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红肉消费与高血压:最新综述

Red Meat Consumption and Hypertension: An Updated Review.

作者信息

Allen Tara S, Najem Michael, Wood Alexis C, Lee Danielle J, Pacheco Lorena S, Daniels Lori B, Allison Matthew A

机构信息

Division of Preventive Medicine, Department of Family Medicine, University of California, San Diego, CA, USA.

University of California Internal Medicine Residency Program, San Diego, CA, USA.

出版信息

Curr Cardiol Rep. 2025 Feb 10;27(1):50. doi: 10.1007/s11886-025-02201-2.

DOI:10.1007/s11886-025-02201-2
PMID:39928063
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11811473/
Abstract

PURPOSE OF REVIEW

Hypertension (HTN) is a major risk factor for cardiovascular diseases (CVD). The global prevalence of HTN and related CVD mortality continues to rise. The development of HTN is influenced by genetic predisposition and modifiable risk factors, including diet. One area of ongoing debate is the relationship between red meat consumption and risk of HTN.

RECENT FINDINGS

Processed red meat has become increasingly implicated in the pathogenesis and morbidity of HTN, though randomized control trials comparing HTN-related outcomes associated with red meat subtypes have yielded heterogenous results. This review summarizes the existing relevant literature and highlights the methodological challenges that complicate definitive conclusions, with a focus on processed versus unprocessed red meat consumption and HTN. It explores pathophysiologic mechanisms contributing to this relationship and reviews practical, evidence-based dietary guidelines that address red meat consumption to mitigate the risk of adverse HTN-related CVD outcomes.

摘要

综述目的

高血压(HTN)是心血管疾病(CVD)的主要危险因素。全球高血压患病率及相关心血管疾病死亡率持续上升。高血压的发生受遗传易感性和可改变的危险因素影响,包括饮食。红肉消费与高血压风险之间的关系是一个持续争论的领域。

最新发现

加工红肉越来越多地被认为与高血压的发病机制和发病率有关,尽管比较红肉亚型与高血压相关结局的随机对照试验结果不一。本综述总结了现有的相关文献,并强调了导致难以得出明确结论的方法学挑战,重点关注加工红肉与未加工红肉的消费与高血压。它探讨了导致这种关系的病理生理机制,并回顾了基于证据的实用饮食指南,这些指南涉及红肉消费以降低高血压相关心血管疾病不良结局的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4939/11811473/319d22a54b58/11886_2025_2201_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4939/11811473/319d22a54b58/11886_2025_2201_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4939/11811473/319d22a54b58/11886_2025_2201_Fig1_HTML.jpg

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本文引用的文献

1
Beef Consumption and Cardiovascular Disease Risk Factors: A Systematic Review and Meta-analysis of Randomized Controlled Trials.牛肉消费与心血管疾病风险因素:随机对照试验的系统评价与荟萃分析
Curr Dev Nutr. 2024 Nov 2;8(12):104500. doi: 10.1016/j.cdnut.2024.104500. eCollection 2024 Dec.
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Consumption of processed meat but not red meat is associated with the incidence of hypertension: ELSA-Brasil cohort.食用加工肉类而非红肉与高血压的发生有关:ELSA-Brasil 队列研究。
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Forecasting the Burden of Cardiovascular Disease and Stroke in the United States Through 2050-Prevalence of Risk Factors and Disease: A Presidential Advisory From the American Heart Association.展望 2050 年美国心血管疾病和中风负担——风险因素和疾病的流行情况:美国心脏协会主席的咨询报告。
Circulation. 2024 Jul 23;150(4):e65-e88. doi: 10.1161/CIR.0000000000001256. Epub 2024 Jun 4.
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Plant-Based Meat Analogs and Their Effects on Cardiometabolic Health: An 8-Week Randomized Controlled Trial Comparing Plant-Based Meat Analogs With Their Corresponding Animal-Based Foods.植物基肉类仿制品及其对心脏代谢健康的影响:一项比较植物基肉类仿制品与其相应动物基食品的为期 8 周的随机对照试验。
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Meat and meat products - a scoping review for Nordic Nutrition Recommendations 2023.肉类及肉制品——《2023年北欧营养建议》的范围界定综述
Food Nutr Res. 2024 Feb 21;68. doi: 10.29219/fnr.v68.10538. eCollection 2024.
9
Relationship between trimethylamine N-oxide and the risk of hypertension in patients with cardiovascular disease: A meta-analysis and dose-response relationship analysis.三甲基胺 N-氧化物与心血管疾病患者高血压风险的关系:一项荟萃分析和剂量反应关系分析。
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