Dietary index based on the Food Standards Agency nutrient profiling system and risk of Crohn's disease and ulcerative colitis-Reference-Cited by-同舟云学术

Dietary index based on the Food Standards Agency nutrient profiling system and risk of Crohn's disease and ulcerative colitis

Published:2023-12-15 Issue:4 Volume:59 Page:558-568
ISSN:0269-2813
Container-title:Alimentary Pharmacology & Therapeutics
language:en
Short-container-title:Aliment Pharmacol Ther

Author:

Meyer Antoine¹²^ORCID,Dong Catherine¹²^ORCID,Chan Simon S. M.³⁴^ORCID,Touvier Mathilde⁵,Julia Chantal⁵⁶,Huybrechts Inge⁷,Nicolas Geneviève⁷,Oldenburg Bas⁸,Heath Alicia K.⁹,Tong Tammy Y. N.⁹,Key Timothy J.¹⁰,Tjønneland Anne¹¹¹²,Kyrø Cecilie¹¹,Kaaks Rudolf¹³,Katzke Verena A.¹⁴,Bergman Manuela M.¹⁴,Palli Domenico¹⁵,Masala Giovanna¹⁵,Tumino Rosario¹⁶,Sacerdote Carlotta¹⁷,Colorado‐Yohar Sandra M.¹⁸¹⁹²⁰,Sánchez Maria‐Jose²¹²²²³²⁴,Guevara Marcela²³²⁵,Grip Olof²⁶,Holmgren Johanna²⁶,Cross Amanda²⁷,Karling Pontus²⁸,Hultdin Johan²⁹,Murphy Neil³⁰,Deschasaux‐Tanguy Mélanie⁵⁶,Hercberg Serge⁵⁶,Galan Pilar⁵⁶,Mahamat‐Saleh Yahya¹,Amiot Aurélien¹²^ORCID,Gunter Marc J.²⁹,Boutron‐Ruault Marie‐Christine¹,Carbonnel Franck¹²^ORCID

Affiliation:

1. INSERM, Centre for Research in Epidemiology and Population Health, U1018, Team 9 Institut Gustave Roussy, Université Paris Saclay Paris France

2. Department of Gastroenterology University Hospital of Bicêtre, Assistance Publique‐Hôpitaux de Paris and Université Paris‐Saclay Paris France

3. Department of Medicine Norwich Medical School, University of East Anglia Norwich UK

4. Department of Gastroenterology Norfolk and Norwich University Hospital NHS Trust Norwich UK

5. Sorbonne Paris Nord University, INSERM U1153, INRAE U1125, CNAM, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center University Paris Cité (CRESS) Bobigny France

6. Department of Public Health, GHU Paris‐Seine‐Saint‐Denis Assistance Publique des Hôpitaux de Paris (AP‐HP) Bobigny France

7. International Agency for Research on Cancer Nutrition and Metabolism branch Lyon France

8. Department of Gastroenterology and Hepatology University Medical Centre Utrecht the Netherlands

9. Department of Epidemiology and Biostatistics School of Public Health, Imperial College London London UK

10. Cancer Epidemiology Unit, Nuffield Department of Population Health University of Oxford Oxford UK

11. Danish Cancer Society Research Center Copenhagen Denmark

12. Department of Public Health University of Copenhagen Copenhagen Denmark

13. Division of Cancer Epidemiology German Cancer Research Center (DKFZ) Heidelberg Germany

14. German Institute of Human Nutrition Potsdam Germany

15. Molecular and Nutritional Epidemiology Unit Cancer Research and Prevention Institute – ISPO Florence Italy

16. Cancer Registry and Histopathology Department Azienda Sanitaria Provinciale (ASP) Ragusa Italy

17. Unit of Cancer Epidemiology Città della Salute e della Scienza University‐Hospital Turin Italy

18. Department of Epidemiology Murcia Regional Health Council, IMIB‐Arrixaca Murcia Spain

19. CIBER Epidemiologia y Salud Pública (CIBERESP) Madrid Spain

20. Research Group on Demography and Health National School of Public Health, University of Antioquia Medellín Colombia

21. Escuela Andaluza de Salud Pública (EASP) Granada Spain

22. Instituto de Investigación Biosanitaria ibs.GRANADA Granada Spain

23. Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP) Madrid Spain

24. Department of Preventive Medicine and Public Health University of Granada Granada Spain

25. Instituto de Salud Pública y Laboral de Navarra Pamplona Spain

26. Department of Gastroenterology and Hepatology University Hospital Malmö Malmö Sweden

27. Public Health Policy Evaluation Unit School of Public Health, Imperial College London London UK

28. Department of Public Health and Clinical Medicine, Medicine Umeå University Umeå Sweden

29. Department of Medical Biosciences, Clinical Chemistry Umeå University Umeå Sweden

30. International Agency for Research on Cancer World Health Organization Lyon France

Abstract

SummaryBackgroundNutri‐score is now widely available in food packages in Europe.AimTo 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) cohortMethodsWe 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.ResultsWe 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).ConclusionsA diet with low nutritional quality as measured by the FSAm‐NPS‐DI Score is associated with a higher risk of CD but not UC.

Funder

Centre International de Recherche sur le Cancer

Sir Halley Stewart Trust

Kræftens Bekæmpelse

Ligue Contre le Cancer

Institut National de la Santé et de la Recherche Médicale

Deutsche Krebshilfe

Deutsches Krebsforschungszentrum

Bundesministerium für Bildung und Forschung

Cancerfonden

Cancer Research UK

Medical Research Council