Why Spanish Like Beef and Pork Health Cancer
Abstract
Background/Objectives:
High intakes of unprocessed red or processed meat may increase the risk of stroke. We aimed to examine the association between unprocessed red meat, processed meat and total red meat consumption and risk of total stroke and ischaemic stroke.
Subjects/Methods:
Cox proportional hazards regression analyses were conducted based on the data for 41 020 men and women aged 29–69 years at baseline.
Results:
During a mean follow-up of 13.8 years, 674 incident cases of stroke (531 ischaemic strokes, 79 haemorrhagic strokes, 42 subarachnoid haemorrhages and 22 mixed or unspecified events) were identified. After multiple adjustment, unprocessed red meat, processed meat and total red meat consumption were not correlated with incidence of total stroke or ischaemic stroke in either men or women. The hazard ratios (HRs) for unprocessed red meat and processed meat and risk of total stroke comparing the highest with the lowest quintiles were, respectively, 0.81 (95% confidence interval (CI) 0.54–1.21; P-trend=0.15) and 0.92 (95% CI 0.64–1.32; P-trend=0.82) in men and 1.21 (95% CI 0.79–1.85; P-trend=0.10) and 0.81 (95% CI 0.51–1.27; P-trend=0.17) in women. The HRs for unprocessed red meat and processed meat and risk of ischaemic stroke were, respectively, 0.80 (95% CI 0.51–1.25; P-trend=0.51) and 0.86 (95% CI 0.57–1.29; P-trend=0.77) in men and 1.24 (95% CI 0.74–2.05; P-trend=0.13) and 0.82 (95% CI 0.47–1.42; P-trend=0.31) in women.
Conclusions:
In the Spanish European Prospective Investigation into Cancer and Nutrition (EPIC) cohort, unprocessed red meat and processed meat consumption were not associated with risk of stroke in men or women.
This is a preview of subscription content
Access options
Subscribe to Journal
Get full journal access for 1 year
111,22 €
only 9,27 € per issue
All prices are NET prices.
VAT will be added later in the checkout.
Tax calculation will be finalised during checkout.
Buy article
Get time limited or full article access on ReadCube.
$32.00
All prices are NET prices.
References
-
Bernstein AM, Pan A, Rexrode KM, Stampfer M, Hu FB, Mozaffarian D et al. Dietary protein sources and the risk of stroke in men and women. Stroke 2012; 43: 637–644.
-
Larsson SC, Virtamo J, Wolk A . Red meat consumption and risk of stroke in Swedish men. Am J Clin Nutr 2011; 94: 417–421.
-
Larsson SC, Virtamo J, Wolk A . Red meat consumption and risk of stroke in Swedish women. Stroke 2011; 42: 324–329.
-
Fung TT, Stampfer MJ, Manson JE, Rexrode KM, Willett WC, Hu FB . Prospective study of major dietary patterns and stroke risk in women. Stroke 2004; 35: 2014–2019.
-
Chen GC, Lv DB, Pang Z, Liu QF . Red and processed meat consumption and risk of stroke: a meta-analysis of prospective cohort studies. Eur J Clin Nutr 2013; 67: 91–95.
-
Kaluza J, Wolk A, Larsson SC . Red meat consumption and risk of stroke: a meta-analysis of prospective studies. Stroke 2012; 43: 2556–2560.
-
Hu FB, Stampfer MJ, Manson JE, Ascherio A, Colditz GA, Speizer FE et al. Dietary saturated fats and their food sources in relation to the risk of coronary heart disease in women. Am J Clin Nutr 1999; 70: 1001–1008.
-
Siri-Tarino PW, Sun Q, Hu FB, Krauss RM . Meta-analysis of prospective cohort studies evaluating the association of saturated fat with cardiovascular disease. Am J Clin Nutr 2010; 91: 535–546.
-
Kaluza J, Wolk A, Larsson SC . Heme iron intake and risk of stroke: a prospective study of men. Stroke 2013; 44: 334–339.
-
Aburto NJ, Ziolkovska A, Hooper L, Elliott P, Cappuccio FP, Meerpohl JJ . Effect of lower sodium intake on health: systematic review and meta-analyses. BMJ 2013; 346: f1326.
