Meta-analysis2023Industry fundedOpen access

Funded in part by Funded by the Beef Checkoff

Red meat consumption and risk factors for type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials

Sanders LM, Wilcox ML, Maki KC

European journal of clinical nutrition · 41 citations

Review labels

Author industry tiesIndustry fundedLumps processed with unprocessed meat

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Not stated

Who paid for it

Funding
Industry funded
Industry group
Funded by the Beef Checkoff
Authors
At least one author declares a financial tie to industry

Based on 1 listed funder(s) and full-text disclosure statement.

Publication

Published
2022-05-05 · Eur J Clin Nutr · vol. 77 · issue 2 · pp. 156–165
Publisher
Springer Nature
Cited
56 citations · more than 96% of similar papers · 3.4× the field average
Impact
Top 10% most cited in its field
References
51 works
Access
Open access (hybrid journal) · CC-BY
Research areas
Meat and Animal Product Quality · Nutritional Studies and Diet · Agriculture Sustainability and Environmental Impact
Keywords
Red meat, Medicine, Type 2 diabetes, Postprandial, Meta-analysis, Internal medicine, Glycated hemoglobin, Insulin resistance, Diabetes mellitus, Randomized controlled trial, Insulin, Endocrinology
MeSH
animals, cattle, sheep, humans, diabetes mellitus, type 2, insulin resistance, glucose, blood glucose, risk factors, meat, glucagon-like peptide 1, randomized controlled trials as topic, red meat

3 authors

From US

  • Lisa Sanders
  • Meredith Leigh Wilcox
  • Kevin Carl Maki · correspondingIndiana University Health; Indiana University Bloomington

Abstract

Background and objectives

Results from observational studies suggest an association of red meat intake with risk of type 2 diabetes mellitus (T2D). However, results from randomized controlled trials (RCTs) have not clearly supported a mechanistic link between red meat intake and T2D risk factors. Therefore, a systematic review and meta-analysis were conducted on RCTs evaluating the effects of diets containing red meat (beef, pork, lamb, etc.), compared to diets with lower or no red meat, on markers of glucose homeostasis in adults.

Methods

A search of PubMed and CENTRAL yielded 21 relevant RCTs. Pooled estimates were expressed as standardized mean differences (SMDs) between the red meat intervention and the comparator intervention with less or no red meat.

Results

Compared to diets with reduced or no red meat intake, there was no significant impact of red meat intake on insulin sensitivity (SMD: -0.11; 95% CI: -0.39, 0.16), insulin resistance (SMD: 0.11; 95% CI: -0.24, 0.45), fasting glucose (SMD: 0.13; 95% CI: -0.04, 0.29), fasting insulin (SMD: 0.08; 95% CI: -0.16, 0.32), glycated hemoglobin (HbA1c; SMD: 0.10; 95% CI: -0.37, 0.58), pancreatic beta-cell function (SMD: -0.13; 95% CI: -0.37, 0.10), or glucagon-like peptide-1 (GLP-1; SMD: 0.10; 95% CI: -0.37, 0.58). Red meat intake modestly reduced postprandial glucose (SMD: -0.44; 95% CI: -0.67, -0.22; P < 0.001) compared to meals with reduced or no red meat intake. The quality of evidence was low to moderate for all outcomes.

Conclusions

The results of this meta-analysis suggest red meat intake does not impact most glycemic and insulinemic risk factors for T2D. Further investigations are needed on other markers of glucose homeostasis to better understand whether a causal relationship exists between red meat intake and risk of T2D.

Prospero registration

CRD42020176059.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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