Systematic review2019

Unprocessed Red Meat and Processed Meat Consumption: Dietary Guideline Recommendations From the Nutritional Recommendations (NutriRECS) Consortium

Johnston BC, Zeraatkar D, Han MA, Vernooij RWM, Valli C, El Dib R, Marshall C, Stover PJ, Fairweather-Taitt S, Wójcik G, Bhatia F, de Souza R, Brotons C, Meerpohl JJ, Patel CJ, Djulbegovic B, Alonso-Coello P, Bala MM, Guyatt GH

Annals of internal medicine · 185 citations

How it was studied

Design
Systematic review (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 Institute of Environmental Health Sciences
Government
NIEHS NIH HHS
Grants
National Institute of Environmental Health Sciences (R00 ES023504)

Based on 2 listed funder(s).

Publication

Published
2019-10-01 · Ann Intern Med · vol. 171 · issue 10 · pp. 756–764
Publisher
American College of Physicians
Cited
324 citations · more than 100% of similar papers · 33.2× the field average
Impact
Top 10% most cited in its field
References
41 works
Access
Open access (repository copy)
Research areas
Agriculture Sustainability and Environmental Impact · Nutritional Studies and Diet · Consumer Attitudes and Food Labeling
Keywords
Medicine, Red meat, Guideline, Processed meat, Food science, White meat, Consumption (sociology), Environmental health, Pathology
MeSH
humans, neoplasms, cardiovascular diseases, diet, nutrition policy, meat products, red meat

19 authors

From CA, US, KR, NL, ES, BR, GB, PL, DE

  • Bradley C. JohnstonDalhousie University; Texas A&M University; McMaster University
  • Dena ZeraatkarMcMaster University
  • Mi Ah HanChosun University
  • Robin W.M. VernooijDalhousie University; Netherlands Comprehensive Cancer Organisation
  • Claudia ValliBiomedical Research Institute; Iberoamerican Cochrane Centre
  • Regina El DibDalhousie University; Universidade Estadual Paulista (Unesp)

Abstract

This article has been corrected. The original version (PDF) is appended to this article as a Supplement.

Description

Dietary guideline recommendations require consideration of the certainty in the evidence, the magnitude of potential benefits and harms, and explicit consideration of people's values and preferences. A set of recommendations on red meat and processed meat consumption was developed on the basis of 5 de novo systematic reviews that considered all of these issues.

Methods

The recommendations were developed by using the Nutritional Recommendations (NutriRECS) guideline development process, which includes rigorous systematic review methodology, and GRADE methods to rate the certainty of evidence for each outcome and to move from evidence to recommendations. A panel of 14 members, including 3 community members, from 7 countries voted on the final recommendations. Strict criteria limited the conflicts of interest among panel members. Considerations of environmental impact or animal welfare did not bear on the recommendations. Four systematic reviews addressed the health effects associated with red meat and processed meat consumption, and 1 systematic review addressed people's health-related values and preferences regarding meat consumption.

Recommendations

The panel suggests that adults continue current unprocessed red meat consumption (weak recommendation, low-certainty evidence). Similarly, the panel suggests adults continue current processed meat consumption (weak recommendation, low-certainty evidence).

Primary funding source

None. (PROSPERO 2017: CRD42017074074; PROSPERO 2018: CRD42018088854).

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

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