%0 Journal Article
%A Deschasaux, Mélanie
%A Huybrechts, Inge
%A Murphy, Neil
%A Julia, Chantal
%A Hercberg, Serge
%A Srour, Bernard
%A Kesse-Guyot, Emmanuelle
%A Latino-Martel, Paule
%A Biessy, Carine
%A Casagrande, Corinne
%A Jenab, Mazda
%A Ward, Heather
%A Weiderpass, Elisabete
%A Dahm, Christina C
%A Overvad, Kim
%A Kyrø, Cecilie
%A Olsen, Anja
%A Affret, Aurélie
%A Boutron-Ruault, Marie-Christine
%A Mahamat-Saleh, Yahya
%A Kaaks, Rudolf
%A Kühn, Tilman
%A Boeing, Heiner
%A Schwingshackl, Lukas
%A Bamia, Christina
%A Peppa, Eleni
%A Trichopoulou, Antonia
%A Masala, Giovanna
%A Krogh, Vittorio
%A Panico, Salvatore
%A Tumino, Rosario
%A Sacerdote, Carlotta
%A Bueno-de-Mesquita, Bas
%A Peeters, Petra H
%A Hjartåker, Anette
%A Rylander, Charlotta
%A Skeie, Guri
%A Ramón Quirós, J
%A Jakszyn, Paula
%A Salamanca-Fernández, Elena
%A Huerta, José María
%A Ardanaz, Eva
%A Amiano, Pilar
%A Ericson, Ulrika
%A Sonestedt, Emily
%A Huseinovic, Ena
%A Johansson, Ingegerd
%A Khaw, Kay-Tee
%A Wareham, Nick
%A Bradbury, Kathryn E
%A Perez-Cornago, Aurora
%A Tsilidis, Konstantinos K
%A Ferrari, Pietro
%A Riboli, Elio
%A Gunter, Marc J
%A Touvier, Mathilde
%T Nutritional quality of food as represented by the FSAm-NPS nutrient profiling system underlying the Nutri-Score label and cancer risk in Europe: Results from the EPIC prospective cohort study.
%D 2018
%U http://hdl.handle.net/10668/12960
%X Helping consumers make healthier food choices is a key issue for the prevention of cancer and other diseases. In many countries, political authorities are considering the implementation of a simplified labelling system to reflect the nutritional quality of food products. The Nutri-Score, a five-colour nutrition label, is derived from the Nutrient Profiling System of the British Food Standards Agency (modified version) (FSAm-NPS). How the consumption of foods with high/low FSAm-NPS relates to cancer risk has been studied in national/regional cohorts but has not been characterized in diverse European populations. This prospective analysis included 471,495 adults from the European Prospective Investigation into Cancer and Nutrition (EPIC, 1992-2014, median follow-up: 15.3 y), among whom there were 49,794 incident cancer cases (main locations: breast, n = 12,063; prostate, n = 6,745; colon-rectum, n = 5,806). Usual food intakes were assessed with standardized country-specific diet assessment methods. The FSAm-NPS was calculated for each food/beverage using their 100-g content in energy, sugar, saturated fatty acid, sodium, fibres, proteins, and fruits/vegetables/legumes/nuts. The FSAm-NPS scores of all food items usually consumed by a participant were averaged to obtain the individual FSAm-NPS Dietary Index (DI) scores. Multi-adjusted Cox proportional hazards models were computed. A higher FSAm-NPS DI score, reflecting a lower nutritional quality of the food consumed, was associated with a higher risk of total cancer (HRQ5 versus Q1 = 1.07; 95% CI 1.03-1.10, P-trend  In this large multinational European cohort, the consumption of food products with a higher FSAm-NPS score (lower nutritional quality) was associated with a higher risk of cancer. This supports the relevance of the FSAm-NPS as underlying nutrient profiling system for front-of-pack nutrition labels, as well as for other public health nutritional measures.
%~