Meta-analysis2025

Effect of red meat consumption on cardiovascular risk factors: A systematic review and Bayesian network meta-analysis of randomized controlled trials

López-Moreno M, López-Gil JF, Bravo-Sánchez A, Bertotti G, Roldán-Ruiz A

Clinical nutrition (Edinburgh, Scotland) · 11 citations

Review labels

Funding not disclosedLumps 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
Funding not disclosed

Publication

Published
2025-09-08 · Clin Nutr · vol. 54 · pp. 12–26
Publisher
Elsevier BV
Cited
13 citations · more than 95% of similar papers · 3.7× the field average
Impact
Top 10% most cited in its field
References
95 works
Access
Open access (hybrid journal) · CC-BY-NC-ND
Research areas
Nutritional Studies and Diet · Agriculture Sustainability and Environmental Impact · Meat and Animal Product Quality
Keywords
Red meat, Randomized controlled trial, Consumption (sociology), Bayesian network, Risk assessment, Bayesian probability
MeSH
humans, cardiovascular diseases, diet, bayes theorem, male, randomized controlled trials as topic, red meat, heart disease risk factors

5 authors

From ES

  • Miguel López‐Moreno · correspondingUniversidad Francisco de Vitoria
  • José Francisco López‐Gil · corresponding
  • Alfredo Bravo‐SànchezUniversidad Francisco de Vitoria
  • Gabriele BertottiUniversidad Francisco de Vitoria
  • Alberto Roldán-RuizUniversidad Francisco de Vitoria

Abstract

Background & aims

The role of red meat in cardiovascular risk remains controversial. The aim of this systematic review and Bayesian network meta-analysis (NMA) of randomized controlled trials (RCTs) was to investigate the effects of red meat consumption on cardiovascular risk factors concerning different comparison foods.

Methods

A systematic search of RCTs was conducted from the inception to April 2024. Studies compared diets containing red meat to those replacing red meat with various foods. Comparison diets were classified into high-quality plant protein sources, animal protein, mixed animal and plant protein and carbohydrates. The effects of the dietary interventions on cardiovascular parameters were evaluated using a random-effects NMA, with an analysis of interactions between the intervention and control groups. The outcomes were the mean changes in blood lipids, blood pressure, and C-reactive protein (CRP) in the red meat group compared to the comparator group.

Results

Thirty-six RCTs were included in the analysis. Consuming plant proteins resulted in a greater reduction in total cholesterol (TC) levels (mean difference (MD) = -0.14; 95 % credible interval (CrI): -0.28 to -0.001, p < 0.05) and low-density lipoprotein cholesterol (LDL-C) levels (MD = -0.19; 95 % CrI: -0.36 to -0.03, p < 0.05) compared to red meat interventions. In contrast, interventions combining animal and plant proteins increased TG levels more than red meat interventions (MD = 0.21; 95 % CrI: 0.06 to 0.34, p < 0.05). The certainty of the evidence for all outcomes ranged from very low to low.

Conclusion

The findings of this NMA indicate that the effect of red meat on cardiovascular risk factors depends on the comparison food. Replacing red meat with plant protein sources was associated with favorable changes in TC levels and LDL-C. REGISTRY AND REGISTRY NUMBER FOR SYSTEMATIC REVIEWS OR META-ANALYSES: CRD42024537865 https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024537865.

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

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