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Abstract

Background

Public health strategies are essential to guide consumers’ choices and produce a substantial population impact on cardiovascular disease risk prevention through nutrition. Our aim was to investigate the prospective association between the Food Standards Agency nutrient profiling system dietary index (FSA-NPS DI) and cardiovascular disease risk. The FSA-NPS has been proposed to serve as a basis for a five-colour nutrition label suggested in France to be put on the front of pack of food products.

Methods and results

A total of 6515 participants to the SU.VI.MAX cohort (1994–2007), who completed at least six 24-hour dietary records during the first two years of the study, were followed for a median of 12.4 years (25th–75th percentiles: 11.0–12.6). Multivariable Cox proportional hazards models were used to characterise the associations between FSA-NPS DI (continuous and sex-specific quartiles) and the incidence of cardiovascular diseases. Interactions with individual characteristics were tested; 181 major cardiovascular events were reported (59 myocardial infarctions, 43 strokes, 79 anginas). A higher FSA-NPS DI, characterising poorer food choices, was associated with an overall increase in cardiovascular disease risk (HR_{for a 1-point increment} = 1.14 (1.03–1.27); HR_Q4vs.Q1 = 1.61 (1.05–2.47), P_{trend Q4-Q1} = 0.03). This association tended to be stronger in smokers (HR_{for a 1-point increment} = 1.39 (1.11–1.73); P_interaction = 0.01) and those less physically active (HR_{for a 1-point increment} = 1.26 (1.08–1.46); P_interaction = 0.04).

Conclusions

Our results suggest that poorer food choices, as reflected by a higher FSA-NPS DI, may be associated with a significant increase in cardiovascular risk, especially in at-risk individuals (smokers and physically inactive persons). This score could be a useful tool for public health prevention strategies.

Clinical trial registration

ClinicalTrials.gov identifier: NCT00272428.

Keywords

Cardiovascular risk FSA-NPS nutrient profiling system nutrition policy prospective study

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Prospective association between a dietary quality index based on a nutrient profiling system and cardiovascular disease risk

Abstract

Background

Methods and results

Conclusions

Clinical trial registration

Keywords

Get full access to this article

References

Supplementary Material