Higher adherence to French dietary guidelines and chronic diseases in the prospective SU.VI.MAX cohort | Higher adherence to French dietary guidelines and chronic diseases in the prospective SU.VI.MAX cohort: Diet quality and chronic diseases
2011
Kesse-Guyot, Emmanuelle | Touvier, Mathilde | Henegar, Adina | Czernichow, Sébastien | Galan, Pilar | Hercberg, Serge | Castetbon, Katia | Unité de Recherche en Epidémiologie Nutritionnelle (UREN) ; Université Paris 13 (UP13)-Institut National de la Recherche Agronomique (INRA)-Conservatoire National des Arts et Métiers [Cnam] (Cnam)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM) | Service interhospitalier de santé publique, médecine sociale, information médicale & biostatistiques ; Université Paris 13 (UP13)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Avicenne [AP-HP] ; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP) | Unité de Surveillance et d'Epidémiologie Nutritionnelle (USEN) ; Université Paris 13 (UP13)-Institut de Veille Sanitaire (INVS)-Conservatoire National des Arts et Métiers [Cnam] (Cnam) | ANR [ANR-05-PNRA-010]; DGS (Ministry of Health); Mederic; Ipsen; Sodexo; MGEN; Pierre Fabre
International audience
Mostrar más [+] Menos [-]Inglés. Background/Objectives: Nutritional recommendations are widely disseminated, but assessment of their predictive value for risk of chronic diseases and mortality is essential for ensuring their validity. We evaluated, in a large population-based study, the association between the French Programme National Nutrition Santé (PNNS) Guideline Score (GS) (maximum score of 15 points), an a priori-based score, and the incidences of cancer, cardiovascular disease (CVD) and overall mortality. Subjects/Methods: Subjects included in the present analysis (n=5 823) were participants in the Supplémentation en Vitamines et Minéraux AntioXydants study (SU.VI.MAX), with available data for estimating the PNNS-GS. Hazards ratios (HR) and 95% confidence intervals (95% CI) for outcomes (cancer, CVD and death) were estimated across quartiles of PNNS-GS using Cox proportional hazards models. Results: A total of 734 major events were recorded during an average 11.6-year follow-up (maximum 13 years): 423 cancers, 193 ischemic diseases and 118 deaths. In the fully-adjusted model, a significant reduction in CVD risk between the first and fourth PNNS-GS quartiles (HR=0.65, 95% CI= 0.41, 1.00, P for trend=0.04) was observed. No significant association with risk of cancer or death was detected. Conclusions: These observations support the role of nutritional guidelines in prevention of CVD. Keywords: nutritional guidelines, dietary index, cancer, mortality, cardiovascular diseases
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