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肉类摄入量与健康负担概述。

A summary of meat intakes and health burdens.

机构信息

School of Public Health, The University of Hong Kong, Hong Kong, Hong Kong.

出版信息

Eur J Clin Nutr. 2018 Jan;72(1):18-29. doi: 10.1038/ejcn.2017.117. Epub 2017 Aug 9.

Abstract

This review summarizes published meta-analysis outcomes on the associations between meat intakes and burden of diseases. A novel assessment process was developed, combining selected Cochrane Review measures, AMSTAR checklist, and other quality measures identified by authors during preliminary phases of the review process. Meat intakes have been found to be statistically significant associated with 21 burden of diseases. A total of 37 risk-outcome best dose-response estimations were identified, all were positively associated, and 21 of them with low to moderate, or insignificant heterogeneity. The highest dose-responses per 50 g increases in processed meat intake at 95% confident levels were 1.81 (1.32, 2.48) for esophageal cancer, 1.71 (1.34, 2.19) for stomach cancer, 1.42 (1.07, 1.89) for CHD, 1.32 (1.19, 1.48) for diabetes, and 1.24 (1.13, 1.35) for colon cancer incidences, and 1.24 (1.09, 1.40) for CVD mortality. The highest dose-responses per each 65 g increases in total red meat intake were 1.36 (1.16, 1.58) for endometrial cancer, 1.25 (1.10, 1.41) esophageal cancer, and 1.22 (1.16, 1.23) for lung cancer incidences. In addition, 14 statistically significant associations in terms of high vs low meat intake relative risks were also identified. Total red meat intakes were found negatively associated with CVD and cancer mortalities, and poultry meat intakes were found negatively associated with all-cause and cancer mortalities, and rectal cancer incidences in low meat consumption Asian countries. Current global and dietary Comparative Risk Assessments may underestimate burden of diseases attributed to meat intakes. More investigation is needed in low-meat consumption countries.

摘要

这篇综述总结了已发表的荟萃分析结果,这些结果涉及肉类摄入量与疾病负担之间的关联。开发了一种新的评估过程,结合了选定的 Cochrane 综述措施、AMSTAR 清单以及作者在综述过程初步阶段确定的其他质量措施。研究发现,肉类摄入量与 21 种疾病负担具有统计学显著相关性。共确定了 37 项最佳风险-结局剂量反应估计值,所有这些估计值均呈正相关,其中 21 项具有低至中度或无显著异质性。在 95%置信水平下,每增加 50 克加工肉类摄入量,风险比最高的剂量反应为食管癌 1.81(1.32,2.48),胃癌 1.71(1.34,2.19),冠心病 1.42(1.07,1.89),糖尿病 1.32(1.19,1.48),结肠癌发病率 1.24(1.13,1.35),心血管疾病死亡率 1.24(1.09,1.40)。每增加 65 克总红肉摄入量,风险比最高的剂量反应为子宫内膜癌 1.36(1.16,1.58),食管癌 1.25(1.10,1.41),肺癌发病率 1.22(1.16,1.23)。此外,还确定了 14 项关于高 vs 低肉类摄入量的相对风险的统计学显著关联。在低肉类消费的亚洲国家,总红肉摄入量与心血管疾病和癌症死亡率呈负相关,禽肉摄入量与全因和癌症死亡率以及直肠癌发病率呈负相关。目前的全球和饮食比较风险评估可能低估了肉类摄入量引起的疾病负担。在低肉类消费国家需要进行更多的调查。

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