Unprocessed Red Meat and Processed Meat Consumption: Dietary Guideline Recommendations From the Nutritional Recommendations (NutriRECS) Consortium

Author(s):Show less -

Johnston, Bradley C. ^{[1, 2, 3, 4]} ; Zeraatkar, Dena ^{[2, 5]} ; Han, Mi Ah ^{[6, 7]} ; Vernooij, Robin W. M. ^{[3, 8, 9]} ; Valli, Claudia ^{[10, 11]} ; El Dib, Regina ^{[12, 3, 13]} ; Marshall, Catherine ^{[14, 15]} ; Stover, Patrick J. ^[16] ; Fairweather-Taitt, Susan ^[17] ; Wojcik, Grzegorz ^{[18, 19]} ; Bhatia, Faiz ^[20] ; de Souza, Russell ^[21] ; Brotons, Carlos ^[22] ; Meerpohl, Joerg J. ^{[23, 24]} ; Patel, Chirag J. ^{[25, 26]} ; Djulbegovic, Benjamin ^[27] ; Alonso-Coello, Pablo ^{[10, 11]} ; Bala, Malgorzata M. ^{[18, 28]} ; Guyatt, Gordon H. ^{[2, 5]}

Affiliation:Show less -

^[1] Texas A&M Univ, College Stn, TX - USA

^[2] McMaster Univ, Hamilton, ON - Canada

^[3] Dalhousie Univ, Halifax, NS - Canada

^[4] Dalhousie Univ, Dept Community Hlth & Epidemiol, Clin Res Ctr, Room 404, 5790 Univ Ave, Halifax, NS B3H 1V7 - Canada

^[5] McMaster Univ, Dept Hlth Res Methods Evidence & Impact, 1280 Main St West, Hamilton, ON L8S 4K1 - Canada

^[6] Chosun Univ, Gwangju - South Korea

^[7] Chosun Univ, Dept Prevent Med, Coll Med, 309 Philmun Daero, Gwangju 61452 - South Korea

^[8] Netherlands Comprehens Canc Org IKNL, Utrecht - Netherlands

^[9] Netherlands Comprehens Canc Org, Dept Res, Godebaldkwartier 419, NL-3511 DT Utrecht - Netherlands

^[10] Biomed Res Inst San Pau IIB St Pau, Iberoamer Cochrane Ctr Barcelona, Barcelona - Spain

^[11] Inst Invest Biomed St Pau IIB St Pau CIBERESP, Iberoamer Cochrane Ctr, Carrer St Antoni Maria Claret 167, Barcelona 08025 - Spain

^[12] Univ Estadual Paulista, Inst Sci & Technol, Sao Paulo - Brazil

^[13] Inst Sci & Technol, Ave Engenheiro Francisco Jose Longo 777, BR-12245000 Sao Paulo - Brazil

^[14] Cochrane Consumer Grp, Wellington - New Zealand

^[15] Cochrane Consumer Grp, 6 Horomona Rd, Wellington 5034 - New Zealand

^[16] Texas A&M Univ, Texas A&M AgriLife Res, Coll Agr & Life Sci, Agr & Life Sci Bldg, 600 John Kimbrough Blvd, College Stn, TX 77843 - USA

^[17] Univ East Anglia, Norwich Med Sch, Norwich Res Pk, Floor 2, Bob Champ Res & Educ Bldg, Norwich NR4 7UQ, Norfolk - England

^[18] Jagiellonian Univ, Coll Med, Krakow - Poland

^[19] Jagiellonian Univ, Coll Med, Dept Med Sociol, 7 Kopernika St, PL-31034 Krakow - Poland

^[20] 1503-33 Shore Breeze Dr, Etobicoke, ON M8V 0G1 - Canada

^[21] Populat Hlth Res Inst, 237 Barton St East, Hamilton, ON L8L 2X2 - Canada

^[22] Biomed Res Inst St Pau IIB St Pau, Sardenya Primary Hlth Care Ctr, Sardenya 466, Barcelona 08025 - Spain

^[23] Univ Freiburg, Med Ctr, Inst Evidence Med, Freiburg - Germany

^[24] Univ Freiburg, Inst Evidence Med, Med Ctr, Fac Med, Breisacher Str 153, D-79110 Freiburg - Germany

^[25] Harvard Univ, Boston, MA 02115 - USA

^[26] Harvard Univ, Dept Biomed Informat, 10 Shattuck St, Room 302, Duarte, CA 91010 - USA

^[27] City Hope Natl Med Ctr, 1500 East Duarte Rd, Duarte, CA 91010 - USA

^[28] Jagiellonian Univ, Coll Med, Dept Hyg & Dietet, 7 Kopernika St, PL-31034 Krakow - Poland

• Document type: Journal article
• Source: Annals of Internal Medicine; v. 171, n. 10, p. 756+, NOV 19 2019.
• Web of Science Citations: 29

Abstract

Description: 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. Methods: 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. Recommendations: 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). Primary Funding Source: None. (PROSPERO 2017: CRD 42017074074; PROSPERO 2018: CRD42018088854) (AU)

• FAPESP's process: 18/11205-6 - The impact of red and processed meat on human health: a systematic review and meta-analysis of randomized controlled trials
• Grantee: Regina Paolucci El Dib
• Support Opportunities: Scholarships abroad - Research