Dalhousie University, Halifax, Nova Scotia, Canada, McMaster University, Hamilton, Ontario, Canada, and Texas A&M University, College Station, Texas (B.C.J.).
McMaster University, Hamilton, Ontario, Canada (D.Z., G.H.G.).
Ann Intern Med. 2019 Nov 19;171(10):756-764. doi: 10.7326/M19-1621. Epub 2019 Oct 1.
This article has been corrected. The original version (PDF) is appended to this article as a Supplement.
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.
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.
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).
None. (PROSPERO 2017: CRD42017074074; PROSPERO 2018: CRD42018088854).
本文已更正。原始版本(PDF)作为附录附在本文后。
膳食指南建议需要考虑证据的确定性、潜在益处和危害的大小,以及明确考虑人们的价值观和偏好。根据对所有这些问题进行考虑的 5 项新系统评价,制定了关于红肉类和加工肉类消费的一系列建议。
这些建议是使用营养建议(NutriRECS)指南制定过程制定的,该过程包括严格的系统评价方法以及 GRADE 方法,以评估每个结果的证据确定性,并从证据过渡到建议。来自 7 个国家的 14 名成员组成的小组,包括 3 名社区成员,对最终建议进行了投票。严格的标准限制了小组成员之间的利益冲突。对环境影响或动物福利的考虑并未影响建议。四项系统评价解决了与红肉类和加工肉类消费相关的健康影响问题,一项系统评价解决了人们对肉类消费的健康相关价值观和偏好问题。
小组建议成年人继续当前未加工的红肉类消费(弱推荐,低确定性证据)。同样,小组建议成年人继续当前的加工肉类消费(弱推荐,低确定性证据)。
无。(PROSPERO 2017:CRD42017074074;PROSPERO 2018:CRD42018088854)。