{"@context":"https://schema.org","@type":"ScholarlyArticle","headline":"Prospective association between adherence to the 2017 French dietary guidelines and risk of death, CVD and cancer in the NutriNet-Santé cohort","author":[{"@type":"Person","name":"D. Chaltiel"},{"@type":"Person","name":"C. Julia"},{"@type":"Person","name":"Raphaël Chaltiel"},{"@type":"Person","name":"J. Baudry"},{"@type":"Person","name":"M. Touvier"},{"@type":"Person","name":"V. Deschamps"},{"@type":"Person","name":"P. Latino-Martel"},{"@type":"Person","name":"L. Fezeu"},{"@type":"Person","name":"S. Hercberg"},{"@type":"Person","name":"E. Kesse‐Guyot"}],"datePublished":"2021","isPartOf":{"@type":"Periodical","name":"British Journal of Nutrition"},"identifier":"https://doi.org/10.1017/S0007114521001367","description":"AbstractNon-communicable diseases, such as cancers and CVD, represent a major public health concern, and diet is an important factor in their development. French dietary recommendations were updated in 2017, and an adherence score, theProgramme National Nutrition SantéGuidelines Score (PNNS-GS2), has been developed and validated using a standardised procedure. The present study aimed to analyse the prospective association between PNNS-GS2 and the risk of death, cancer and CVD. Our sample consisted of French adults included in the prospective NutriNet-Santé cohort (n67 748, 75 634 and 80 269 for the risk of death, cancer and CVD, respectively). PNNS-GS2 (range: –∞ to 14·25) was calculated from the 24-h dietary records of the first 2 years of monitoring. Association between PNNS-GS2 (in quintiles, Q) and the risk of death, cancer and CVD was studied using Cox models adjusted for the main confounding factors. The sample included 78 % of women, aged on average 44·4 years (sd14·6) with on average 6·6 (sd2·3) dietary records. Average PNNS-GS2 was 1·5 (sd3·4) and median follow-up was 6·6 years for cancers and 6·2 years for CVD and deaths. PNNS-GS2 was significantly associated with the risk of death (hazard ratio (HR)Q5vsQ1: 0·77 (95 % CI 0·60, 1·00), 828 cases), cancer (HRQ5vsQ1= 0·80 (95 % CI 0·69, 0·92), 2577 cases) and CVD (HRQ5vsQ10·64 (95 % CI 0·51, 0·81), 964 cases). More specifically, PNNS-GS2 was significantly associated with colorectal and breast cancer risks but not prostate cancer risk. Our results suggest that strong adherence to the 2017 French dietary recommendations is associated with a lower risk of death, cancer or CVD. This reinforces the validity of these new recommendations and will help to promote their dissemination.","url":"https://innscience.ca/es/community/literature/6800f762-cd60-41fb-820c-27256e6303d7"}