Replacing red meat and processed red meat for white meat, fish, legumes or eggs is associated with lower risk of incidence of metabolic syndrome

Clinical Nutrition, 04/05/2016

The authors investigated associations between total consumption of meat and its subtypes and incident metabolic syndrome (MetS) and estimated the effect of substituting red meat (RM) or processed red meats (PRM) for alternative protein–rich foods. RM and PRM consumption was associated with higher risk of MetS. Replacing RM or PRM with other protein–rich foods related to a lower risk of MetS and should, therefore, be encouraged.

Methods

  • The authors analyzed 1868 participants (55-80 years-old) recruited into the PREDIMED study who had no MetS at baseline and were followed for a median of 3.2 years.
  • MetS was defined using updated harmonized criteria.
  • Anthropometric variables, dietary habits, and blood biochemistry were determined at baseline and yearly thereafter.
  • Multivariable-adjusted hazard ratios (HRs) of MetS were estimated for the two upper tertiles (versus the lowest one) of mean consumption of meat and its subtypes during the follow-up as exposure.

Results

  • Comparing the highest vs the lowest tertile of consumption, the authors observed an increased risk of MetS incidence, with HRs of 1.23 (95% confidence interval [CI]: 1.03-1.45) and 1.46 (CI: 1.22-1.74) for total meat and pooled RM and PRM, respectively.
  • Compared with participants in the lowest tertile, those in the highest tertile of poultry and rabbit consumption had a lower risk of MetS incidence.
  • The risk of MetS was lower when one-serving/day of RM or PRM was replaced by legumes, poultry and rabbit, fish or eggs.

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