Role of Total, Red, Processed, and White Meat Consumption in Stroke Incidence and Mortality: A Systematic Review and Meta‐Analysis of Prospective Cohort Studies

Kim, Kyuwoong; Hyeon, Junghyeon; Lee, Sang Ah; Kwon, Seungwon; Lee, Hye-Jin; Keum, Na Na; Lee, Jong Koo; Park, Sang Min

doi:10.1161/jaha.117.005983

Cited by 106 publications

(100 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Substituting red meat with high-quality plant protein sources, but not e.g., low-quality carbohydrates, leads to favorable changes in blood lipids and lipoproteins [70]. Meta-analyses of prospective studies have reported positive associations between red meat intake and an increased risk of stroke and type 2 diabetes (T2D) [71][72][73], and both red meat and processed red meat have been associated with all-cause mortality [74] and with cardiovascular disease mortality [75]. Others, e.g., Zeraatkar et al, conclude that the magnitude of associations is small and the certainty is low, although same overall results were found in meta-analyses on cohort studies, i.e., reduced intake of unprocessed red meat intake was associated with reduction in risk for cardiovascular mortality, stroke, myocardial infarction (MI), and T2D; and reduced intake of processed meat intake was associated with decrease in risk for all-cause mortality, cardiovascular mortality, stroke, MI, and T2D [76].…”

Section: Discussionmentioning

confidence: 99%

Development of a Danish Adapted Healthy Plant-Based Diet Based on the EAT-Lancet Reference Diet

2020

View full text Add to dashboard Cite

Plant-based diets have been linked to both health benefits and a lower climate impact. However, plant-based diets may represent both healthy and unhealthy dietary practices. The present study aimed to develop a nationally adapted healthy plant-based diet based on the global EAT-Lancet reference diet. Development took place in a series of steps. First, the original EAT-Lancet reference diet was evaluated based on food availability, i.e., using Danish food data (Model 1). Then, the model was further modified to reflect national food based dietary guidelines (FBDG) and characteristics of current consumption pattern, e.g., by including processed food, discretionary foods and beverages in the diet (Model 2). The contents of macronutrients, vitamins and minerals, except for vitamin D and iodine, were found to be sufficient for Model 2, according to the recommended nutrient density to be used for planning diets for groups of individuals aged 6–65 years. In addition, the study gave an insight into the nutrients and foods to be aware of in planning a predominantly plant-based diet, thereby providing directions for future revisions of sustainable FBDGs. These include a stronger emphasis on the intake of legumes, nuts and seeds, fruit and vegetables including dark green vegetables, whole-grain products and vegetable oils as well as lowering meat intake.

show abstract

Section: Discussionmentioning

confidence: 99%

Development of a Danish Adapted Healthy Plant-Based Diet Based on the EAT-Lancet Reference Diet

2020

View full text Add to dashboard Cite

show abstract

“…Meanwhile, Subjects without prediabetes had a greater intake of meat, and the main type of meat may be white meat. A systematic review reported that white meat could reduce the risk of cardiovascular disease, which is significantly associated with diabetes mellitus 19,20 . Moreover, the excessive consumption of processed red meat is associated with a higher incidence of diabetes and undetected diabetes mellitus 21,22 .…”

Section: Discussionmentioning

confidence: 99%

Association between Dietary Quality and Prediabetes based on the Diet Balance Index

