DOI QR코드

DOI QR Code

Association Between Meat Consumption and Carotid Intima-Media Thickness in Korean Adults With Metabolic Syndrome

  • Oh, Sun-Min (Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Kim, Hyeon-Chang (Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Ahn, Song-Vogue (Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Chi, Hye-Jin (Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Suh, Il (Department of Preventive Medicine, Yonsei University College of Medicine)
  • Received : 2010.06.30
  • Accepted : 2010.09.30
  • Published : 2010.11.30

Abstract

Objectives: The effect of meat consumption on cardiometabolic risk has been continuously studied, but their associations are not conclusive. The aim of this study is to examine the association between the consumption of meat or red meat and carotid intima-media thickness (IMT) in healthy Korean adults. Methods: This study evaluated 2374 community-dwelling adults (933 men and 1441 women) who were free of cardiovascular disease or cancer, living in a rural area in Korea. Total meat and red meat intakes were assessed with a validated 103 item-food frequency questionnaire. Carotid IMT was evaluated ultrasonographically, IMTmax was defined as the highest value among IMT of bilateral common carotid arteries. Results: After adjustment for potential confounding factors, the mean IMTmax tended to increase in higher meat consumption groups in both men and women with metabolic syndrome (p for trend= 0.027 and 0.049, respectively), but not in participants without metabolic syndrome. Frequent meat consumption (${\geq}5$ servings/week) was significantly associated with higher IMTmax in men with metabolic syndrome (by 0.08 mm, p=0.015). Whereas, the association was not significant in women (by 0.05 mm, p=0.115). Similar but attenuated findings were shown with red meat intake. Conclusions: Our findings suggest that a higher meat consumption may be associated with a higher carotid IMT in Korean adults with metabolic syndrome. The frequent meat consumption (${\geq}5$ servings/week), compared with the others, was associated with a higher carotid IMTmax only in men with metabolic syndrome. Further research is required to explore optimal meat consumption in people with specific medical conditions.

