Association Between the French Nutritional Guideline-based Score and 6-Year Anthropometric Changes in a French Middle-aged Adult Cohort

• Published in: American journal of epidemiology Vol. 170; no. 6; pp. 757 - 765
• Main Authors: Kesse-Guyot, Emmanuelle, Castetbon, Katia, Estaquio, Carla, Czernichow, Sébastien, Galan, Pilar, Hercberg, Serge
• Format: Journal Article
• Language: English
• Published: Cary, NC Oxford University Press 15.09.2009; Oxford Publishing Limited (England)
• Subjects: Adipose Tissue; Analysis. Health state; Anthropometry; Biological and medical sciences; Body fat; Body Mass Index; body weight changes; Cohort Studies; Confidence Intervals; Epidemiology; Female; France - epidemiology; General aspects; Guideline Adherence; Humans; Linear Models; Logistic Models; Male; Medical sciences; Metabolic diseases; Middle age; Middle Aged; Miscellaneous; Multivariate Analysis; Nutrition; Nutrition Assessment; Nutrition education; Nutrition Policy; Nutrition Surveys; Nutritional Status; Obesity; Obesity - epidemiology; Odds Ratio; Overweight - epidemiology; Public health. Hygiene; Public health. Hygiene-occupational medicine; Surveys and Questionnaires; Time Factors; Weight Gain; France; Europe; body weight changes; nutrition assessment; anthropometry; obesity; Human; Obesity; Middle age; Nutrition; Anthropometry; Body weight; Nutrition disorder; Variations; Corporal biometry; Change; Epidemiology; Recommendation; Feeding; Association; French; Cohort study; Adult; Nutritional status; Public health
• ISSN: 0002-9262; 1476-6256
• DOI: 10.1093/aje/kwp174

In light of increasing obesity among the elderly, understanding the role of nutritional guidelines in preventing weight gain is of major importance. The authors evaluated the impact of the French Programme National Nutrition Santé (PNNS)-Guideline Score (GS) (maximum score, 15 points) on anthropometric changes in a large population-based study. Subjects in the present analysis (n = 3,531) were participants in the SUplémentation en VItamines et Minéraux AntioXydants (SU.VI.MAX) study (1994–2002) and had available data for estimating the PNNS-GS and anthropometric data at baseline and 6 years later. Data were analyzed by using multivariate linear regression models for the association with anthropometric changes and multiple logistic regression to estimate odds ratios of becoming overweight or obese. The authors found a significant negative association between PNNS-GS and changes in markers of anthropometry. In addition, better adherence to the PNNS-GS was associated with a lower incidence of overweight (odds ratio = 0.93, 95% confidence interval: 0.88, 0.99) and obesity (odds ratio = 0.89, 95% confidence interval: 0.80, 0.99) after a 6-year follow-up period. These observations support the role of nutritional guidelines in prevention of age-related weight increase and development of obesity.