Singh Pramil N, Sabaté Joan, Fraser Gary E
Department of Epidemiology & Biostatistics, School of Public Health, Loma Linda University, Loma Linda, CA 92350, USA.
Am J Clin Nutr. 2003 Sep;78(3 Suppl):526S-532S. doi: 10.1093/ajcn/78.3.526S.
Since meat products represent a major source of protein in the Western diet, findings on whether meat intake significantly contributes to the burden of fatal disease have important clinical and public health implications.
The objective was to examine whether a very low meat intake (less than weekly) contributes to greater longevity.
We reviewed data from 6 prospective cohort studies and report new findings on the life expectancy of long-term vegetarians from the Adventist Health Study.
Our review of the 6 studies found the following trends: 1) a very low meat intake was associated with a significant decrease in risk of death in 4 studies, a nonsignificant decrease in risk of death in the fifth study, and virtually no association in the sixth study; 2) 2 of the studies in which a low meat intake significantly decreased mortality risk also indicated that a longer duration (>/= 2 decades) of adherence to this diet contributed to a significant decrease in mortality risk and a significant 3.6-y (95% CI: 1.4, 5.8 y) increase in life expectancy; and 3) the protective effect of a very low meat intake seems to attenuate after the ninth decade. Some of the variation in the survival advantage in vegetarians may have been due to marked differences between studies in adjustment for confounders, the definition of vegetarian, measurement error, age distribution, the healthy volunteer effect, and intake of specific plant foods by the vegetarians.
Current prospective cohort data from adults in North America and Europe raise the possibility that a lifestyle pattern that includes a very low meat intake is associated with greater longevity.
由于肉类产品是西方饮食中蛋白质的主要来源,关于肉类摄入是否会显著增加致命疾病负担的研究结果具有重要的临床和公共卫生意义。
研究极低的肉类摄入量(少于每周一次)是否有助于延长寿命。
我们回顾了6项前瞻性队列研究的数据,并报告了来自基督复临安息日会健康研究中关于长期素食者预期寿命的新发现。
我们对这6项研究的回顾发现了以下趋势:1)在4项研究中,极低的肉类摄入量与死亡风险显著降低相关,在第五项研究中死亡风险降低不显著,在第六项研究中几乎没有关联;2)在两项肉类摄入量低显著降低死亡风险的研究中,也表明坚持这种饮食较长时间(≥20年)有助于显著降低死亡风险,并使预期寿命显著增加3.6年(95%CI:1.4,5.8年);3)极低肉类摄入量的保护作用在90岁以后似乎会减弱。素食者生存优势的一些差异可能是由于不同研究在混杂因素调整、素食者定义、测量误差、年龄分布、健康志愿者效应以及素食者特定植物性食物摄入量方面存在显著差异。
来自北美和欧洲成年人的当前前瞻性队列数据表明,包括极低肉类摄入量的生活方式模式可能与更长的寿命相关。