Meta-analysis2016

Red and processed meat consumption and mortality: dose-response meta-analysis of prospective cohort studies

Wang X, Lin X, Ouyang YY, Liu J, Zhao G, Pan A, Hu FB

Public health nutrition · 260 citations

How it was studied

Design
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death
Intake measured by
Not stated

Who paid for it

Funding
Independent funding
Government
National Natural Science Foundation of China
Grants
National Natural Science Foundation of China (81370966)

Based on 1 listed funder(s).

Publication

Published
2015-07-06 · Public Health Nutr · vol. 19 · issue 5 · pp. 893–905
Publisher
Cambridge University Press
Cited
421 citations · more than 96% of similar papers · 4.3× the field average
Impact
Top 10% most cited in its field
References
57 works
Access
Free to read
Research areas
Nutritional Studies and Diet · Agriculture Sustainability and Environmental Impact · Meat and Animal Product Quality
Keywords
Medicine, Meta-analysis, Relative risk, Prospective cohort study, Red meat, Confidence interval, Cohort study, Cochrane Library, Processed meat, Risk of mortality, MEDLINE, Demography, Environmental health, Internal medicine, Food science, Pathology, Biology
MeSH
humans, neoplasms, cardiovascular diseases, linear models, risk factors, sensitivity and specificity, reproducibility of results, meat products, databases, factual, red meat

7 authors

From CN, US

  • Xia WangShandong University; Shandong Maternal and Child Health Hospital
  • Xinying LinShandong University
  • Ying Y. OuyangHuazhong University of Science and Technology
  • Jun LiuHuazhong University of Science and Technology
  • Gang ZhaoShandong University; Shandong Provincial Hospital
  • An Pan · correspondingHuazhong University of Science and Technology

Abstract

Objective

To examine and quantify the potential dose-response relationship between red and processed meat consumption and risk of all-cause, cardiovascular and cancer mortality.

Design

We searched MEDLINE, Embase, ISI Web of Knowledge, CINHAL, Scopus, the Cochrane library and reference lists of retrieved articles up to 30 November 2014 without language restrictions. We retrieved prospective cohort studies that reported risk estimates for all-cause, cardiovascular and cancer mortality by red and/or processed meat intake levels. The dose-response relationships were estimated using data from red and processed meat intake categories in each study. Random-effects models were used to calculate pooled relative risks and 95 % confidence intervals and to incorporate between-study variations.

Results

Nine articles with seventeen prospective cohorts were eligible in this meta-analysis, including a total of 150 328 deaths. There was evidence of a non-linear association between processed meat consumption and risk of all-cause and cardiovascular mortality, but not for cancer mortality. For processed meat, the pooled relative risk with an increase of one serving per day was 1·15 (95 % CI 1·11, 1·19) for all-cause mortality (five studies; P<0·001 for linear trend), 1·15 (95 % CI 1·07, 1·24) for cardiovascular mortality (six studies; P<0·001) and 1·08 (95 % CI 1·06, 1·11) for cancer mortality (five studies; P<0·001). Similar associations were found with total meat intake. The association between unprocessed red meat consumption and mortality risk was found in the US populations, but not in European or Asian populations.

Conclusions

The present meta-analysis indicates that higher consumption of total red meat and processed meat is associated with an increased risk of total, cardiovascular and cancer mortality.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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