Positive Health Online

Abstract

ESTAQUIO and COLLEAGUES, Department of Nutritional Epidemiology, French Institute of Health and Medical Research, Bobigny, France set out to develop a score based on adherence to dietary and physical activity recommendations and estimated its association with demographic and behaviour factors, nutrient intake, and serum biomarkers.

Background

The Nutrition and Health Program (Programme National Nutrition Sante), which has been carried out in France since 2001, includes diet and physical activity recommendations that are being widely disseminated to the general population.

Methodology

Objectives: To develop a score based on adherence to these recommendations and retrospectively estimated its association with demographic and behaviour factors, nutrient intake, and serum biomarkers. The Programme National Nutrition Sante Guideline Score (PNNS-GS) includes 13 components. Scoring and cut-off values were determined using information provided by national guidelines. At least one point was attributed when the behaviour reported was in accordance with the recommendation. Adults participating in the SU.VI.MAX study with a minimum of three 24-hour dietary records were included in our analysis (n=5,500). Data were analyzed by sex, and sex-specific quartiles of scores were estimated. Multiple logistic regression models adjusted for social and demographic variables were used to estimate the odds ratios for having a relatively high score (quartile 4 vs others). Multivariate linear regression models were used to examine associations of nutrient intake or biomarkers with PNNS-GS quartiles. When applicable, we included a linear contrast to test for trend.

Results

The authors found statistical associations between the top PNNS-GS quartile and older age, higher occupational categories, nonsmoking status, and normal body mass (P < or = 0.05). Higher PNNS-GS was also associated with lower intake of energy, cholesterol, and added simple sugars, and higher intake of various protective micronutrients. In addition, higher levels of serum beta-carotene and vitamin C were positively associated with increasing quartiles of PNNS-GS.

Conclusion

This score is a useful tool for monitoring compliance with the French recommendations.

References

Estaquio C, Kesse-Guyot E, Deschamps V, Bertrais S, Dauchet L, Galan P, Hercberg S, Castetbon K, Adherence to the French Programme National Nutrition Sante Guideline Score is associated with better nutrient intake and nutritional status, Journal of the American Dietetic Association, 109(6): 1031-41. Jun 2009.