Red and Processed Meat Consumption and Risk for All-Cause Mortality and Cardiometabolic Outcomes A Systematic Review and Meta-analysis of Cohort Studies

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dc.contributor.authorZeraatkar, Dena
dc.contributor.authorMi Ah Han
dc.contributor.authorGuyatt, Gordon H.
dc.contributor.authorVernooij, Robin W. M.
dc.contributor.authorEl Dib, Regina [UNESP]
dc.contributor.authorCheung, Kevin
dc.contributor.authorMilio, Kirolos
dc.contributor.authorZworth, Max
dc.contributor.authorBartoszko, Jessica J.
dc.contributor.authorValli, Claudia
dc.contributor.authorRabassa, Montserrat
dc.contributor.authorLee, Yung
dc.contributor.authorZajac, Joanna
dc.contributor.authorProkop-Dorner, Anna
dc.contributor.authorLo, Calvin
dc.contributor.authorBala, Malgorzata M.
dc.contributor.authorAlonso-Coello, Pablo
dc.contributor.authorHanna, Steven E.
dc.contributor.authorJohnston, Bradley C.
dc.contributor.institutionMcMaster Univ
dc.contributor.institutionChosun Univ
dc.contributor.institutionNetherlands Comprehens Canc Org IKNL
dc.contributor.institutionDalhousie Univ
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionBiomed Res Inst San Pau IIB St Pau
dc.contributor.institutionJagiellonian Univ
dc.contributor.institutionUniv British Columbia
dc.contributor.institutionCIBER Epidemiol & Salud Publ CIBERESP
dc.contributor.institutionNetherlands Comprehens Canc Org
dc.contributor.institutionInst Sci & Technol
dc.contributor.institutionIIB St Pau CIBERESP
dc.date.accessioned2020-12-10T17:00:37Z
dc.date.available2020-12-10T17:00:37Z
dc.date.issued2019-11-19
dc.description.abstractBackground: Dietary guidelines generally recommend limiting intake of red and processed meat. However, the quality of evidence implicating red and processed meat in adverse health outcomes remains unclear. Purpose: To evaluate the association between red and processed meat consumption and all-cause mortality, cardiometabolic outcomes, quality of life, and satisfaction with diet among adults. Data Sources: EMBASE (Elsevier), Cochrane Central Register of Controlled Trials (Wiley), Web of Science (Clarivate Analytics), CINAHL (EBSCO), and ProQuest from inception until July 2018 and MEDLINE from inception until April 2019, without language restrictions, as well as bibliographies of relevant articles. Study Selection: Cohort studies with at least 1000 participants that reported an association between unprocessed red or processed meat intake and outcomes of interest. Data Extraction: Teams of 2 reviewers independently extracted data and assessed risk of bias. One investigator assessed certainty of evidence, and the senior investigator confirmed the assessments. Data Synthesis: Of 61 articles reporting on 55 cohorts with more than 4 million participants, none addressed quality of life or satisfaction with diet. Low-certainty evidence was found that a reduction in unprocessed red meat intake of 3 servings per week is associated with a very small reduction in risk for cardiovascular mortality, stroke, myocardial infarction (MI), and type 2 diabetes. Likewise, low-certainty evidence was found that a reduction in processed meat intake of 3 servings per week is associated with a very small decrease in risk for all-cause mortality, cardiovascular mortality, stroke, MI, and type 2 diabetes. Limitation: Inadequate adjustment for known confounders, residual confounding due to observational design, and recall bias associated with dietary measurement. Conclusion: The magnitude of association between red and processed meat consumption and all-cause mortality and adverse cardiometabolic outcomes is very small, and the evidence is of low certainty. Primary Funding Source: None. (PROSPERO: CRD42017074074)en
dc.description.affiliationMcMaster Univ, Hamilton, ON, Canada
dc.description.affiliationChosun Univ, Gwangju, South Korea
dc.description.affiliationNetherlands Comprehens Canc Org IKNL, Utrecht, Netherlands
dc.description.affiliationDalhousie Univ, Halifax, NS, Canada
dc.description.affiliationUniv Estadual Paulista, Sci & Technol Inst, Sao Paulo, Brazil
dc.description.affiliationBiomed Res Inst San Pau IIB St Pau, Barcelona, Spain
dc.description.affiliationJagiellonian Univ, Med Coll, Krakow, Poland
dc.description.affiliationUniv British Columbia, Vancouver, BC, Canada
dc.description.affiliationCIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain
dc.description.affiliationDalhousie Univ, Dept Community Hlth & Epidemiol, Fac Med, Room 404,5790 Univ Ave, Halifax, NS B3J 0E4, Canada
dc.description.affiliationMcMaster Univ, Dept Hlth Res Methods Evidence & Impact, 1280 Main St West, Hamilton, ON L8S 4K1, Canada
dc.description.affiliationChosun Univ, Dept Prevent Med, Coll Med, 309 Philmun Daero, Gwangju 61452, South Korea
dc.description.affiliationNetherlands Comprehens Canc Org, Dept Res, Godebaldkwartier 419, NL-3511 DT Utrecht, Netherlands
dc.description.affiliationInst Sci & Technol, Ave Engenheiro Francisco Jose Longo 77, BR-12245000 Sao Jose Dos Campos, Brazil
dc.description.affiliation114 Loganberry Crescent, Toronto, ON M2H 3H1, Canada
dc.description.affiliation592 Regal Pl, Waterloo, ON N2V 2G3, Canada
dc.description.affiliation28 York Downs Dr, Toronto, ON M3H 1J1, Canada
dc.description.affiliationIIB St Pau CIBERESP, Iberoamer Cochrane Ctr, Carrer St Antoni Maria Claret 167, Barcelona 08025, Spain
dc.description.affiliation30 White Lodge Crescent, Richmond Hill, ON L4C 9A1, Canada
dc.description.affiliationJagiellonian Univ, Med Coll, Dept Hyg & Dietet, Kopernika 7 St, PL-31034 Krakow, Poland
dc.description.affiliation556 Amarone Court, Mississauga, ON L5W 0A7, Canada
dc.description.affiliationUnespUniv Estadual Paulista, Sci & Technol Inst, Sao Paulo, Brazil
dc.description.sponsorshipId: PROSPERO: CRD42017074074
dc.format.extent703-+
dc.identifierhttp://dx.doi.org/10.7326/M19-0655
dc.identifier.citationAnnals Of Internal Medicine. Philadelphia: Amer Coll Physicians, v. 171, n. 10, p. 703-+, 2019.
dc.identifier.doi10.7326/M19-0655
dc.identifier.issn0003-4819
dc.identifier.urihttp://hdl.handle.net/11449/194980
dc.identifier.wosWOS:000496919800015
dc.language.isoeng
dc.publisherAmer Coll Physicians
dc.relation.ispartofAnnals Of Internal Medicine
dc.sourceWeb of Science
dc.titleRed and Processed Meat Consumption and Risk for All-Cause Mortality and Cardiometabolic Outcomes A Systematic Review and Meta-analysis of Cohort Studiesen
dc.typeResenha
dcterms.rightsHolderAmer Coll Physicians
unesp.author.orcid0000-0002-8001-8504[17]

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