Department of Health Sciences, School of Medicine, University of Catanzaro "Magna Græcia", Viale Europa, 88100 Catanzaro, Italy.
Department of Medical and Surgical Sciences, School of Medicine, University of Catanzaro "Magna Græcia", Viale Europa, 88100 Catanzaro, Italy.
Prev Med. 2024 Jul;184:108007. doi: 10.1016/j.ypmed.2024.108007. Epub 2024 May 16.
PURPOSE: Excessive meat consumption (MC) is associated with multiple health risks. Additionally, it can undermine environmental sustainability and affect the potential improvement of animal welfare. The aim of this study was to assess the efficacy of literacy interventions (LIs) in reducing MC. METHODS: Studies assessing the efficacy of LIs addressing health risks, environmental sustainability and/or animal welfare in reducing MC were searched. We used random-effects meta-analysis to estimate the overall efficacy and conducted subgroup analyses to identify the most effective information contents. Additionally, meta-regression analyses investigated participants' age, LI duration, and follow-up length influence on LIs' efficacy. RESULTS: Fourteen studies involving more than ten thousand subjects were meta-analyzed. The pooled estimate showed that LIs had a small (Hedges's g = 0.15; 95%CI: 0.06-0.25) but statistically significant effect in reducing MC. Subgroup analysis showed that the highest efficacy was achieved when subjects were alarmed about health risks (g = 0.29; 95% CI: -0.02, 0.60), compared to informing about the risks for the environment (g = 0.18; 95% CI: -0.15, 0.51) and for animal welfare (g = 0.02; 95%CI: -0.08, 0.11). The meta-regression analysis indicated that LIs had greater efficacy in younger individuals and when the intervention duration was longer. Conversely, it was suggested that efficacy improves as the length of follow-up increases. CONCLUSIONS: Informing about health risks related to MC temporarily decreased its intake, while informing about the impact on environmental sustainability or animal welfare was ineffective. Furthermore, long-lasting LIs achieve long-term dietary change toward MC.
目的:过量食用肉类(MC)与多种健康风险相关。此外,它还会破坏环境可持续性,并影响动物福利的改善潜力。本研究旨在评估读写能力干预(LIs)在减少 MC 方面的效果。
方法:检索了评估针对 MC 减少的健康风险、环境可持续性和/或动物福利的 LIs 效果的研究。我们使用随机效应荟萃分析来估计整体效果,并进行了亚组分析以确定最有效的信息内容。此外,还进行了元回归分析,以调查参与者的年龄、LI 持续时间和随访时间对 LIs 效果的影响。
结果:荟萃分析了涉及超过一万名受试者的 14 项研究。汇总估计表明,LIs 在减少 MC 方面具有较小(Hedges's g = 0.15;95%CI:0.06-0.25)但具有统计学意义的效果。亚组分析表明,当告知参与者 MC 对健康的风险时(g = 0.29;95%CI:-0.02,0.60),效果最高,与告知环境风险(g = 0.18;95%CI:-0.15,0.51)和动物福利风险(g = 0.02;95%CI:-0.08,0.11)相比。元回归分析表明,LIs 在年轻个体中效果更大,且干预持续时间越长,效果越好。相反,随着随访时间的增加,效果似乎会提高。
结论:告知 MC 与健康风险相关的信息会暂时减少其摄入量,而告知其对环境可持续性或动物福利的影响则无效。此外,持久的 LIs 可实现长期的 MC 饮食改变。
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