The Nutrient Profile of Foods Consumed Using the British Food Standards Agency Nutrient Profiling System Is Associated with Metabolic Syndrome in the SU.VI.MAX Cohort
The Nutrient Profile of Foods Consumed Using the British Food Standards Agency Nutrient Profiling System Is Associated with Metabolic Syndrome in the SU.VI.MAX Cohort
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DOI：
10.3945/jn.115.213629
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发表时间：
2015-10-01
影响因子：
4.2
通讯作者：
Kesse-Guyot, Emmanuelle
中科院分区：
文献类型：
--
作者：
Julia, Chantal;Fezeu, Leopold K.;Kesse-Guyot, Emmanuelle
背景：代谢综合征（MetS），包括高腰围、血压、血糖和甘油三酯以及低高密度脂蛋白胆固醇，可以通过充足的营养来部分预防。营养分析系统可以成为有用的公共卫生工具，帮助消费者做出更健康的食物选择。基于所消耗食物的营养分析的个人饮食指数 (DI) 可以表征与 MetS 发病相关的饮食模式。 目的：本研究的目的是前瞻性调查食品标准局 (FSA) 营养分析系统 (NPS) DI 与法国中年队列中 MetS 发病之间的关联。方法：来自 Vltamines et Mineraux AntioXydants 补充队列的参与者（SU.VI.MAX，n = 3741）被纳入本研究。 FSA NPS DI 通过使用纳入时 24 小时记录的膳食数据计算。通过使用自我报告的药物治疗、临床研究数据和生物测量，在基线和随访第 13 年确定了 MetS。通过逻辑回归研究了 ESA NPS DI（四分位和连续）与 MetS 发病之间的前瞻性关联。结果：使用 FSA NPS DI 确定的较差饮食与发生 MetS 的较高风险显着相关（较差与健康 FSA NPS DI 的 OR：1.43；95% Cl：1.08、1.89；四分位间的 P 趋势 = 0.02）。 FSA NPS DI 与 MetS 的收缩压 (SBP) 和舒张压 (DBP) 成分显着相关（健康与较差的 FSA NPS DI 之间的差异：SBP 为 2.16 mm Hg，DBP 为 1.5 mm Hg，四分位数的 P 趋势 = 0.02）。结论：FSA NPS DI 与 MetS 的发生前瞻性相关。法国中年人群中的 MetS。 NPS 在公共卫生举措中的应用可能有助于人们做出更健康的食物选择，从而降低患 MetS 的风险。
Background: Metabolic syndrome (MetS), comprising high waist circumference, blood pressure, glycemia, and triglycerides, and lower HDL cholesterol could in part be prevented by adequate nutrition. Nutrient profiling systems could be useful public health tools to help consumers make healthier food choices. An individual dietary index (DI) based on nutrient profiling of foods consumed could characterize dietary patterns in relation to the onset of MetS.Objective: The objective of this study was to prospectively investigate the association between the Food Standards Agency (FSA) Nutrient Profiling System (NPS) DI and the onset of MetS in a middle-aged French cohort.Methods: Participants from the SUpplementation en Vltamines et Mineraux AntioXydants cohort (SU.VI.MAX, n = 3741) were included in the present study. The FSA NPS DI was computed by using dietary data from 24 h records at inclusion. MetS was identified at baseline and at year 13 of follow-up with the use of self-reported medication, data from clinical investigations, and biological measurements. A prospective association between the ESA NPS DI (in quartiles and continuous) and the onset of MetS was investigated by using logistic regression.Results: Poorer diets identified with the use of the FSA NPS DI were significantly associated with a higher risk of developing MetS (OR for poorer vs. healthier FSA NPS DI: 1.43; 95% Cl: 1.08, 1.89; P-trend across quartiles = 0.02). The FSA NPS DI was significantly associated with the systolic blood pressure (SBP) and diastolic blood pressure (DBP) components of MetS (difference between healthier vs. poorer FSA NPS DI: 2.16 mm Hg for SBP and 1.5 mm Hg for DBP, P-trend across quartiles = 0.02).Conclusion: The FSA NPS DI was prospectively associated with the onset of MetS in a middle-aged French population. The application of NPSs in public health initiatives may help the population make healthier food choices, which might reduce the risk of developing MetS.