Study2023Open access

Red meat consumption, incident CVD and the influence of dietary quality in the Jackson Heart Study

Bigornia SJ, Noel SE, Porter C, Zhang X, Talegawker SA, Carithers T, Correa A, Tucker KL

Public health nutrition · 5 citations

Review labels

Food frequency questionnaireNo stated lifestyle adjustment

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
Cohort study (classified by our AI screen)
Studied in
People
Main outcome
Clinical events such as disease or death
Intake measured by
Food frequency questionnaire

Who paid for it

Funding
Independent funding
Government
U.S. Department of Health and Human Services
University or hospital
Jackson State University
Government
Mississippi State Department of Health
Government
National Institutes of Health
Government
National Institute on Aging
Government
National Heart, Lung, and Blood Institute
Government
National Institute on Minority Health and Health Disparities
Government
NIMHD NIH HHS
Government
NHLBI NIH HHS
Government
NIA NIH HHS
Grants
National Heart, Lung, and Blood Institute (HHSN268201800013I); National Heart, Lung, and Blood Institute (HHSN268201800012C); National Heart, Lung, and Blood Institute (HHSN268201800010 I); Jackson State University (HHSN268201800013 I); National Heart, Lung, and Blood Institute (HHSN268201800014 I); National Institutes of Health (HHSN268201800014I); National Heart, Lung, and Blood Institute (HHSN268201800012 I); U.S. Department of Health and Human Services (HHSN268201800014I); Jackson State University (HHSN268201800014 I); National Heart, Lung, and Blood Institute (HHSN268201800014C); Mississippi State Department of Health (HHSN268201800015 I); National Institute on Aging (R01 AG055948); U.S. Department of Health and Human Services (HHSN268201800013I); National Heart, Lung, and Blood Institute (HHSN268201800015I); National Institutes of Health (HHSN268201800013I); National Heart, Lung, and Blood Institute (HHSN268201800011C); National Heart, Lung, and Blood Institute (HHSN268201800011I); National Institutes of Health (HHSN268201800015I); U.S. Department of Health and Human Services (HHSN268201800015I); National Institute on Minority Health and Health Disparities (HHSN268201800013I)

Based on 10 listed funder(s) and full-text disclosure statement.

Publication

Published
2022-06-23 · Public Health Nutr · vol. 26 · issue 3 · pp. 643–652
Publisher
Cambridge University Press
Cited
6 citations · more than 74% of similar papers · 1.0× the field average
References
71 works
Access
Open access (journal) · CC-BY
Research areas
Nutritional Studies and Diet · Agriculture Sustainability and Environmental Impact · Obesity, Physical Activity, Diet
Keywords
Red meat, Medicine, Processed meat, Hazard ratio, Refined grains, Stroke (engine), Prospective cohort study, Environmental health, Food science, Whole grains, Internal medicine, Biology, Confidence interval

8 authors

From US

  • Sherman Bigornia · correspondingUniversity of New Hampshire
  • Sabrina E. NoelUniversity of Massachusetts Lowell
  • Caitlin M. PorterUniversity of New Hampshire
  • Xiyuan ZhangUniversity of Massachusetts Lowell
  • Sameera TalegawkerMilken Institute; George Washington University
  • Teresa CarithersUniversity of Mississippi

Abstract

Objectives

We investigated the prospective associations between meat consumption and CVD and whether these relationships differ by dietary quality among African American (AA) adults.

Design

Baseline diet was assessed with a regionally specific FFQ. Unprocessed red meat included beef and pork (120 g/serving); processed meat included sausage, luncheon meats and cured meat products (50 g/serving). Incident total CVD, CHD, stroke and heart failure were assessed annually over 9·8 years of follow-up. We characterised dietary quality using a modified Healthy Eating Index-2010 score (m-HEI), excluding meat contributions.

Setting

Jackson, MS, USA.

Participants

AA adults (n 3242, aged 55 y, 66 % female).

Results

Mean total, unprocessed red and processed meat intakes were 5·7 ± 3·5, 2·3 ± 1·8 and 3·3 ± 2·7 servings/week, respectively. Mostly, null associations were observed between meat categories and CVD or subtypes. However, greater intake of unprocessed red meat (three servings/week) was associated with significantly elevated risk of stroke (hazard ratio = 1·43 (CI: 1·07,1·90)). With the exception of a more positive association between unprocessed meat consumption and stroke among individuals in m-HEI Tertile 2, the strength of associations between meat consumption categories and CVD outcomes did not differ by m-HEI tertile. In formal tests, m-HEI did not significantly modify meat-CVD associations.

Conclusions

In this cohort of AA adults, total and processed meat were not associated with CVD outcomes, with the exception that unprocessed red meat was related to greater stroke risk. Dietary quality did not modfiy these associations. Research is needed in similar cohorts with longer follow-up and greater meat consumption to replicate these findings.

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

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