-
Bernstein AM, Sun Q, Hu FB, Stampfer MJ, Manson JE, Willett WC . Major dietary protein sources and risk of coronary heart disease in women. Circulation 2010; 122: 876–883.
-
Kontogianni MD, Panagiotakos DB, Pitsavos C, Chrysohoou C, Stefanadis C . Relationship between meat intake and the development of acute coronary syndromes: the CARDIO2000 case-control study. Eur J Clin Nutr 2008; 62: 171–177.
-
Pan A, Sun Q, Bernstein AM, Schulze MB, Manson JE, Stampfer MJ et al. Red meat consumption and mortality: results from 2 prospective cohort studies. Arch Intern Med 2012; 172: 555–563.
-
Riboli E, Kaaks R . The EPIC Project: rationale and study design. European Prospective Investigation into Cancer and Nutrition. Int J Epidemiol 1997; 26 (Suppl 1), S6–S14.
-
Bingham S, Riboli E . Diet and cancer—the European Prospective Investigation into Cancer and Nutrition. Nat Rev Cancer 2004; 4: 206–215.
-
Riboli E, Hunt KJ, Slimani N, Ferrari P, Norat T, Fahey M et al. European Prospective Investigation into Cancer and Nutrition (EPIC): study populations and data collection. Public Health Nutr 2002; 5: 1113–1124.
-
EPIC Group of Spain. Relative validity and reproducibility of a diet history questionnaire in Spain. I. Foods. European Prospective Investigation into Cancer and Nutrition. Int J Epidemiol 1997; 26 (Suppl 1), S91–S99.
-
EPIC Group of Spain. Relative validity and reproducibility of a diet history questionnaire in Spain. II. Nutrients. European Prospective Investigation into Cancer and Nutrition. Int J Epidemiol 1997; 26 (Suppl 1), S100–S109.
-
Slimani N, Deharveng G, Unwin I, Southgate DA, Vignat J, Skeie G et al. The EPIC nutrient database project (ENDB): a first attempt to standardize nutrient databases across the 10 European countries participating in the EPIC study. Eur J Clin Nutr 2007; 61: 1037–1056.
-
World Health Organization ATC/DDD Index. WHO. 2013. Available at http://www.whocc.no/atc_ddd_index/ (accessed 30 September 2013).
-
Rohrmann S, Overvad K, Bueno-de-Mesquita HB, Jakobsen MU, Egeberg R, Tjonneland A et al. Meat consumption and mortality—results from the European Prospective Investigation into Cancer and Nutrition. BMC Med 2013; 11: 63.
-
DÃez-Tedejor E . GuÃa para el diagnóstico y tratamiento del ictus. Guide for diagnosis and treatment of stroke. Prous Science: Barcelona, Spain, 2006.
-
Willett WC, Howe GR, Kushi LH . Adjustment for total energy intake in epidemiologic studies. Am J Clin Nutr 1997; 65 (Suppl 4), S1220–S1228.
-
Grambsch PM, Therneau TM . Proportional hazards tests and diagnostics based on weighted residuals. Biometrika 1994; 81: 515–526.
-
Huerta JM, Chirlaque MD, Tormo MJ, Gavrila D, Arriola L, Moreno-Iribas C et al. Physical activity and risk of cerebrovascular disease in the European Prospective Investigation into Cancer and Nutrition-Spain study. Stroke 2013; 44: 111–118.
-
Katsiki N, Ntaios G, Vemmos K . Stroke, obesity and gender: a review of the literature. Maturitas 2011; 69: 239–243.
Acknowledgements
We thank the participants in the Spanish EPIC cohort for their contribution to this study as well as the team of nurses who participated in the recruitment.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no conflict of interest.
Rights and permissions
About this article
Cite this article
Amiano, P., Chamosa, S., Etxezarreta, N. et al. Unprocessed red meat and processed meat consumption and risk of stroke in the Spanish cohort of the European Prospective Investigation into Cancer and Nutrition (EPIC). Eur J Clin Nutr 70, 313–319 (2016). https://doi.org/10.1038/ejcn.2015.150
-
Received:
-
Revised:
-
Accepted:
-
Published:
-
Issue Date:
-
DOI : https://doi.org/10.1038/ejcn.2015.150
Source: https://www.nature.com/articles/ejcn2015150
0 Response to "Why Spanish Like Beef and Pork Health Cancer"
Post a Comment