Keywords

References

  1. McAfee AJ, McSorley EM, Cuskelly GJ, Moss BW, Wallace JM, Bonham MP, et al. Red meat consumption: an overview of the risks and benefits. Meat Sci 2010; 84(1): 1-13. https://doi.org/10.1016/j.meatsci.2009.08.029
  2. Linseisen J, Kesse E, Slimani N, Bueno-De-Mesquita HB, Ocké MC, Skeie G, et al. Meat consumption in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohorts: results from 24-hour dietary recalls. Public Health Nutr 2002; 5(6B): 1243-1258. https://doi.org/10.1079/PHN2002402
  3. Sinha R, Cross AJ, Graubard BI, Leitzmann MF, Schatzkin A. Meat intake and mortality: a prospective study of over half a million people. Arch Intern Med 2009; 169(6): 562-571. https://doi.org/10.1001/archinternmed.2009.6
  4. 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(2): 171-177. https://doi.org/10.1038/sj.ejcn.1602713
  5. Azadbakht L, Esmaillzadeh A. Red meat intake is associated with metabolic syndrome and the plasma Creactive protein concentration in women. J Nutr 2009; 139(2): 335-339. https://doi.org/10.3945/jn.108.096297
  6. Steffen LM, Kroenke CH, Yu X, Pereira MA, Slattery ML, Van Horn L, et al. Associations of plant food, dairy product, and meat intakes with 15-y incidence of elevated blood pressure in young black and white adults: the Coronary Artery Risk Development in Young Adults (CARDIA) Study. Am J Clin Nutr 2005; 82(6): 1169-1177. https://doi.org/10.1093/ajcn/82.6.1169
  7. Aune D, Ursin G, Veierod MB. Meat consumption and the risk of type 2 diabetes: a systematic review and metaanalysis of cohort studies. Diabetologia 2009; 52(11): 2277-2287. https://doi.org/10.1007/s00125-009-1481-x
  8. Fung TT, Schulze M, Manson JE, Willett WC, Hu FB. Dietary patterns, meat intake, and the risk of type 2 diabetes in women. Arch Intern Med 2004; 164(20): 2235-2240. https://doi.org/10.1001/archinte.164.20.2235
  9. Baxter AJ, Coyne T, McClintock C. Dietary patterns and metabolic syndrome--a review of epidemiologic evidence. Asia Pac J Clin Nutr 2006; 15(2): 134-142.
  10. Lutsey PL, Steffen LM, Stevens J. Dietary intake and the development of the metabolic syndrome: the Atherosclerosis Risk in Communities study. Circulation 2008; 117(6): 754-761. https://doi.org/10.1161/CIRCULATIONAHA.107.716159
  11. Micha R, Wallace SK, Mozaffarian D. Red and processed meat consumption and risk of incident coronary heart disease, stroke, and diabetes mellitus: a systematic review and meta-analysis. Circulation 2010; 121(21): 2271-2283. https://doi.org/10.1161/CIRCULATIONAHA.109.924977
  12. Lorenz MW, Markus HS, Bots ML, Rosvall M, Sitzer M. Prediction of clinical cardiovascular events with carotid intima-media thickness: a systematic review and metaanalysis. Circulation 2007; 115(4): 459-467. https://doi.org/10.1161/CIRCULATIONAHA.106.628875
  13. Simon A, Gariepy J, Chironi G, Megnien JL, Levenson J. Intima-media thickness: a new tool for diagnosis and treatment of cardiovascular risk. J Hypertens 2002; 20(2): 159-169. https://doi.org/10.1097/00004872-200202000-00001
  14. Poredos P. Intima-media thickness: indicator of cardiovascular risk and measure of the extent of atherosclerosis. Vasc Med 2004; 9(1): 46-54. https://doi.org/10.1191/1358863x04vm514ra
  15. Ellingsen I, Hjerkinn EM, Seljeflot I, Arnesen H, Tonstad S. Consumption of fruit and berries is inversely associated with carotid atherosclerosis in elderly men. Br J Nutr 2008; 99(3): 674-681.
  16. Merchant AT, Kelemen LE, de Koning L, Lonn E, Vuksan V, Jacobs R, et al. Interrelation of saturated fat, trans fat, alcohol intake, and subclinical atherosclerosis. Am J Clin Nutr 2008; 87(1): 168-174. https://doi.org/10.1093/ajcn/87.1.168
  17. Zhang B, Chen YM, Huang LL, Zhou XX, Chen CG, Ye YB, et al. Greater habitual soyfood consumption is associated with decreased carotid intima-media thickness and better plasma lipids in Chinese middle-aged adults. Atherosclerosis 2008; 198(2): 403-411. https://doi.org/10.1016/j.atherosclerosis.2007.10.001
  18. Buil-Cosiales P, Irimia P, Ros E, Riverol M, Gilabert R, Martinez-Vila E, et al. Dietary fibre intake is inversely associated with carotid intima-media thickness: a crosssectional assessment in the PREDIMED study. Eur J Clin Nutr 2009; 63(10): 1213-1219. https://doi.org/10.1038/ejcn.2009.45
  19. Mellen PB, Liese AD, Tooze JA, Vitolins MZ, Wagenknecht LE, Herrington DM. Whole-grain intake and carotid artery atherosclerosis in a multiethnic cohort: the Insulin Resistance Atherosclerosis Study. Am J Clin Nutr 2007; 85(6): 1495-1502. https://doi.org/10.1093/ajcn/85.6.1495
  20. Hu FB. Diet and lifestyle influences on risk of coronary heart disease. Curr Atheroscler Rep 2009; 11(4): 257-263. https://doi.org/10.1007/s11883-009-0040-8
  21. Dauchet LP, Amouyel P, Dallongeville J; Medscape. Fruits, vegetables and coronary heart disease. Nat Rev Cardiol 2009; 6(9): 599-608. https://doi.org/10.1038/nrcardio.2009.131
