system and cardiovascular disease risk among French adults.
Int J Cardiol. 2017 May 01; 234:22-27.IJ

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.

Authors+Show Affiliations

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.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.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.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.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.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.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.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.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.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.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.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28258849

Citation

Adriouch, Solia, et al. "Association Between a Dietary Quality Index Based On the Food Standard Agency Nutrient Profiling System and Cardiovascular Disease Risk Among French Adults." International Journal of Cardiology, vol. 234, 2017, pp. 22-27.
Adriouch S, Julia C, Kesse-Guyot E, et al. Association between a dietary quality index based on the food standard agency nutrient profiling system and cardiovascular disease risk among French adults. Int J Cardiol. 2017;234:22-27.
Adriouch, S., Julia, C., Kesse-Guyot, E., Ducrot, P., Péneau, S., Méjean, C., Assmann, K. E., Deschasaux, M., Hercberg, S., Touvier, M., & Fezeu, L. K. (2017). Association between a dietary quality index based on the food standard agency nutrient profiling system and cardiovascular disease risk among French adults. International Journal of Cardiology, 234, 22-27. https://doi.org/10.1016/j.ijcard.2017.02.092
Adriouch S, et al. Association Between a Dietary Quality Index Based On the Food Standard Agency Nutrient Profiling System and Cardiovascular Disease Risk Among French Adults. Int J Cardiol. 2017 May 1;234:22-27. PubMed PMID: 28258849.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association between a dietary quality index based on the food standard agency nutrient profiling system and cardiovascular disease risk among French adults. AU - Adriouch,Solia, AU - Julia,Chantal, AU - Kesse-Guyot,Emmanuelle, AU - Ducrot,Pauline, AU - Péneau,Sandrine, AU - Méjean,Caroline, AU - Assmann,Karen E, AU - Deschasaux,Mélanie, AU - Hercberg,Serge, AU - Touvier,Mathilde, AU - Fezeu,Léopold K, Y1 - 2017/02/24/ PY - 2016/08/24/received PY - 2017/01/04/revised PY - 2017/02/20/accepted PY - 2017/3/5/pubmed PY - 2017/11/29/medline PY - 2017/3/5/entrez KW - Cardiovascular risk KW - FSA-NPS KW - Nutrient profiling system KW - Nutrition policy KW - Prospective study SP - 22 EP - 27 JF - International journal of cardiology JO - Int. J. Cardiol. VL - 234 N2 - 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. SN - 1874-1754 UR - https://www.unboundmedicine.com/medline/citation/28258849/Association_between_a_dietary_quality_index_based_on_the_food_standard_agency_nutrient_profiling_system_and_cardiovascular_disease_risk_among_French_adults_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0167-5273(17)31122-1 DB - PRIME DP - Unbound Medicine ER -