Prospective associations of the original Food Standards Agency nutrient profiling system and three variants with weight gain, overweight and obesity risk: results from the French NutriNet-Santé cohort
Author(s)
Type
Journal Article
Abstract
Nutrient profiling systems (NPS) are used to classify foods according to their nutritional composition. However, investigating their prospective associations with health is key to their validation. The study investigated the associations of the original Food Standards Agency (FSA)-NPS and three variants (Food Standards Australia New Zealand Nutrient Profiling Scoring Criterion (NPSC), Health Star Rating NPS and the French High Council of Public Health NPS (HCSP-NPS)), with weight status. Individual dietary indices based on each NPS at the food level were computed to characterise the dietary quality of 71 403 French individuals from the NutriNet-Santé cohort. Associations of these indices with weight gain were assessed using mixed models and with overweight and obesity risks using Cox models. Participants with a higher dietary index (reflecting lower diet nutritional quality) were more likely to have a significant increase in BMI over time (β-coefficients positive) and an increased risk of overweight (hazard ratio (HR) T3 v. T1 = 1·27 (95 % CI 1·17, 1·37)) for the HCSP-Dietary Index, followed by the original FSA-Dietary Index (HR T3 v. T1 = 1·18 (95 % CI 1·09, 1·28)), the NPSC-Dietary Index (HR T3 v. T1 = 1·14 (95 % CI 1·06, 1·24)) and the Health Star Rating-Dietary Index (HR T3 v. T1 = 1·12 (95 % CI 1·04, 1·21)). Whilst differences were small, the HCSP-Dietary Index appeared to show significantly greater association with overweight risk. Overall, these results show the validity of NPS derived from the FSA-NPS, supporting their use in public policies for chronic disease prevention.
Date Issued
2021-04-28
Date Acceptance
2020-09-01
Citation
The British Journal of Nutrition: an international journal of nutritional science, 2021, 125 (8), pp.902-914
ISSN
0007-1145
Publisher
Cambridge University Press
Start Page
902
End Page
914
Journal / Book Title
The British Journal of Nutrition: an international journal of nutritional science
Volume
125
Issue
8
Copyright Statement
© The Author(s), 2020. Published by Cambridge University Press on behalf of The Nutrition Society. This article has been published in a revised form in British Journal of Nutrition
https://doi.org/10.1017/S0007114520003384. This version is free to view and download for private research and study only. Not for re-distribution, re-sale or use in derivative works.
https://doi.org/10.1017/S0007114520003384. This version is free to view and download for private research and study only. Not for re-distribution, re-sale or use in derivative works.
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/32878658
PII: S0007114520003384
Subjects
Cohort studies
Nutrient profiles
Nutrition policy
Nutritional quality
Weight status
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2020-09-03