Dietary index based on the Food Standards Agency nutrient profiling system and risk of Crohn's disease and ulcerative colitis
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Dietary index based on the Food Standards Agency nutrient profiling system and risk of Crohn's disease and ulcerative colitis. / Meyer, Antoine; Dong, Catherine; Chan, Simon S M; Touvier, Mathilde; Julia, Chantal; Huybrechts, Inge; Nicolas, Geneviève; Oldenburg, Bas; Heath, Alicia K; Tong, Tammy Y N; Key, Timothy J; Tjønneland, Anne; Kyrø, Cecilie; Kaaks, Rudolf; Katzke, Verena A; Bergman, Manuela M; Palli, Domenico; Masala, Giovanna; Tumino, Rosario; Sacerdote, Carlotta; Colorado-Yohar, Sandra M; Sánchez, Maria-Jose; Guevara, Marcela; Grip, Olof; Holmgren, Johanna; Cross, Amanda; Karling, Pontus; Hultdin, Johan; Murphy, Neil; Deschasaux-Tanguy, Mélanie; Hercberg, Serge; Galan, Pilar; Mahamat-Saleh, Yahya; Amiot, Aurélien; Gunter, Marc J; Boutron-Ruault, Marie-Christine; Carbonnel, Franck.
In: Alimentary Pharmacology and Therapeutics, Supplement, Vol. 59, No. 4, 2024, p. 558-568.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Dietary index based on the Food Standards Agency nutrient profiling system and risk of Crohn's disease and ulcerative colitis
AU - Meyer, Antoine
AU - Dong, Catherine
AU - Chan, Simon S M
AU - Touvier, Mathilde
AU - Julia, Chantal
AU - Huybrechts, Inge
AU - Nicolas, Geneviève
AU - Oldenburg, Bas
AU - Heath, Alicia K
AU - Tong, Tammy Y N
AU - Key, Timothy J
AU - Tjønneland, Anne
AU - Kyrø, Cecilie
AU - Kaaks, Rudolf
AU - Katzke, Verena A
AU - Bergman, Manuela M
AU - Palli, Domenico
AU - Masala, Giovanna
AU - Tumino, Rosario
AU - Sacerdote, Carlotta
AU - Colorado-Yohar, Sandra M
AU - Sánchez, Maria-Jose
AU - Guevara, Marcela
AU - Grip, Olof
AU - Holmgren, Johanna
AU - Cross, Amanda
AU - Karling, Pontus
AU - Hultdin, Johan
AU - Murphy, Neil
AU - Deschasaux-Tanguy, Mélanie
AU - Hercberg, Serge
AU - Galan, Pilar
AU - Mahamat-Saleh, Yahya
AU - Amiot, Aurélien
AU - Gunter, Marc J
AU - Boutron-Ruault, Marie-Christine
AU - Carbonnel, Franck
N1 - © 2023 The Authors. Alimentary Pharmacology & Therapeutics published by John Wiley & Sons Ltd.
PY - 2024
Y1 - 2024
N2 - BACKGROUND: Nutri-score is now widely available in food packages in Europe.AIM: To study the overall nutritional quality of the diet in relation to risks of Crohn's disease (CD) and ulcerative colitis (UC), in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort METHODS: We collected dietary data at baseline from validated food frequency questionnaires. We used a dietary index based on the UK Food Standards Agency modified nutrient profiling system (FSAm-NPS-DI) underlying the Nutri-Score label, to measure the nutritional quality of the diet. We estimated the association between FSAm-NPS-DI score, and CD and UC risks using Cox models stratified by centre, sex and age; and adjusted for smoking status, BMI, physical activity, energy intake, educational level and alcohol intake.RESULTS: We included 394,255 participants (68.1% women; mean age at recruitment 52.1 years). After a mean follow-up of 13.6 years, there were 184 incident cases of CD and 459 incident cases of UC. Risk of CD was higher in those with a lower nutritional quality, that is higher FSAm-NPS-DI Score (fourth vs. first quartile: aHR: 2.04, 95% CI: 1.24-3.36; p-trend: <0.01). Among items of the FSAm-NPS-DI Score, low intakes of dietary fibre and fruits/vegetables/legumes/nuts were associated with higher risk of CD. Nutritional quality was not associated with risk of UC (fourth vs. first quartile of the FSAm-NPS-DI Score: aHR: 0.91, 95% CI: 0.69-1.21; p-trend: 0.76).CONCLUSIONS: A diet with low nutritional quality as measured by the FSAm-NPS-DI Score is associated with a higher risk of CD but not UC.
AB - BACKGROUND: Nutri-score is now widely available in food packages in Europe.AIM: To study the overall nutritional quality of the diet in relation to risks of Crohn's disease (CD) and ulcerative colitis (UC), in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort METHODS: We collected dietary data at baseline from validated food frequency questionnaires. We used a dietary index based on the UK Food Standards Agency modified nutrient profiling system (FSAm-NPS-DI) underlying the Nutri-Score label, to measure the nutritional quality of the diet. We estimated the association between FSAm-NPS-DI score, and CD and UC risks using Cox models stratified by centre, sex and age; and adjusted for smoking status, BMI, physical activity, energy intake, educational level and alcohol intake.RESULTS: We included 394,255 participants (68.1% women; mean age at recruitment 52.1 years). After a mean follow-up of 13.6 years, there were 184 incident cases of CD and 459 incident cases of UC. Risk of CD was higher in those with a lower nutritional quality, that is higher FSAm-NPS-DI Score (fourth vs. first quartile: aHR: 2.04, 95% CI: 1.24-3.36; p-trend: <0.01). Among items of the FSAm-NPS-DI Score, low intakes of dietary fibre and fruits/vegetables/legumes/nuts were associated with higher risk of CD. Nutritional quality was not associated with risk of UC (fourth vs. first quartile of the FSAm-NPS-DI Score: aHR: 0.91, 95% CI: 0.69-1.21; p-trend: 0.76).CONCLUSIONS: A diet with low nutritional quality as measured by the FSAm-NPS-DI Score is associated with a higher risk of CD but not UC.
U2 - 10.1111/apt.17835
DO - 10.1111/apt.17835
M3 - Journal article
C2 - 38100159
VL - 59
SP - 558
EP - 568
JO - Alimentary Pharmacology and Therapeutics, Supplement
JF - Alimentary Pharmacology and Therapeutics, Supplement
SN - 0953-0673
IS - 4
ER -
ID: 377371927