RT Journal Article
T1 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.
A1 Deschasaux, Mélanie
A1 Huybrechts, Inge
A1 Murphy, Neil
A1 Julia, Chantal
A1 Hercberg, Serge
A1 Srour, Bernard
A1 Kesse-Guyot, Emmanuelle
A1 Latino-Martel, Paule
A1 Biessy, Carine
A1 Casagrande, Corinne
A1 Jenab, Mazda
A1 Ward, Heather
A1 Weiderpass, Elisabete
A1 Dahm, Christina C
A1 Overvad, Kim
A1 Kyrø, Cecilie
A1 Olsen, Anja
A1 Affret, Aurélie
A1 Boutron-Ruault, Marie-Christine
A1 Mahamat-Saleh, Yahya
A1 Kaaks, Rudolf
A1 Kühn, Tilman
A1 Boeing, Heiner
A1 Schwingshackl, Lukas
A1 Bamia, Christina
A1 Peppa, Eleni
A1 Trichopoulou, Antonia
A1 Masala, Giovanna
A1 Krogh, Vittorio
A1 Panico, Salvatore
A1 Tumino, Rosario
A1 Sacerdote, Carlotta
A1 Bueno-de-Mesquita, Bas
A1 Peeters, Petra H
A1 Hjartåker, Anette
A1 Rylander, Charlotta
A1 Skeie, Guri
A1 Ramón Quirós, J
A1 Jakszyn, Paula
A1 Salamanca-Fernández, Elena
A1 Huerta, José María
A1 Ardanaz, Eva
A1 Amiano, Pilar
A1 Ericson, Ulrika
A1 Sonestedt, Emily
A1 Huseinovic, Ena
A1 Johansson, Ingegerd
A1 Khaw, Kay-Tee
A1 Wareham, Nick
A1 Bradbury, Kathryn E
A1 Perez-Cornago, Aurora
A1 Tsilidis, Konstantinos K
A1 Ferrari, Pietro
A1 Riboli, Elio
A1 Gunter, Marc J
A1 Touvier, Mathilde
AB 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.
YR 2018
FD 2018-09-18
LK http://hdl.handle.net/10668/12960
UL http://hdl.handle.net/10668/12960
LA en
DS RISalud
RD Apr 18, 2025