Association of the Dietary Index Underpinning the Nutri-Score Label with Oral Health: Preliminary Evidence from a Large, Population-Based Sample
- PMID: 31450857
- PMCID: PMC6769435
- DOI: 10.3390/nu11091998
Association of the Dietary Index Underpinning the Nutri-Score Label with Oral Health: Preliminary Evidence from a Large, Population-Based Sample
Abstract
The 2017 implementation in France of the front-of-package nutrition label known as 'Nutri-Score' was intended as a public health strategy to help individuals make healthier food choices at the point of purchase and thus help reduce chronic disease on the population level. Nutri-Score and the associated individual-level dietary index are based on the British Food Standards Agency Nutrient Profiling System (FSAm-NPS-DI). Prior research has shed light on the relation between the dietary index and various physical health outcomes, yet no studies have explored the link with oral health. We analyzed the cross-sectional association of the dietary index with oral health in a population-based sample of 33,231 adults from the French NutriNet-Santé cohort. Oral health (main dependent variable) was assessed in 2016 with the General Oral Health Assessment Index; FSAm-NPS-DI (main independent variable) was calculated using ≥3 non-consecutive 24-h dietary records, following established methodology; lower scores corresponded to better diet quality. Age-specific associations were explored via multivariable linear regression. Fully-adjusted models showed modest yet significant associations between the dietary index and oral health in younger (18-59 years) and older (60+ years) participants, with the strength of the model being more pronounced in the former compared with the latter age group (F value: 28.5 versus 6.3, both p < 0.0001). Higher diet quality was associated with a somewhat lower risk of oral health problems. Albeit preliminary, the findings support the relevance of dietary indices underpinning nutrition labels such as the Nutri-Score. Future research is needed to confirm the associations.
Keywords: diet quality; dietary index; front-of-package label; nutrient profiling system; oral health; public health.
Conflict of interest statement
The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.
Similar articles
-
International evidence for the effectiveness of the front-of-package nutrition label called Nutri-Score.Cent Eur J Public Health. 2021 Mar;29(1):76-79. doi: 10.21101/cejph.a6239. Cent Eur J Public Health. 2021. PMID: 33831290 Review.
-
Association between the nutrient profile system underpinning the Nutri-Score front-of-pack nutrition label and mortality in the SUN project: A prospective cohort study.Clin Nutr. 2021 Mar;40(3):1085-1094. doi: 10.1016/j.clnu.2020.07.008. Epub 2020 Jul 17. Clin Nutr. 2021. PMID: 32768318
-
Association between an individual dietary index based on the British Food Standard Agency Nutrient Profiling System and asthma symptoms.Br J Nutr. 2019 Jul 14;122(1):63-70. doi: 10.1017/S0007114519000655. Epub 2019 Jun 19. Br J Nutr. 2019. PMID: 30924433
-
Are self-reported unhealthy food choices associated with an increased risk of breast cancer? Prospective cohort study using the British Food Standards Agency nutrient profiling system.BMJ Open. 2017 Jun 8;7(6):e013718. doi: 10.1136/bmjopen-2016-013718. BMJ Open. 2017. PMID: 28600360 Free PMC article.
-
From the SAIN,LIM system to the SENS algorithm: a review of a French approach of nutrient profiling.Proc Nutr Soc. 2017 Aug;76(3):237-246. doi: 10.1017/S0029665117000817. Epub 2017 Jun 9. Proc Nutr Soc. 2017. PMID: 28595671 Review.
Cited by
-
A Little Bird Told Me… Nutri-Score Panoramas from a Flight over Europe, Connecting Science and Society.Nutrients. 2023 Jul 28;15(15):3367. doi: 10.3390/nu15153367. Nutrients. 2023. PMID: 37571304 Free PMC article.
-
An Evaluation of the Nutri-Score System along the Reasoning for Scientific Substantiation of Health Claims in the EU-A Narrative Review.Foods. 2022 Aug 12;11(16):2426. doi: 10.3390/foods11162426. Foods. 2022. PMID: 36010425 Free PMC article.
-
Periodontitis assessed with a new screening tool and oral health-related quality of life: cross-sectional findings among general-population adults.Qual Life Res. 2023 Jan;32(1):259-272. doi: 10.1007/s11136-022-03215-x. Epub 2022 Aug 10. Qual Life Res. 2023. PMID: 35948787 Free PMC article.
-
Clinical Application of the Food Compass Score: Positive Association to Mediterranean Diet Score, Health Star Rating System and an Early Eating Pattern in University Students.Diseases. 2022 Jul 7;10(3):43. doi: 10.3390/diseases10030043. Diseases. 2022. PMID: 35892737 Free PMC article.
-
Poor Oral Hygiene and High Levels of Inflammatory Cytokines in Saliva Predict the Risk of Overweight and Obesity.Int J Environ Res Public Health. 2020 Aug 30;17(17):6310. doi: 10.3390/ijerph17176310. Int J Environ Res Public Health. 2020. PMID: 32872648 Free PMC article.
References
-
- World Health Organization . Obesity and Overweight. WHO; Geneva, Switzerland: 2017.
-
- World Cancer Research Fund (WCRF) International . Building Momentum: Lessons on Implementing a Robust Front-of-Pack Food Label. WCRF International; London, UK: 2019.
-
- Loureiro M.L., Yen S.T., Nayga R.M., Jr. The effects of nutritional labels on obesity. Agric. Econ. 2012;43:333–342. doi: 10.1111/j.1574-0862.2012.00586.x. - DOI
-
- Ministère des Solidarités et de la Santé . Étiquetage Nutritionnel: Signature de l’Arrêté Recommandant l’Utilisation de “Nutri-Score”. Ministère des Solidarités et de la Santé; Paris, France: 2017.
Publication types
MeSH terms
Grants and funding
- NutriNet-Santé study/French Ministry of Solidarity and Health
- NutriNet-Santé study/National Agency for Public Health (Santé Publique France)
- NutriNet-Santé study/National Institute for Health and Medical Research (INSERM)
- NutriNet-Santé study/National Institute for Agricultural Research (INRA)
- NutriNet-Santé study/National Conservatory of Arts and Crafts (CNAM)
LinkOut - more resources
Full Text Sources
Medical