Qiao

Xiong

et al. 2020

Sci Rep

View full text Add to dashboard Cite

Dietary quality is an important factor influencing prediabetes, but few studies have applied the Chinese Diet Balance Index (DBI-16) to evaluate the dietary quality of individuals with prediabetes and explore the associations between dietary quality and prediabetes. In our study, the lower-bound score, higherbound score and diet quality distance, were respectively calculated to assess dietary quality based on each food group. Logistic regression was used to calculate the odds ratio (OR) and 95% confidence interval (95%CI) of unfavorable dietary quality leading to prediabetes in every subgroup. The results were shown that individuals with prediabetes had excessive intake in the categories of cereals, salt and inadequate intake in vegetables, fish and diet variety than participants without prediabetes (all p < 0.01). Unfavourable dietary quality was significantly associated with an increased risk of prediabetes (OR: 1.45, 95%CI: 1.29-1.63), especially among the subjects who lived in rural areas (OR: 1.63, 95%CI: 1.25-1.76), those who had abdominal obesity (OR: 1.58, 95%CI: 1.36-1.85), those who smoked (OR: 1.58, 95%CI: 1.30-1.93), those who consumed alcohol (OR: 1.57, 95%CI: 1.28-1.93) and those who did not drink tea (OR: 1.64, 95%CI: 1.42-1.88). In Conclusion, unfavourable dietary quality was significantly associated with an increased risk of prediabetes.Prediabetes and diabetes have become a serious global problem in recent decades, along with the development of the social economy and changes in people's lifestyles. Prediabetes is characterised by glucose levels that do not meet the criteria for diabetes but that are too high to be considered normal 1 . The International Diabetes Federation (IDF) reported that there were approximately 350 million people with prediabetes worldwide and 48.6 million people with prediabetes in China 2 . People with prediabetes have a high risk of developing diabetes, and 70~90% of individuals with prediabetes will eventually develop diabetes 3 .Dietary quality is an important factor influencing prediabetes and diabetes. Healthier dietary intake can reduce the risk of the progression from prediabetes to diabetes by 40~70% 3 . Among people with prediabetes who changed their dietary model, 40.5% achieved normal glucose tolerance, and their fasting plasma glucose level, body mass index (BMI), glycated haemoglobin (HbA1C) level and blood pressure decreased significantly as well 4 . Therefore, several dietary evaluation indexes have been developed around the world in recent years. In China, researchers mainly use the Diet Balance Index-16 (DBI-16) to assess human dietary quality, and the index was updated based on the latest Chinese Dietary Guidelines and the Chinese Balanced Diet Pagoda 5 . The DBI-16 can be used to evaluate the overall dietary quality mainly through three indicators: the lower-bound score (LBS), higher-bound score (HBS), and diet quality distance (DQD). The LBS represents insufficient intake, HBS represents excessive intake and DQD represents the overall imbalance of the...

show abstract

“…Excessive consumption of meat and animal products may be deleterious to human health (with meta-analytic evidence regarding cancer [1][2][3][4], cardiovascular disease [5][6][7], metabolic disease [8][9][10], obesity [11], stroke [12], and all-cause mortality [13], albeit sometimes subject to methodological limitations), promotes the emergence and spread of antibiotic-resistant pathogens [14], is a major source of greenhouse gas emissions and environmental degradation [15], and contributes to market demand for industry practices that cause the preventable suffering of more than one billion animals in the USA annually [16]. Therefore, developing simple, effective interventions to reduce meat consumption could carry widespread societal benefits.…”

Section: Introductionmentioning

confidence: 99%

Reducing meat consumption by appealing to animal welfare: protocol for a meta-analysis and theoretical review

et al. 2020

View full text Add to dashboard Cite

Background: Reducing meat consumption may improve human health, curb environmental damage and greenhouse gas emissions, and limit the large-scale suffering of animals raised in factory farms. Previous work has begun to develop interventions to reduce individual meat consumption, often by appealing directly to individual health motivations. However, research on nutritional behavior change suggests that interventions additionally linking behavior to ethical values, identity formation, and existing social movements may be particularly effective and longer-lasting. Regarding meat consumption, preliminary evidence and psychological theory suggest that appeals related to animal welfare may have considerable potential to effectively leverage these elements of human psychology. We aim to conduct a systematic review and quantitative meta-analysis evaluating the effectiveness of animal welfare-related appeals on actual or intended meat consumption or purchasing. Our investigation will critically synthesize the current state of knowledge regarding psychological mechanisms of intervening on individual meat consumption and empirically identify the psychological characteristics underlying the most effective animal welfare-based interventions. Methods: We will systematically search eight academic databases and extensively search unpublished grey literature. We will include studies that assess interventions intended to reduce meat consumption or purchase through the mention or portrayal of animal welfare, that measure outcomes related to meat consumption or purchase, and that have a control condition. Eligible studies may recruit from any human population, be written in any language, and be published or released any time. We will meta-analyze the studies, reporting the pooled point estimate and additional metrics that describe the distribution of potentially heterogeneous effects. We will assess studies' risk of bias and conduct sensitivity analyses for publication bias. We describe possible follow-up analyses to investigate hypothesized moderators of intervention effectiveness. Discussion: The findings of the proposed systematic review and meta-analysis, including any identified methodological limitations of the existing literature, could inform the design of successful evidence-based interventions with broad potential to improve human, animal, and environmental well-being.

show abstract

Role of Total, Red, Processed, and White Meat Consumption in Stroke Incidence and Mortality: A Systematic Review and Meta‐Analysis of Prospective Cohort Studies

Cited by 106 publications

References 54 publications

Development of a Danish Adapted Healthy Plant-Based Diet Based on the EAT-Lancet Reference Diet

Development of a Danish Adapted Healthy Plant-Based Diet Based on the EAT-Lancet Reference Diet

Association between Dietary Quality and Prediabetes based on the Diet Balance Index

Reducing meat consumption by appealing to animal welfare: protocol for a meta-analysis and theoretical review

Contact Info

Product

Resources

About