Can nutrient profiling help to identify foods which diet variety should be encouraged? Results from the Whitehall II cohort

Masset, Gabriel, Scarborough, Peter, Rayner, Mike, Mishra, Gita and Brunner, Eric J. (2015) Can nutrient profiling help to identify foods which diet variety should be encouraged? Results from the Whitehall II cohort. British Journal of Nutrition, 113 11: 1800-1809. doi:10.1017/S000711451500094X

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Author Masset, Gabriel
Scarborough, Peter
Rayner, Mike
Mishra, Gita
Brunner, Eric J.
Title Can nutrient profiling help to identify foods which diet variety should be encouraged? Results from the Whitehall II cohort
Journal name British Journal of Nutrition   Check publisher's open access policy
ISSN 1475-2662
0007-1145
Publication date 2015-06-01
Year available 2015
Sub-type Article (original research)
DOI 10.1017/S000711451500094X
Open Access Status File (Publisher version)
Volume 113
Issue 11
Start page 1800
End page 1809
Total pages 10
Place of publication Cambridge, United Kingdom
Publisher Cambridge University Press
Collection year 2016
Language eng
Abstract Higher variety of recommended foods, identified arbitrarily based on dietary guidelines, has been associated with better health status. Nutrient profiling is designed to identify objectively, based on nutrient content, healthier foods whose consumption should be encouraged. The objective was to assess the prospective associations between total food variety (food variety score, FVS) and variety from selected recommended and non-recommended foods (RFV and NRFV, respectively) and risk of chronic disease and mortality. In 1991–3, 7251 participants of the Whitehall II study completed a 127-item FFQ. The FVS was defined as the number of foods consumed more than once a week. (N)RFV(Ofcom) and (N)RFV(SAIN,LIM) were similarly derived selecting healthier (or less healthier) foods as defined by the UK Ofcom and French SAIN,LIM nutrient profile models, respectively. Multi-adjusted Cox regressions were fitted with incident CHD, diabetes, CVD, cancer and all-cause mortality (318, 754, 137, 251 and 524 events, respectively – median follow-up time 17 years). RFV and NRFV scores were mutually adjusted. The FVS (fourth v. first quartile) was associated with a 39 and 26 % reduction of prospective CHD and all-cause mortality risk, respectively. The RFV(Ofcom) (third v. first quartile) was associated with a 27 and 35 % reduction of all-cause mortality and cancer mortality risk, respectively; similar associations were suggested, but not significant for the RFV(SAIN,LIM). No prospective associations were observed with NRFV scores. The results strengthen the rationale to promote total food variety and variety from healthy foods. Nutrient profiling can help in identifying those foods whose consumption should be encouraged.
Keyword Food variety
Nutrient profiling
Whitehall II cohort
Proportional hazards regression
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Public Health Publications
 
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