Total red meat intake of ≥0.5 servings/d does not negatively influence cardiovascular disease risk factors: a systemically searched meta-analysis of randomized controlled trials.

BACKGROUND: Observational associations between red meat intake and cardiovascular disease (CVD) are inconsistent. There are limited comprehensive analyses of randomized controlled trials (RCTs) that investigate the effects of red meat consumption on CVD risk factors. OBJECTIVE: The purpose of this systematically searched meta-analysis was to assess the effects of consuming ≥0.5 or <0.5 servings of total red meat/d on CVD risk factors [blood total cholesterol (TC), LDL cholesterol, HDL cholesterol, triglycerides, ratio of TC to HDL cholesterol (TC:HDL), and systolic and diastolic blood pressures (SBP and DBP, respectively)]. We hypothesized that the consumption of ≥0.5 servings of total red meat/d would have a negative effect on these CVD risk factors. DESIGN: Two researchers independently screened 945 studies from PubMed, Cochrane Library, and Scopus databases and extracted data from 24 qualified RCTs. Inclusion criteria were 1) RCT, 2) subjects aged ≥19 y, 3) consumption of ≥0.5 or <0.5 total red meat servings/d [35 g (1.25 ounces)], and 4) reporting ≥1 CVD risk factor. We performed an adjusted 2-factor nested ANOVA mixed-effects model procedure on the postintervention values of TC, LDL cholesterol, HDL cholesterol, TC:HDL cholesterol, triglycerides, SBP, and DBP; calculated overall effect sizes of change values; and used a repeated-measures ANOVA to assess pre- to postintervention changes. RESULTS: Red meat intake did not affect lipid-lipoprotein profiles or blood pressure values postintervention (P > 0.05) or changes over time [weighted mean difference (95% CI): -0.01 mmol/L (-0.08, 0.06 mmol/L), 0.02 mmol/L (-0.05, 0.08 mmol/L), 0.03 mmol/L (-0.01, 0.07 mmol/L), and 0.04 mmol/L (-0.02, 0.10 mmol/L); -0.08 mm Hg (-0.26, 0.11 mm Hg); and -1.0 mm Hg (-2.4, 0.78 mm Hg) and 0.1 mm Hg (-1.2, 1.5 mm Hg) for TC, LDL cholesterol, HDL cholesterol, triglycerides, TC:HDL cholesterol, SBP, and DBP, respectively]. Among all subjects, TC, LDL cholesterol, HDL cholesterol, TC:HDL cholesterol, triglycerides, and DBP, but not SBP, decreased over time (P < 0.05). CONCLUSIONS: The results from this systematically searched meta-analysis of RCTs support the idea that the consumption of ≥0.5 servings of total red meat/d does not influence blood lipids and lipoproteins or blood pressures.

Perfil de ácidos graxos e características da carne de bovinos Nelore confinados com diferentes fontes lipídicas protegidas / Fatty acids and meat characteristics of feedlot Nellore cattle with different protected fat sources

O objetivo deste trabalho foi avaliar os efeitos da adição de fontes de lipídeos naturais e protegidos da degradação ruminal na dieta de bovinos Nelore confinados sobre características da carne, concentrações de lipoproteínas sanguíneas e perfil de ácidos graxos da gordura do músculo Longissimus dorsi. Foram utilizados 120 bovinos Nelore, não castrados (366,9±28,7kg), com aproximadamente 24 meses. O delineamento experimental foi inteiramente casualizado, com três tratamentos: (CONTR) sem fonte adicional de lipídeo, (GDESP) com fonte de lipídeo natural (torta de algodão) e (GPROT) com fonte de lipídeo protegido rico em ácidos graxos poli-insaturados. Foram utilizadas 24 baias, cinco animais/baia, com oito repetições/tratamento, sendo as baias consideradas unidades experimentais. Foi observada (P<0,05) interação entre tratamento e dias de mensuração para colesterol e LDL, com maiores valores do tratamento GPROT nos dias 1 e 15, tendo o dia 84 valor intermediário aos demais tratamentos. Observaram-se efeitos de dias de mensuração, em que VLDL e triglicerídeos apresentaram valores crescentes nos dias 15, 84 e 1; enquanto o HDL teve maior valor no dia 1. Foi observado efeito (P<0,05) de tratamento para o perfil de ácidos graxos, com diminuição do C14:1, C16:1 e C17:1 e aumento do ácido transvaccênico, C18:2, ácidos graxos poli-insaturados (AGPI) e da relação AGPI: AGMI (ácidos graxos monoinsaturados) para os tratamentos GPROT e GDESP. Adição de lipídios na dieta, independentemente da fonte, promove melhora na composição de ácidos graxos da carne de bovinos Nelore confinados, aumentando a quantidade de ácidos graxos insaturados sem alterar as características qualitativas da carne.

The objective of this work was to evaluate the effects of adding sources of natural lipids and rumen-protected lipid source rich in polyunsaturated fatty acids to the diet of feedlot Nellore cattle on meat characteristics, blood lipoprotein concentration and fatty acid profile of subcutaneous fat of Longissimus dorsi. One hundred and twenty 24-mo-old Nellore yearling bulls were used (366.9±28.7kg). The experimental design was completely randomized, replicated 8 times (5 bulls/pen), with pens being considered experimental units and consisting of three treatments: (CONTR) without additional source of lipid, (GDESP) with source of natural lipid (cottonseed cake), and (GPROT) with rumen-protected lipid source rich in polyunsaturated fatty acids. Interaction (P<0.05) was observed between treatment and day of measurement for cholesterol and LDL, with values greater GPROT treatment on days 1 and 15, and day 84 intermediate value to the other treatments. Effects (P<0.05) were observed on days of measurement, which showed an increase in VLDL and triglyceride values on days 15, 84 and 1; while HDL had higher values on day 1. Effect (P<0.05) of treatment for the fatty acid profile showed decreased C14:1, C16:1 and C17:1 and increased transvaccênico acid, C18:2, polyunsaturated fatty acids (PUFA) and the ratio PUFA:MUFA (monounsaturated fatty acids) for GPROT and GDESP treatments. Additional fat in the diet, regardless of the source, promotes improvement in fatty acid composition of meat from feedlot Nellore cattle, increasing the amount of unsaturated fatty acids without changing the qualitative characteristics of meat.