Validation of Food Compass with a healthy diet, cardiometabolic health, and mortality among U.S. adults, 1999–2018

The Food Compass is a nutrient profiling system (NPS) to characterize the healthfulness of diverse foods, beverages and meals. In a nationally representative cohort of 47,999 U.S. adults, we validated a person’s individual Food Compass Score (i.FCS), ranging from 1 (least healthful) to 100 (most hea...

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Bibliographic Details
Published in:Nature communications Vol. 13; no. 1; pp. 7066 - 14
Main Authors: O’Hearn, Meghan, Erndt-Marino, Joshua, Gerber, Suzannah, Lauren, Brianna N., Economos, Christina, Wong, John B., Blumberg, Jeffrey B., Mozaffarian, Dariush
Format: Journal Article
Language:English
Published: London Nature Publishing Group UK 22.11.2022
Nature Publishing Group
Nature Portfolio
Subjects:
692/499
692/700/2814
692/700/478
Adult
Adults
Beverages
Blood pressure
Cardiovascular Diseases - epidemiology
Diet, Healthy
Eating
Eating behavior
Food
Health care
High density lipoprotein
Humanities and Social Sciences
Humans
Low density lipoprotein
Lung diseases
Meals
Metabolic disorders
Metabolic syndrome
Mortality
multidisciplinary
Nutrients
Private sector
Public health
Risk analysis
Risk factors
Science
Science (multidisciplinary)
United States > US
ISSN:2041-1723, 2041-1723
Online Access:Get full text
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Summary:The Food Compass is a nutrient profiling system (NPS) to characterize the healthfulness of diverse foods, beverages and meals. In a nationally representative cohort of 47,999 U.S. adults, we validated a person’s individual Food Compass Score (i.FCS), ranging from 1 (least healthful) to 100 (most healthful) based on cumulative scores of items consumed, against: (a) the Healthy Eating Index (HEI) 2015; (b) clinical risk factors and health conditions; and (c) all-cause mortality. Nationally, the mean (SD) of i.FCS was 35.5 (10.9). i.FCS correlated highly with HEI-2015 (R = 0.81). After multivariable-adjustment, each one SD (10.9 point) higher i.FCS associated with more favorable BMI (−0.60 kg/m 2 [−0.70,−0.51]), systolic blood pressure (−0.69 mmHg [−0.91,−0.48]), diastolic blood pressure (−0.49 mmHg [−0.66,−0.32]), LDL-C (−2.01 mg/dl [−2.63,−1.40]), HDL-C (1.65 mg/d [1.44,1.85]), HbA1c (−0.02% [−0.03,−0.01]), and fasting plasma glucose (−0.44 mg/dL [−0.74,−0.15]) ; lower prevalence of metabolic syndrome (OR = 0.85 [0.82,0.88]), CVD (0.92 [0.88,0.96]), cancer (0.95 [0.91,0.99]), and lung disease (0.92 [0.88,0.96]); and higher prevalence of optimal cardiometabolic health (1.24 [1.16,1.32]). i.FCS also associated with lower all-cause mortality (HR = 0.93 [0.89,0.96]). Findings were similar by age, sex, race/ethnicity, education, income, and BMI. These findings support validity of Food Compass as a tool to guide public health and private sector strategies to identify and encourage healthier eating. The Food Compass is a nutrient profiling system to characterize the healthfulness of diverse foods, beverages and meals. In a nationally representative cohort of 47,999 U.S. adults, the authors validate a person’s individual Food Compass Score against health outcomes.
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ISSN:2041-1723
2041-1723
DOI:10.1038/s41467-022-34195-8