Prospective associations of four nutrient profiles with weigh gain, overweight and obesity risk
Author(s)
Type
Conference Paper
Abstract
Background:
Nutrient Profiling Systems (NPSs), including the UK Food
Standards Agency NPS and its variants are used to classify
foods according to their nutritional composition for nutrition
policies. The prospective validity of these NPSs requires
however further investigation. The study investigates the
associations of the original Food Standards Agency (FSA)-
NPS and three variants - the Food Standards Australia New
Zealand Nutrient Profiling Scoring Criterion (NPSC), the
Health Star Rating (HSR) system NPS and the French NPS
(HCSP-NPS) -, which are used as a basis for nutrition policies,
with weight status.
Methods:
Dietary indices based on each of the four investigated NPSs
applied at the food level were computed at the individual level
to characterize the diet quality of 71,178 French individuals
from the NutriNet-Sante´ cohort. Associations of these Dietary
Indices (DIs) (as tertiles) with weight gain were assessed using
multivariable mixed models, and with overweight and obesity
risks using multivariable Cox models.
Results:
For the four NPSs, participants with a lower diet nutritional
quality were more likely to have an increase in body mass
index over time (median follow-up of 3.14 2.76 years, beta
coefficients positive, all p 0.0001), and an increased risk of
overweight (HRT3vs.T1=1.27 [1.17-1.37] for the HCSP-DI,
followed by the original FSA-DI with HRT3vs.T1=1.18 [1.09-
1.28], the NPSC-DI with HRT3vs.T1=1.14 [1.06-1.24] and the
HSR-DI, HRT3vs.T1=1.12 [1.04-1.21]). Whilst differences
were small, the HCSP-DI appeared to show significantly
greater association with risk of overweight compared to other
NPS.
Conclusions:
Less healthy diets defined using the Food Standards AgencyNPS and related systems were all associated with weight gain
and overweight risk. Demonstrating this association with
health outcomes is an important indicator of one validity
dimension of NPSs and supports their use in public policies for
the prevention of diet-related chronic diseases.
Nutrient Profiling Systems (NPSs), including the UK Food
Standards Agency NPS and its variants are used to classify
foods according to their nutritional composition for nutrition
policies. The prospective validity of these NPSs requires
however further investigation. The study investigates the
associations of the original Food Standards Agency (FSA)-
NPS and three variants - the Food Standards Australia New
Zealand Nutrient Profiling Scoring Criterion (NPSC), the
Health Star Rating (HSR) system NPS and the French NPS
(HCSP-NPS) -, which are used as a basis for nutrition policies,
with weight status.
Methods:
Dietary indices based on each of the four investigated NPSs
applied at the food level were computed at the individual level
to characterize the diet quality of 71,178 French individuals
from the NutriNet-Sante´ cohort. Associations of these Dietary
Indices (DIs) (as tertiles) with weight gain were assessed using
multivariable mixed models, and with overweight and obesity
risks using multivariable Cox models.
Results:
For the four NPSs, participants with a lower diet nutritional
quality were more likely to have an increase in body mass
index over time (median follow-up of 3.14 2.76 years, beta
coefficients positive, all p 0.0001), and an increased risk of
overweight (HRT3vs.T1=1.27 [1.17-1.37] for the HCSP-DI,
followed by the original FSA-DI with HRT3vs.T1=1.18 [1.09-
1.28], the NPSC-DI with HRT3vs.T1=1.14 [1.06-1.24] and the
HSR-DI, HRT3vs.T1=1.12 [1.04-1.21]). Whilst differences
were small, the HCSP-DI appeared to show significantly
greater association with risk of overweight compared to other
NPS.
Conclusions:
Less healthy diets defined using the Food Standards AgencyNPS and related systems were all associated with weight gain
and overweight risk. Demonstrating this association with
health outcomes is an important indicator of one validity
dimension of NPSs and supports their use in public policies for
the prevention of diet-related chronic diseases.
Date Issued
2020-09-01
Date Acceptance
2020-08-01
Citation
European Journal of Public Health, 2020, 30, pp.V1009-V1009
ISSN
1101-1262
Publisher
Oxford University Press
Start Page
V1009
End Page
V1009
Journal / Book Title
European Journal of Public Health
Volume
30
Copyright Statement
© 2020 The Author(s)
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000605268702321&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Source
16th World Congress on Public Health 202
Subjects
Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
Publication Status
Published
Start Date
2020-10-12
Finish Date
2020-10-16
Coverage Spatial
Online event
Date Publish Online
2020-09-01