Am J Epidemiol. 2014 Feb 1;179(3):282-9. doi: 10.1093/aje/kwt261. Epub 2013 Oct 22.
High consumption of red meat and processed meat has been associated with increased risk of several chronic diseases. We conducted a meta-analysis to summarize the evidence from prospective studies on red meat and processed meat consumption in relationship to all-cause mortality. Pertinent studies were identified by searching PubMed through May 2013 and by reviewing the reference lists of retrieved articles. Prospective studies that reported relative risks with 95% confidence intervals for the association of red meat or processed meat consumption with all-cause mortality were eligible. Study-specific results were combined by using a random-effects model. Nine prospective studies were included in the meta-analysis. The summary relative risks of all-cause mortality for the highest versus the lowest category of consumption were 1.10 (95% confidence interval (CI): 0.98, 1.22; n = 6 studies) for unprocessed red meat, 1.23 (95% CI: 1.17, 1.28; n = 6 studies) for processed meat, and 1.29 (95% CI: 1.24, 1.35; n = 5 studies) for total red meat. In a dose-response meta-analysis, consumption of processed meat and total red meat, but not unprocessed red meat, was statistically significantly positively associated with all-cause mortality in a nonlinear fashion. These results indicate that high consumption of red meat, especially processed meat, may increase all-cause mortality.
大量食用红肉和加工肉类与多种慢性疾病的风险增加有关。我们进行了一项荟萃分析,以总结前瞻性研究中关于红肉和加工肉类摄入与全因死亡率之间关系的证据。通过 2013 年 5 月之前在 PubMed 上的搜索和检索文章的参考文献列表来确定相关研究。符合条件的研究报告了相对风险,置信区间为 95%,用于评估红肉或加工肉类摄入与全因死亡率之间的关联。使用随机效应模型对研究特异性结果进行合并。荟萃分析共纳入 9 项前瞻性研究。最高与最低摄入量组之间全因死亡率的综合相对风险分别为 1.10(95%置信区间:0.98,1.22;n = 6 项研究)用于未加工的红肉,1.23(95%置信区间:1.17,1.28;n = 6 项研究)用于加工肉类,以及 1.29(95%置信区间:1.24,1.35;n = 5 项研究)用于总红肉。在剂量反应荟萃分析中,加工肉类和总红肉的摄入与全因死亡率呈非线性的统计学显著正相关,但未加工的红肉无此相关性。这些结果表明,大量食用红肉,尤其是加工肉类,可能会增加全因死亡率。