Unprocessed Red Meat and Processed Meat Consumption: Dietary Guideline Recommendations From the NutriRECS Consortium

Bradley C. Johnston, Dena Zeraatkar, Mi Ah Han, Robin W. M. Vernoolj, Claudia Valli, Regina El Dib, Catherine Marshall, Patrick J. Stover, Susan Fairweather-Tait, Grzegorz Wojcik, Faiz Bhatia, Russell de Souza, Carlos Brotons, Joerg J. Meerpohl, Chirag J. Patel, Benjamin Djulbegovic, Pablo Alonso-Coello, Malgorzata M. Bala, Gordan H. Guyatt

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Abstract

Description: Dietary guideline recommendations require consideration of the certainty in the evidence, the magnitude of potentialbenefitsandharms,andexplicitconsiderationofpeople's values and preferences. A set of recommendations on red meat and processed meat consumption was developed on the basis of 5 de novo systematic reviews that considered all of these issues. Methods: The recommendations were developed by using the Nutritional Recommendations (NutriRECS) guideline development process, which includes rigorous systematic review methodology, and GRADE methods to rate the certainty of evidence for each outcome and to move from evidence to recommendations.Apanelof14members,including3communitymembers, from 7 countries voted on the final recommendations. Strict criteria limited the conflicts of interest among panel members. Considerations of environmental impact or animal welfare did
not bear on the recommendations. Four systematic reviews addressed the health effects associated with red meat and processed meat consumption, and 1 systematic review addressed people's health-related values and preferences regarding meat consumption. Recommendations: The panel suggests that adults continue current unprocessed red meat consumption (weak recommendation, low-certainty evidence). Similarly, the panel suggests adults continue current processed meat consumption (weak recommendation, low-certainty evidence).
Original languageEnglish
Pages (from-to)756-764
Number of pages11
JournalAnnals of Internal Medicine
Volume171
Issue number10
DOIs
Publication statusPublished - 1 Oct 2019

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