Cohort study2025

Long-Term Intake of Red Meat in Relation to Dementia Risk and Cognitive Function in US Adults

Li Y, Li Y, Gu X, Liu Y, Dong D, Kang JH, Wang M, Eliassen H, Willett WC, Stampfer MJ, Wang D

Neurology · 22 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 (indexed by PubMed)
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
National Institute on Aging
Government
National Institute of Nursing Research
Government
National Institute of Diabetes and Digestive and Kidney Diseases
Government
NIDDK NIH HHS
Government
NIA NIH HHS
Government
NINR NIH HHS
Grants
National Institute of Nursing Research (R01NR019992); National Institute on Aging (R01 AG077489); National Institute of Diabetes and Digestive and Kidney Diseases (K99 DK119412); National Institute of Diabetes and Digestive and Kidney Diseases (R00 DK119412)

Based on 6 listed funder(s).

Publication

Published
2025-01-15 · Neurology · vol. 104 · issue 3 · p. e210286
Publisher
Lippincott Williams & Wilkins
Cited
38 citations · more than 100% of similar papers · 19.3× the field average
Impact
Top 10% most cited in its field
References
34 works
Access
Open access (repository copy)
Research areas
Nuts composition and effects · Nutritional Studies and Diet · Agriculture Sustainability and Environmental Impact
Keywords
Dementia, Term (time), Cognition, Medicine, Relation (database), Gerontology, Psychology, Psychiatry, Internal medicine, Disease, Computer science
MeSH
humans, dementia, diet, risk factors, cohort studies, prospective studies, cognition, adult, aged, middle aged, united states, female, male, red meat, cognitive dysfunction

11 authors

From US

  • Y.S. LiHarvard University
  • Yanping LiHarvard University
  • Xiao GuHarvard University
  • Yuxi LiuBroad Institute; Brigham and Women's Hospital; Harvard University
  • Danyue DongBroad Institute; Brigham and Women's Hospital; Harvard University
  • Jae Hee KangBrigham and Women's Hospital; Harvard University

Abstract

Background and objectives

Previous studies have shown inconsistent associations between red meat intake and cognitive health. Our objective was to examine the association between red meat intake and multiple cognitive outcomes.

Methods

In this prospective cohort study, we included participants free of dementia at baseline from 2 nationwide cohort studies in the United States: the Nurses' Health Study (NHS) and the Health Professionals Follow-Up Study (HPFS). Diets were assessed using a validated semiquantitative food frequency questionnaire. We ascertained incident dementia cases from both NHS participants (1980-2023) and HPFS participants (1986-2023). Objective cognitive function was assessed using the Telephone Interview for Cognitive Status (1995-2008) among a subset of NHS participants. Subjective cognitive decline (SCD) was self-reported by NHS participants (2012, 2014) and HPFS participants (2012, 2016). Cox proportional hazards models, general linear regression, and Poisson regression models were applied to assess the associations between red meat intake and different cognitive outcomes.

Results

The dementia analysis included 133,771 participants (65.4% female) with a mean baseline age of 48.9 years, the objective cognitive function analysis included 17,458 female participants with a mean baseline age of 74.3 years, and SCD analysis included 43,966 participants (77.1% female) with a mean baseline age of 77.9 years. Participants with processed red meat intake ≥0.25 serving per day, compared with plinearity plinearity = 0.004). Higher processed red meat intake was associated with accelerated aging in global cognition (1.61 years per 1 serving per day increment [95% CI 0.20-3.03]) and in verbal memory (1.69 years per 1 serving per day increment [95% CI 0.13-3.25], both plinearity = 0.03). Unprocessed red meat intake of ≥1.00 serving per day, compared with plinearity = 0.04). Replacing 1 serving per day of nuts and legumes for processed red meat was associated with a 19% lower risk of dementia (HR 0.81, 95% CI 0.75-0.86), 1.37 fewer years of cognitive aging (95% CI -2.49 to -0.25), and a 21% lower risk of SCD (RR 0.79, 95% CI 0.68-0.92).

Discussion

Higher intake of red meat, particularly processed red meat, was associated with a higher risk of developing dementia and worse cognition. Reducing red meat consumption could be included in dietary guidelines to promote cognitive health. Further research is needed to assess the generalizability of these findings to populations with diverse ethnic backgrounds.

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

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