Evidence map›Paper›PMID 33094800›Full record

ArticleThe American journal of clinical nutrition2021

Replacing the consumption of red meat with other major dietary protein sources and risk of type 2 diabetes mellitus: a prospective cohort study.

Anne Mette L Würtz, Marianne U Jakobsen, Monica L Bertoia, Tao Hou, Erik B Schmidt, Walter C Willett, Kim Overvad, Qi Sun, JoAnn E Manson, Frank B Hu and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in The American journal of clinical nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
6.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.

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  3. Effects of red meat taxes and warning labels on food groups selected in a randomized controlled trial.The international journal of behavioral nutrition and physical activity · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

Anne Mette L WürtzDepartment of Public Health, Research Unit for Epidemiology, Aarhus University, Aarhus, Denmark.
Marianne U JakobsenDepartment of Public Health, Research Unit for Epidemiology, Aarhus University, Aarhus, Denmark.
Monica L BertoiaDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Tao HouDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Erik B SchmidtDepartment of Cardiology, Aalborg University Hospital, Aalborg University, Aalborg, Denmark.
Walter C WillettDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Kim OvervadDepartment of Public Health, Research Unit for Epidemiology, Aarhus University, Aarhus, Denmark.
Qi SunDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
JoAnn E MansonChanning Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Frank B HuDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Eric B RimmDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Brigham and Women's Hospital · USAarhus University · DKHarvard University · USAalborg University Hospital · DK

Funding

Transgenic CoreP30DK046200 · NIDDK · TUFTS MEDICAL CENTER · PI GREENBERG, ANDREW S, PERISSI, VALENTINA · 1992 to 2021
$25.0M
Life Course Cancer Epidemiology Cohort in WomenU01CA176726 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI ELIASSEN, A. HEATHER, WILLETT, WALTER C. · 2018 to 2025
$22.4M
Long Term Multidisciplinary Study of Cancer in Women: The Nurses Health StudyUM1CA186107 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI ELIASSEN, A. HEATHER, STAMPFER, MEIR · 2014 to 2023
$22.3M
NCI NIH HHS U01 CA176726NCI NIH HHS UM1 CA186107NIDDK NIH HHS P30 DK046200
6 · The paper itself

Abstract

backgroundGreater consumption of red meat has been associated with a higher risk of type 2 diabetes mellitus (T2DM). A decreased intake of red meat and simultaneous increased intake of other high-protein foods may be associated with a lower risk of T2DM. These analyses of specific food replacements for red meat may provide more accurate dietary advice.

objectiveWe examined the association between a decrease in intake of red meat accompanied by an increase in other major dietary protein sources and risk of T2DM.

methodsWe prospectively followed 27,634 males in the Health Professionals Follow-up Study, 46,023 females in the Nurses' Health Study, and 75,196 females in the Nurses' Health Study II. Diet was assessed by a validated FFQ and updated every 4 y. Cox proportional hazards models adjusted for T2DM risk factors were used to model the food replacements. We calculated HRs and 95% CIs for the T2DM risk associated with replacements of 1 daily serving of red meat with another protein source.

resultsDuring 2,113,245 person-years of follow-up, we identified 8763 incident T2DM cases from 1990 to 2013. In the pooled analyses, a decrease in total red meat intake during a 4-y period replaced with another common protein food was associated with a lower risk of T2DM in the subsequent 4-y period. The HR (95% CI) per 1 serving/d was 0.82 (0.75, 0.90) for poultry, 0.87 (0.77, 0.98) for seafood, 0.82 (0.78, 0.86) for low-fat dairy, 0.82 (0.77, 0.86) for high-fat dairy, 0.90 (0.81, 0.99) for eggs, 0.89 (0.82, 0.98) for legumes, and 0.83 (0.78, 0.89) for nuts. The associations were present for both unprocessed and processed red meat, although stronger for the replacement of processed red meat.

conclusionsReplacing red meat consumption with other protein sources was associated with a lower risk of T2DM.

Indexed as

Dietary ProteinsRed MeatAdultAgedAnimalsCohort StudiesDiabetes Mellitus, Type 2DietFemaleHumansMaleMiddle AgedProportional Hazards ModelsProspective StudiesRisk FactorsDietary Proteinscohort studydiet changefollow-up studyfood substitutionprotein replacementred meattype 2 diabetes mellitus

Identifiers

PMID33094800
PMCPMC7948828
OpenAlexW3094385987

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.