RT Journal Article
T1 Association between nutritional profiles of foods underlying Nutri-Score front-of-pack labels and mortality: EPIC cohort study in 10 European countries.
A1 Deschasaux, Mélanie
A1 Huybrechts, Inge
A1 Julia, Chantal
A1 Hercberg, Serge
A1 Egnell, Manon
A1 Srour, Bernard
A1 Kesse-Guyot, Emmanuelle
A1 Latino-Martel, Paule
A1 Biessy, Carine
A1 Casagrande, Corinne
A1 Murphy, Neil
A1 Jenab, Mazda
A1 Ward, Heather A
A1 Weiderpass, Elisabete
A1 Overvad, Kim
A1 Tjønneland, Anne
A1 Rostgaard-Hansen, Agnetha Linn
A1 Boutron-Ruault, Marie-Christine
A1 Mancini, Francesca Romana
A1 Mahamat-Saleh, Yahya
A1 Kühn, Tilman
A1 Katzke, Verena
A1 Bergmann, Manuela M
A1 Schulze, Matthias B
A1 Trichopoulou, Antonia
A1 Karakatsani, Anna
A1 Peppa, Eleni
A1 Masala, Giovanna
A1 Agnoli, Claudia
A1 De Magistris, Maria Santucci
A1 Tumino, Rosario
A1 Sacerdote, Carlotta
A1 Boer, Jolanda Ma
A1 Verschuren, Wm Monique
A1 van der Schouw, Yvonne T
A1 Skeie, Guri
A1 Braaten, Tonje
A1 Redondo, M Luisa
A1 Agudo, Antonio
A1 Petrova, Dafina
A1 Colorado-Yohar, Sandra M
A1 Barricarte, Aurelio
A1 Amiano, Pilar
A1 Sonestedt, Emily
A1 Ericson, Ulrika
A1 Otten, Julia
A1 Sundström, Björn
A1 Wareham, Nicholas J
A1 Forouhi, Nita G
A1 Vineis, Paolo
A1 Tsilidis, Konstantinos K
A1 Knuppel, Anika
A1 Papier, Keren
A1 Ferrari, Pietro
A1 Riboli, Elio
A1 Gunter, Marc J
A1 Touvier, Mathilde
AB 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. Population based cohort study. European Prospective Investigation into Cancer and Nutrition (EPIC) cohort from 23 centres in 10 European countries. 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. Associations between the FSAm-NPS dietary index score and mortality, assessed using multivariable adjusted Cox proportional hazards regression models. 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 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.
PB BMJ
YR 2020
FD 2020-08-03
LK http://hdl.handle.net/10668/16264
UL http://hdl.handle.net/10668/16264
LA en
NO Deschasaux M, Huybrechts I, Julia C, Hercberg S, Egnell M, Srour B, et al. Association between nutritional profiles of foods underlying Nutri-Score front-of-pack labels and mortality: EPIC cohort study in 10 European countries. BMJ. 2020 Sep 16;370:m3173
DS RISalud
RD Apr 20, 2025