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红/加工肉类消费与人类非癌症相关结局:伞式综述。

Red/processed meat consumption and non-cancer-related outcomes in humans: umbrella review.

机构信息

West China Hospital, Sichuan University, Chengdu, People's Republic of China.

West China School of Nursing, Sichuan University, Chengdu610041, People's Republic of China.

出版信息

Br J Nutr. 2023 Aug 14;130(3):484-494. doi: 10.1017/S0007114522003415. Epub 2022 Dec 22.

Abstract

The associations of red/processed meat consumption and cancer-related health outcomes have been well discussed. The umbrella review aimed to summarise the associations of red/processed meat consumption and various non-cancer-related outcomes in humans. We systematically searched the systematic reviews and meta-analyses of associations between red/processed meat intake and health outcomes from PubMed, Embase, Web of Science and the Cochrane Library databases. The umbrella review has been registered in PROSPERO (CRD 42021218568). A total of 40 meta-analyses were included. High consumption of red meat, particularly processed meat, was associated with a higher risk of all-cause mortality, CVD and metabolic outcomes. Dose-response analysis revealed that an additional 100 g/d red meat intake was positively associated with a 17 % increased risk of type 2 diabetes mellitus (T2DM), 15 % increased risk of CHD, 14 % of hypertension and 12 % of stroke. The highest dose-response/50 g increase in processed meat consumption at 95 % confident levels was 1·37, 95 % CI (1·22, 1·55) for T2DM, 1·27, 95 % CI (1·09, 1·49) for CHD, 1·17, 95 % CI (1·02, 1·34) for stroke, 1·15, 95 % CI (1·11, 1·19) for all-cause mortality and 1·08, 95 % CI (1·02, 1·14) for heart failure. In addition, red/processed meat intake was associated with several other health-related outcomes. Red and processed meat consumption seems to be more harmful than beneficial to human health in this umbrella review. It is necessary to take the impacts of red/processed meat consumption on non-cancer-related outcomes into consideration when developing new dietary guidelines, which will be of great public health importance. However, more additional randomised controlled trials are warranted to clarify the causality.

摘要

红/加工肉类消费与癌症相关健康结果的关联已得到充分讨论。本综述旨在总结红/加工肉类消费与人类各种非癌症相关结果的关联。我们系统地检索了 PubMed、Embase、Web of Science 和 Cochrane Library 数据库中关于红/加工肉类摄入量与健康结果关联的系统评价和荟萃分析。本综述已在 PROSPERO(CRD42021218568)注册。共纳入 40 项荟萃分析。大量食用红肉类,尤其是加工肉类,与全因死亡率、心血管疾病和代谢结果风险增加相关。剂量反应分析显示,额外增加 100 克/天的红肉类摄入量与 2 型糖尿病(T2DM)风险增加 17%、冠心病(CHD)风险增加 15%、高血压风险增加 14%和中风风险增加 12%相关。在 95%置信水平下,加工肉类摄入量每增加 50 克的最高剂量反应/风险增加为 T2DM 增加 1.37(95%CI 1.22,1.55),CHD 增加 1.27(95%CI 1.09,1.49),中风增加 1.17(95%CI 1.02,1.34),全因死亡率增加 1.15(95%CI 1.11,1.19),心力衰竭增加 1.08(95%CI 1.02,1.14)。此外,红/加工肉类摄入与其他一些健康相关结果相关。在本次综述中,红/加工肉类的摄入似乎对人类健康弊大于利。在制定新的饮食指南时,有必要考虑红/加工肉类摄入对非癌症相关结果的影响,这对公共卫生具有重要意义。然而,还需要更多的随机对照试验来阐明因果关系。

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