IDEAS home Printed from https://ideas.repec.org/a/nat/natcom/v13y2022i1d10.1038_s41467-022-34195-8.html
   My bibliography  Save this article

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

Author

Listed:
  • Meghan O’Hearn

    (Tufts University)

  • Joshua Erndt-Marino

    (Bespoke Analytics, LLC)

  • Suzannah Gerber

    (Tufts University)

  • Brianna N. Lauren

    (Tufts University)

  • Christina Economos

    (Tufts University)

  • John B. Wong

    (Tufts University School of Medicine
    Institute for Clinical Research and Health Policy Studies)

  • Jeffrey B. Blumberg

    (Tufts University)

  • Dariush Mozaffarian

    (Tufts University
    Tufts University School of Medicine)

Abstract

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/m2 [−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.

Suggested Citation

  • Meghan O’Hearn & Joshua Erndt-Marino & Suzannah Gerber & Brianna N. Lauren & Christina Economos & John B. Wong & Jeffrey B. Blumberg & Dariush Mozaffarian, 2022. "Validation of Food Compass with a healthy diet, cardiometabolic health, and mortality among U.S. adults, 1999–2018," Nature Communications, Nature, vol. 13(1), pages 1-14, December.
  • Handle: RePEc:nat:natcom:v:13:y:2022:i:1:d:10.1038_s41467-022-34195-8
    DOI: 10.1038/s41467-022-34195-8
    as

    Download full text from publisher

    File URL: https://www.nature.com/articles/s41467-022-34195-8
    File Function: Abstract
    Download Restriction: no

    File URL: https://libkey.io/10.1038/s41467-022-34195-8?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Schenker, Nathaniel & Taylor, Jeremy M. G., 1996. "Partially parametric techniques for multiple imputation," Computational Statistics & Data Analysis, Elsevier, vol. 22(4), pages 425-446, August.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Timm Bönke & Markus M. Grabka & Carsten Schröder & Edward N. Wolff & Lennard Zyska, 2019. "The Joint Distribution of Net Worth and Pension Wealth in Germany," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 65(4), pages 834-871, December.
    2. Moritz Kuhn & Moritz Schularick & Ulrike I. Steins, 2020. "Income and Wealth Inequality in America, 1949–2016," Journal of Political Economy, University of Chicago Press, vol. 128(9), pages 3469-3519.
    3. Alina K. Bartscher & Moritz Kuhn & Moritz Schularick, 2020. "The College Wealth Divide: Education and Inequality in America, 1956-2016," Review, Federal Reserve Bank of St. Louis, vol. 102(1), pages 19-49.
    4. Maaz Gardezi & J. Gordon Arbuckle, 2019. "Spatially Representing Vulnerability to Extreme Rain Events Using Midwestern Farmers’ Objective and Perceived Attributes of Adaptive Capacity," Risk Analysis, John Wiley & Sons, vol. 39(1), pages 17-34, January.
    5. Polemis, Michael L. & Fafaliou, Irene, 2015. "Electricity regulation and FDIs spillovers in the OECD: A panel data econometric approach," The Journal of Economic Asymmetries, Elsevier, vol. 12(2), pages 110-123.
    6. Michael L. Polemis & Thanasis Stengos, 2017. "Electricity Sector Performance: A Panel Threshold Analysis," The Energy Journal, , vol. 38(3), pages 141-158, May.
    7. Kilic, Talip & Zezza, Alberto & Carletto, Calogero & Savastano, Sara, 2017. "Missing(ness) in Action: Selectivity Bias in GPS-Based Land Area Measurements," World Development, Elsevier, vol. 92(C), pages 143-157.
    8. Bilge Erten & Pinar Keskin, 2024. "Trade-offs? The Impact of WTO Accession on Intimate Partner Violence in Cambodia," The Review of Economics and Statistics, MIT Press, vol. 106(2), pages 322-333, March.
    9. Chaton, Corinne & Gouraud, Alexandre, 2020. "Simulation of fuel poverty in France," Energy Policy, Elsevier, vol. 140(C).
    10. Jonathan Hambur & Gianni La Cava, 2018. "Do Interest Rates Affect Business Investment? Evidence from Australian Company-level Data," RBA Research Discussion Papers rdp2018-05, Reserve Bank of Australia.
    11. Urko Aguirre-Larracoechea & Cruz E. Borges, 2021. "Imputation for Repeated Bounded Outcome Data: Statistical and Machine-Learning Approaches," Mathematics, MDPI, vol. 9(17), pages 1-27, August.
    12. repec:jss:jstsof:29:i09 is not listed on IDEAS
    13. Paolo Brunori & Pedro Salas-Rojo & Paolo Verme, 2022. "Estimating Inequality with Missing Incomes," Working Papers 616, ECINEQ, Society for the Study of Economic Inequality.
    14. Leonardo Letelier S & Hector Ormeño C, 2018. "Education and fiscal decentralization. The case of municipal education in Chile," Environment and Planning C, , vol. 36(8), pages 1499-1521, December.
    15. Fumagalli, Laura & Sala, Emanuela, 2011. "The total survey error paradigm and pre-election polls: the case of the 2006 Italian general elections," ISER Working Paper Series 2011-29, Institute for Social and Economic Research.
    16. Jeffrey Max & Jill Constantine & Alison Wellington & Kristin Hallgren & Steven Glazerman & Hanley Chiang & Cecilia Speroni, "undated". "Evaluation of the Teacher Incentive Fund: Implementation and Early Impacts of Pay-for-Performance After One Year," Mathematica Policy Research Reports a8016bcc5b4248c2a8e583ee5, Mathematica Policy Research.
    17. Siddique, Juned & Harel, Ofer, 2009. "MIDAS: A SAS Macro for Multiple Imputation Using Distance-Aided Selection of Donors," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 29(i09).
    18. Serena Merrino, 2020. "Measuring labour earnings inequality in post-apartheid South Africa," WIDER Working Paper Series wp-2020-32, World Institute for Development Economic Research (UNU-WIDER).
    19. Cheryl L. Faucett & Nathaniel Schenker & Jeremy M. G. Taylor, 2002. "Survival Analysis Using Auxiliary Variables Via Multiple Imputation, with Application to AIDS Clinical Trial Data," Biometrics, The International Biometric Society, vol. 58(1), pages 37-47, March.
    20. Polemis, Michael L., 2017. "Capturing the impact of shocks on the electricity sector performance in the OECD," Energy Economics, Elsevier, vol. 66(C), pages 99-107.
    21. Andrea Bonfatti & Greta Pesaresi & Guglielmo Weber & Nancy Zambon, 2023. "The economic impact of the first wave of the pandemic on 50+ Europeans," Empirical Economics, Springer, vol. 65(2), pages 607-659, August.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:nat:natcom:v:13:y:2022:i:1:d:10.1038_s41467-022-34195-8. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.nature.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.