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@ARTICLE{Meyer:286241,
      author       = {A. Meyer and C. Dong and S. S. M. Chan and M. Touvier and
                      C. Julia and I. Huybrechts and G. Nicolas and B. Oldenburg
                      and A. K. Heath and T. Y. N. Tong and T. J. Key and A.
                      Tjønneland and C. Kyrø and R. Kaaks$^*$ and V. A.
                      Katzke$^*$ and M. M. Bergman and D. Palli and G. Masala and
                      R. Tumino and C. Sacerdote and S. M. Colorado-Yohar and
                      M.-J. Sánchez and M. Guevara and O. Grip and J. Holmgren
                      and A. Cross and P. Karling and J. Hultdin and N. Murphy and
                      M. Deschasaux-Tanguy and S. Hercberg and P. Galan and Y.
                      Mahamat-Saleh and A. Amiot and M. J. Gunter and M.-C.
                      Boutron-Ruault and F. Carbonnel},
      title        = {{D}ietary index based on the {F}ood {S}tandards {A}gency
                      nutrient profiling system and risk of {C}rohn's disease and
                      ulcerative colitis.},
      journal      = {Alimentary pharmacology $\&$ therapeutics},
      volume       = {59},
      number       = {4},
      issn         = {0269-2813},
      address      = {Oxford},
      publisher    = {Blackwell Science},
      reportid     = {DKFZ-2023-02732},
      pages        = {558-568},
      year         = {2024},
      note         = {2024 Feb;59(4):558-568},
      abstract     = {Nutri-score is now widely available in food packages in
                      Europe.To study the overall nutritional quality of the diet
                      in relation to risks of Crohn's disease (CD) and ulcerative
                      colitis (UC), in the European Prospective Investigation into
                      Cancer and Nutrition (EPIC) cohort METHODS: We collected
                      dietary data at baseline from validated food frequency
                      questionnaires. We used a dietary index based on the UK Food
                      Standards Agency modified nutrient profiling system
                      (FSAm-NPS-DI) underlying the Nutri-Score label, to measure
                      the nutritional quality of the diet. We estimated the
                      association between FSAm-NPS-DI score, and CD and UC risks
                      using Cox models stratified by centre, sex and age; and
                      adjusted for smoking status, BMI, physical activity, energy
                      intake, educational level and alcohol intake.We included
                      394,255 participants $(68.1\%$ women; mean age at
                      recruitment 52.1 years). After a mean follow-up of 13.6
                      years, there were 184 incident cases of CD and 459 incident
                      cases of UC. Risk of CD was higher in those with a lower
                      nutritional quality, that is higher FSAm-NPS-DI Score
                      (fourth vs. first quartile: aHR: 2.04, $95\%$ CI: 1.24-3.36;
                      p-trend: <0.01). Among items of the FSAm-NPS-DI Score, low
                      intakes of dietary fibre and fruits/vegetables/legumes/nuts
                      were associated with higher risk of CD. Nutritional quality
                      was not associated with risk of UC (fourth vs. first
                      quartile of the FSAm-NPS-DI Score: aHR: 0.91, $95\%$ CI:
                      0.69-1.21; p-trend: 0.76).A diet with low nutritional
                      quality as measured by the FSAm-NPS-DI Score is associated
                      with a higher risk of CD but not UC.},
      keywords     = {EPIC (Other) / FSAm-NPS DI score (Other) / dietary (Other)
                      / inflammatory bowel disease (Other) / nutri-score (Other)},
      cin          = {C020},
      ddc          = {610},
      cid          = {I:(DE-He78)C020-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:38100159},
      doi          = {10.1111/apt.17835},
      url          = {https://inrepo02.dkfz.de/record/286241},
}