Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 176 76 Athens, Greece.
Department of Nutrition and Dietetics, School of Physical Education, Sports and Dietetics, University of Thessaly, 382 21 Trikala, Greece.
Nutrients. 2022 Dec 7;14(24):5213. doi: 10.3390/nu14245213.
Although the association between meat consumption and cardiovascular diseases (CVDs) has been extensively investigated, studies focusing specifically on the relationship between white meat consumption and CVD risk factors are fewer with controversial findings. The aim was to evaluate the relationship between white meat consumption and the incidence of cardiometabolic risk factors. A comprehensive literature search of PubMed articles was conducted from 2010 to 2022 (1 November), according to PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) guidelines. Thirteen prospective cohort studies were selected studying mainly poultry, with the exception of one study that also analyzed rabbit meat. From the seven studies on the risk of type 2 diabetes mellitus, four studies found no association, two studies found positive associations, and two studies found inverse associations when comparing poultry to other meats. Of the two studies on the risk of hypertension, one observed no association and one a positive association. Of the two studies on weight management, one observed a positive association with weight gain, the other study observed the same relationship only for chicken with skin, while for chicken without skin a positive relationship with relative weight loss was found. As for metabolic syndrome and its components, two studies revealed inverse associations with white meat intake. Only fresh lean white meat consumption seems to have potential beneficial effects on cardiometabolic risk factors. Future research should scrutinize consumption habits related to white meat intake when investigating its association with cardiometabolic risk factors.
虽然肉类消费与心血管疾病(CVDs)之间的关联已经得到广泛研究,但专门关注白肉消费与 CVD 风险因素之间关系的研究较少,且研究结果存在争议。本研究旨在评估白肉消费与心血管代谢风险因素的发生之间的关系。根据 PRISMA(系统评价和荟萃分析的首选报告项目)指南,对 2010 年至 2022 年 11 月 1 日期间 PubMed 文章进行了全面的文献检索。选择了 13 项主要研究家禽的前瞻性队列研究,除了一项同时分析兔肉的研究外。在关于 2 型糖尿病风险的 7 项研究中,有 4 项研究未发现关联,2 项研究发现存在正相关,2 项研究在比较禽肉与其他肉类时发现存在负相关。在关于高血压风险的两项研究中,一项研究未发现关联,另一项研究发现存在正相关。在关于体重管理的两项研究中,一项研究观察到与体重增加呈正相关,另一项研究仅观察到带皮鸡肉存在相同关系,而对于去皮鸡肉则发现与相对体重减轻呈正相关。至于代谢综合征及其成分,有两项研究表明与白肉摄入呈负相关。只有新鲜瘦肉白肉消费似乎对心血管代谢风险因素具有潜在的有益影响。未来的研究在调查白肉摄入与心血管代谢风险因素的关系时,应仔细研究与白肉摄入有关的消费习惯。