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Relation of unprocessed, processed red meat and poultry consumption to blood pressure in East Asian and Western adults

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Title: Relation of unprocessed, processed red meat and poultry consumption to blood pressure in East Asian and Western adults
Authors: Oude Griep, LM
Seferidi, P
Stamler, J
Van Horn, L
Chan, Q
Tzoulaki, I
Steffen, LM
Miura, K
Ueshima, H
Okuda, N
Zhao, L
Soedamah-Muthu, SS
Daviglus, ML
Elliott, P
INTERMAP Research Group
Item Type: Journal Article
Abstract: Background: Epidemiologic evidence suggests that relationships of red meat consumption with risk of cardiovascular diseases depends on whether or not the meat is processed, including addition of preservatives, but evidence is limited for blood pressure (BP). Objective: To examine cross-sectional associations with BP of unprocessed and processed red meat and poultry consumption, total and by type, using data from the INTERnational study on MAcro/micronutrients and blood Pressure (INTERMAP). Design: INTERMAP included 4,680 men and women ages 40-59 years from 17 population samples in Japan, China, the United Kingdom, and the United States. During four visits, eight BP measurements, four multi-pass 24-hr dietary recalls, and two timed 24-hr urine samples were collected. Results: Average daily total unprocessed/processed meat consumption (g/1000 kcal) was 20/5 in East Asian and 38/21 in Western participants. Unprocessed meat intakes comprised red meat for 75% in East Asian and 50% in Western participants. In Westerners, multiple linear regression analyses showed systolic/diastolic BP differences for total unprocessed red meat consumption higher by 25 g/1000 kcal +0.74/+0.57 mmHg (P=0.03/0.01) and for unprocessed poultry of +0.79/+0.16 mmHg (P=0.02/0.50). Unprocessed red meat was not related to BP in East Asian participants. In Westerners, systolic/diastolic BP differences for processed red meat higher by 12.5 g/1000 kcal were +1.20/+0.24 mmHg (P<0.01/0.24), due to consumption of cold cuts and sausages (+1.59/+0.32 mmHg, P<0.001/0.27). Conclusion: These findings are consistent with recommendations to limit meat intake (processed and unprocessed) to maintain and improve cardiovascular health.
Issue Date: 1-Aug-2016
Date of Acceptance: 15-May-2016
URI: http://hdl.handle.net/10044/1/32646
DOI: https://dx.doi.org/10.1097/HJH.0000000000001008
ISSN: 1473-5598
Publisher: Lippincott, Williams & Wilkins
Start Page: 1721
End Page: 1729
Journal / Book Title: Journal of Hypertension
Volume: 34
Issue: 9
Copyright Statement: 2017-08-01
Keywords: INTERMAP Research Group
Cardiovascular System & Hematology
1103 Clinical Sciences
1102 Cardiovascular Medicine And Haematology
Publication Status: Published
Appears in Collections:Faculty of Medicine
Epidemiology, Public Health and Primary Care



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