Adherence to the French Programme National Nutrition Sante Guideline Score Is Associated with Better Nutrient Intake and Nutritional Status
Adherence to the French Programme National Nutrition Sante Guideline Score Is Associated with Better Nutrient Intake and Nutritional Status
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DOI:
10.1016/j.jada.2009.03.012
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发表时间:
2009-06-01
影响因子:
--
通讯作者:
Castetbon, Katia
中科院分区:
文献类型:
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作者:
Estaquio, Carla;Kesse-Guyot, Emmanuelle;Castetbon, Katia
Background The Nutrition and Health Program (Programme National Nutrition Sante), which has been carried out in France since 2001, includes diet and physical activity recommendations that are being widely disseminated to the general population.Objectives To develop a score based on adherence to these recommendations and retrospectively estimated its association with demographic and behavior factors, nutrient intake, and serum biomarkers. The Programme National Nutrition Sante Guideline Score (PNNS-GS) includes 13 components. Scoring and cut-off values were determined using information provided by national guidelines. At least one point was attributed when the behavior reported was in accordance with the recommendation.Design/subjects Adults participating in the SU.VI.MAX study with a minimum of three 24-hour dietary records were included in our analysis (n=5,500).Statistical analysis Data were analyzed by sex, and sex-specific quartiles of scores were estimated. Multiple logistic regression models adjusted for social and demographic variables were used to estimate the odds ratios for having a relatively high score (quartile 4 vs others). Multivariate linear regression models were used to examine associations of nutrient intake or biomarkers with PNNS-GS quartiles. When applicable, we included a linear contrast to test for trend.Results The authors found statistical associations between the top PNNS-GS quartile and older age, higher occupational categories, nonsmoking status, and normal body mass (P