  22. Buil-Cosiales P, Irimia P, Berrade N, Garcia-Arellano A, Riverol M, Murie-Fernandez M, et al. Carotid intimamedia thickness is inversely associated with olive oil consumption. Atherosclerosis 2008; 196(2): 742-748. https://doi.org/10.1016/j.atherosclerosis.2006.12.028
  23. Willett WC. Nutritional Epidemiology, 2nd ed. New York: Oxford University Press; 1998. p. 322
  24. Ahn Y, Kwon E, Shim JE, Park MK, Joo Y, Kimm K, et al. Validation and reproducibility of food frequency questionnaire for Korean genome epidemiologic study. Eur J Clin Nutr 2007; 61(12): 1435-1441. https://doi.org/10.1038/sj.ejcn.1602657
  25. Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, et al. American Heart Association; National Heart, Lung, and Blood Institute. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation 2005; 112(17): 2735-2752. https://doi.org/10.1161/CIRCULATIONAHA.105.169404
  26. Pignoli P, Tremoli E, Poli A, Oreste P, Paoletti R. Intimal plus medial thickness of the arterial wall: a direct measurement with ultrasound imaging. Circulation 1986; 74(6): 1399-1406. https://doi.org/10.1161/01.CIR.74.6.1399
  27. Kesse-Guyot E, Vergnaud AC, Fezeu L, Zureik M, Blacher J, Peneau S, Hercberg S, et al. Associations between dietary patterns and arterial stiffness, carotid artery intima-media thickness and atherosclerosis. Eur J Cardiovasc Prev Rehabil 2010: in press.
  28. Liese AD, Nichols M, Hodo D, Mellen PB, Schulz M, Goff DC, et al. Food intake patterns associated with carotid artery atherosclerosis in the Insulin Resistance Atherosclerosis Study. Br J Nutr 2010; 103(10): 1471-1479. https://doi.org/10.1017/S0007114509993369
  29. 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(6): 1001-1008. https://doi.org/10.1093/ajcn/70.6.1001
  30. McGee DL, Reed DM, Yano K, Kagan A, Tilotson J. Tenyear incidence of coronary heart disease in the Honolulu Heart Program. Relationship to nutrient intake. Am J Epidemiol 1984; 119(5): 667-676. https://doi.org/10.1093/oxfordjournals.aje.a113788
  31. Hu FB, Stampfer MJ, Manson JE, Rimm E, Colditz GA, Speizer FE, et al. Dietary protein and risk of ischemic heart disease in women. Am J Clin Nutr 1999; 70(2): 221-227. https://doi.org/10.1093/ajcn.70.2.221
  32. Preis SR, Stampfer MJ, Spiegelman D, Willett WC, Rimm EB. Lack of association between dietary protein intake and risk of stroke among middle-aged men. Am J Clin Nutr 2010; 91(1): 39-45. https://doi.org/10.3945/ajcn.2009.28060
  33. Rajpathak SN, Crandall JP, Wylie-Rosett J, Kabat GC, Rohan TE, Hu FB. The role of iron in type 2 diabetes in humans. Biochim Biophys Acta 2009; 1790(7): 671-681. https://doi.org/10.1016/j.bbagen.2008.04.005
  34. Kiechl S, Willeit J, Egger G, Poewe W, Oberhollenzer F. Body iron stores and the risk of carotid atherosclerosis: prospective results from the Bruneck study. Circulation 1997; 96(10): 3300-3307. https://doi.org/10.1161/01.CIR.96.10.3300
  35. Sullivan JL. Iron in arterial plaque: modifiable risk factor for atherosclerosis. Biochim Biophys Acta 2009; 1790(7): 718-723. https://doi.org/10.1016/j.bbagen.2008.06.005
  36. Vari IS, Balkau B, Kettaneh A, André P, Tichet J, Fumeron F, et al. Ferritin and transferrin are associated with metabolic syndrome abnormalities and their change over time in a general population: Data from an Epidemiological Study on the Insulin Resistance Syndrome (DESIR). Diabetes Care 2007; 30(7): 1795-1801. https://doi.org/10.2337/dc06-2312
  37. Theuma P, Fonseca VA. Inflammation and emerging risk factors in diabetes mellitus and atherosclerosis. Curr Diab Rep 2003; 3(3): 248-254. https://doi.org/10.1007/s11892-003-0072-3
  38. Haffner SM. The metabolic syndrome: inflammation, diabetes mellitus, and cardiovascular disease. Am J cardiol 2006; 97(2A): 3A-11A. https://doi.org/10.1016/S0002-9149(06)00602-3
  39. Esmaillzadeh A, Kimiagar M, Mehrabi Y, Azadbakht L, Hu FB, Willett WC. Dietary patterns and markers of systemic inflammation among Iranian women. J Nutr 2007; 137(4): 992-998. https://doi.org/10.1093/jn/137.4.992

Cited by

  1. Association Between Serum Uric Acid Level and Metabolic Syndrome vol.45, pp.3, 2012, https://doi.org/10.3961/jpmph.2012.45.3.181
  2. Red meat consumption and cardiovascular target organ damage (from the Strong Heart Study) vol.35, pp.9, 2010, https://doi.org/10.1097/hjh.0000000000001385
  3. Association between Total Diet Quality and Metabolic Syndrome Incidence Risk in a Prospective Cohort of Korean Adults vol.8, pp.1, 2019, https://doi.org/10.7762/cnr.2019.8.1.46
  4. 한국 성인의 식생활평가지수에 기반한 전체 식사의 질과 대사증후군 구성요소 및 대사증후군 발생의 연관성 vol.25, pp.1, 2010, https://doi.org/10.5720/kjcn.2020.25.1.61
  5. Intake of food rich in saturated fat in relation to subclinical atherosclerosis and potential modulating effects from single genetic variants vol.11, pp.1, 2010, https://doi.org/10.1038/s41598-021-86324-w