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Br J Nutr. 2019 Mar 29:1-22. doi: 10.1017/S0007114519000655. [Epub ahead of print]

Association between an individual dietary index based on the British Food Standard Agency Nutrient Profiling System and asthma symptoms.

Author information

1
Université Paris 13,Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre d'Epidémiologie et Statistiques Sorbonne Paris Cité, Inserm (U1153), Inra (U1125), Bobigny,France.
2
Inserm, U1168, VIMA: Aging and chronic diseases. Epidemiological and public health approaches, F-94807, Villejuif,France.

Abstract

ABSTRACTThe role of diet in asthma is still debated. In France, a front-of-pack (FOP) nutrition label based on a modified British Food Standards Agency Nutrient Profiling System/High Council for Public Health (FSAm-NPS/HCSP) has recently been implemented to help consumers to make healthier food choices during purchase. At the individual level, the FSAm-NPS dietary index (DI) has been shown to reflect the nutritional quality of the diet. The aim of the present study was to investigate the association between the FSAm-NPS DI and the asthma symptom score. 34,323 participants (25,823 women and 8,500 men) from the NutriNet-Santé cohort were included. The overall nutritional quality of the diet was assessed using the FSAm-NPS DI. Increasing FSAm-NPS DI reflects decreasing of overall diet quality. Asthma was defined by the asthma symptom score (sum of 5 questions). Negative binomial regression was used to evaluate the association between the FSA-NPS DI and the asthma symptom score. Overall, mean participant's age was 54 ± 14 years old and about 27% reported at least one asthma symptom. We observed a significant positive association between less healthy diet, as expressed by higher FSAm-NPS DI and the asthma symptom score. The adjusted odds ratio (95% CI) were 1.27 (1.17-1.38) among women and 1.31 (1.13-1.53) among men.Unhealthy food choices, as reflected by a higher FSAm-NPS DI were associated with greater asthma symptoms. These results reinforce the relevance of public health approach to orient consumers towards healthier food choices by using a clear and easy to understand front-of-pack nutrition label based on the FSAm-NPS such as the Nutri-Score.

KEYWORDS:

Asthma symptom score; FSAm-NPS dietary index; Nutrient profiling system; dietary score; nutrition policy; unhealthy food choices

PMID:
30924433
DOI:
10.1017/S0007114519000655

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