Julia Chantal, Ducrot Pauline, Lassale Camille, Fézeu Léopold, Méjean Caroline, Péneau Sandrine, Touvier Mathilde, Hercberg Serge, Kesse-Guyot Emmanuelle
Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, Inserm (U11530, Inra(U1125), Cnam, COMUE Sorbonne Paris Cité, 74 rue Marcel Cachin, F-93017 Bobigny, France; Département de Santé Publique, Hôpital Avicenne (AP-HP), F-93017 Bobigny, France.
Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, Inserm (U11530, Inra(U1125), Cnam, COMUE Sorbonne Paris Cité, 74 rue Marcel Cachin, F-93017 Bobigny, France.
Prev Med. 2015 Dec;81:189-94. doi: 10.1016/j.ypmed.2015.08.022. Epub 2015 Sep 5.
BACKGROUND/OBJECTIVES: The scoring of the nutritional quality of individual foods using nutrient profiling systems (NPS) has been suggested as a basis for public health preventive measures. Used for front-of-package labeling, such scoring would help consumers in making healthier food choices. An individual dietary score based on the Food Standards Agency NPS has been developed (FSA-NPS-DI), but its long term association with weight gain has not been investigated. Our objectives were to investigate long-term associations between the FSA-NPS DI and weight gain and overweight/obesity onset in a middle-aged French population.
SUBJECTS/METHODS: Subjects included in the French SU.VI.MAX cohort with at least three dietary records at baseline and available anthropometric measurements at baseline and at a 13-year follow-up examination were included in the study. FSA-NPS DI at baseline was computed for each subject. Association between FSA-NPS DI and weight and BMI gain were investigated with ANCOVA and associations with overweight/obesity onset with logistic regression models.
Higher baseline FSA-NPS DI (reflecting a poorer diet) was associated with higher weight and BMI gain (beta Q4 versus Q1=0.70; (95%CI 0.01; 1.38), P for trend=0.04). A 16% higher risk of obesity for a 1 point increase of FSA-NPS DI was observed only in men.
Our results suggest that a shift in nutritional quality of the foods and beverages within an individual's diet, as expressed by the FSA-NPS DI would be associated with lower weight gain in the long term. Using the FSA-NPS as a basis for food labeling might therefore contribute to tackle obesity.
背景/目的：使用营养成分剖析系统（NPS）对单一食品的营养质量进行评分，已被提议作为公共卫生预防措施的基础。用于食品包装正面标签时，这种评分将有助于消费者做出更健康的食品选择。基于食品标准局NPS的个体饮食评分（FSA-NPS-DI）已经开发出来，但尚未对其与体重增加的长期关联进行研究。我们的目的是调查FSA-NPS DI与法国中年人群体重增加以及超重/肥胖发病之间的长期关联。
受试者/方法：纳入法国SU.VI.MAX队列中在基线时至少有三份饮食记录且在基线和13年随访检查时有可用人体测量数据的受试者。为每个受试者计算基线时的FSA-NPS DI。使用协方差分析研究FSA-NPS DI与体重和BMI增加之间的关联，并使用逻辑回归模型研究与超重/肥胖发病的关联。
较高的基线FSA-NPS DI（反映较差的饮食）与较高的体重和BMI增加相关（四分位数4与四分位数1相比，β=0.70；（95%置信区间0.01；1.38），趋势P值=0.04）。仅在男性中观察到FSA-NPS DI每增加1分，肥胖风险增加16%。
我们的结果表明，FSA-NPS DI所反映的个体饮食中食品和饮料营养质量的变化与长期较低的体重增加相关。因此，以FSA-NPS为食品标签的基础可能有助于解决肥胖问题。
