Dr. Kamath[/caption]
Dr. Suneel Kamath MD
Gastrointestinal Oncologist
Cleveland Clinic
Senior Author on this research
MedicalResearch.com: What is the background for this study?
Response: Colorectal cancer rates in young people under age 50 are skyrocketing and have been for the last 3-4 decades. We really don’t understand why because most cases (probably around 70%) are not genetic or hereditary, just random, unfortunate events. We suspect that it is some exposure(s) like excess consumption of red meat, processed foods, sugar-sweetened beverages, excess antibiotic use altering the microbiome, rising incidence of obesity or some other factors. We really don’t know why yet.
Our study used a technology called metabolomics, the study of breakdown products and production building blocks for our bodies, to look for differences in colorectal cancer in young people versus people that are older that developed colorectal cancer. Because metabolomics measures how each individual interacts with the exposures in our environment like diet, air quality, etc., it is a way to bridge the gap between our nature (determined by genetics) and nurture (determined by our exposures).
Dr. Raisi-Estabra[/caption]
Dr Zahra Raisi-Estabragh, PhD fellow
Cardiologist Trainee at Queen Mary University of London and
Barts Health NHS Trust
MedicalResearch.com: What is the background for this study?
Response: Previous studies have linked greater consumption of red and processed meat to poorer clinical cardiovascular outcomes, for example, higher risk of having a heart attack or of dying from heart disease. However, the biological mechanisms underlying these relationships are not well understood. Furthermore, the impact of meat intake on more direct measures of heart health, such as, structure and function of the heart and blood vessels, has not been previously studied in large cohorts. Examining how meat intake may influence different aspects of cardiovascular health can help us better understand its health effects.
Dr. Tong[/caption]
Dr Tammy Y N Tong PhD
Cancer Epidemiology Unit
Nuffield Department of Population Health
University of Oxford, Oxford, UK
MedicalResearch.com: What is the background for this study?
Response: Vegetarian and vegan diets have become increasingly popular in recent years, partly due to the perceived health benefits, but also concerns about the environment and animal welfare. However, the full extent of the potential health benefits and hazards of these diets is not well understood. Previous studies have suggested that vegetarians have a lower risk of coronary heart disease than non-vegetarians, but data from large studies are limited, and little has been reported on the difference in risk of stroke.
Dr. McDevitt[/caption]
Christopher A. McDevitt B.Sc. (Hons) Ph.D , Associate Professor
Group Leader, ARC Future Fellow
The Peter Doherty Institute for Infection and Immunity
Melbourne | Victoria | Australia
MedicalResearch.com: What is the background for this study?
Response: Zinc-deficiency affects nearly one-third of the world’s population and is associated with an increased susceptibility to respiratory and enteric infections. The foremost global respiratory disease is pneumonia, which kills more than 1 million people per year with young children and the elderly being at greatest risk. This study investigated how zinc-deficiency affected Streptococcus pneumoniae infection, the primary bacterial cause of pneumonia.
Dr. Virtanen[/caption]
Jyrki Virtanen, PhD
Assistant professor of nutritional epidemiology
University of Eastern Finland
Institute of Public Health and Clinical Nutrition
Kuopio, Finland
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: We have previously found in this same eastern Finnish male study population that higher egg intake was associated with lower risk of developing dementia and with better performance in tests assessing cognitive capacity. Eggs are a major source of choline, especially phosphatidylcholine, and choline (which is an essential nutrient) is necessary for the formation of acetylcholine, which is a neurotransmitter.
Earlier studies have linked choline intake with better cognitive processing but there was no information whether choline intake would also be associated with lower risk of developing dementia. So the purpose of our current study was to investigate whether higher choline intake would associate with better cognitive performance and with lower risk of dementia, which would support our previous findings with egg intake.
And in the current study we did find that especially higher phosphatidylcholine intake was associated with a lower risk of developing dementia and also with better performance in tests measuring memory and linguistic abilities of the men in the study.
Dr. Guasch-Ferré[/caption]
Marta Guasch-Ferre, PhD
Research Scientist, Dept of Nutrition
Harvard TH Chan School of Public Health
Instructor of Medicine, Channing Division of Network Medicin
Harvard Medical School
Boston, MA, 02115
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: Previous findings from randomized controlled trials evaluating the effects of red meat on cardiovascular disease risk factors have been inconsistent.
But our new study, which makes specific comparisons between diets high in red meat versus diets high in other types of foods, shows that substituting red meat with high-quality protein sources lead to more favorable changes in cardiovascular risk factors. That is, to properly understand the health effects of red meat, it’s important to pay attention to the comparison diet. People do not simply eat more or less meat – it will almost always be in substitution with other foods.
Heli Virtanen[/caption]
Heli Virtanen, PhD Student
University of Eastern Finland
MedicalResearch.com: What is the background for this study?
Response: Optimal amount of protein in diet for supporting longevity is unclear. In addition, there have been indications that different protein sources have differential associations with mortality risk. Thus, we investigated the associations of proteins and protein sources with mortality risk in the Finnish men of the Kuopio Ischaemic Heart Disease Risk Factor Study.
Maryam Farvid, Ph.D., Research Scientist
Department of Nutrition
Harvard T.H. Chan School of Public Health
Boston, MA 02115
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: Prior prospective studies on red and processed meat consumption with risk of breast cancer have produced inconsistent results.
Current meta-analysis of 15 prospective studies shows that women who eat a high amount of processed meat each day may have a higher risk of breast cancer than those who don't eat or have a low intake in their diet.
Jyrki Virtanen, PhD
Adjunct professor of nutritional epidemiology
Heli Virtanen, MSc
University of Eastern Finland
Institute of Public Health and Clinical Nutrition
Kuopio, Finland
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: Previous studies have found that animal sources of protein may have an adverse impact on the risk of cardiovascular diseases, like myocardial infarct, whereas plant sources of protein have had an opposite impact.
In this study we investigated that how protein intake from different dietary sources is associated with developing heart failure in men during the study’s follow-up. During the mean follow-up time of about 22 years, 334 men developed heart failure.
The main finding of the study was that higher protein intake was associated with a moderately higher risk of heart failure and the findings were similar with protein from most dietary sources, although the association was stronger with protein from animal sources. Only protein from fish and eggs were not associated with the risk in our study.
Laura Stevens
University of Colorado
Aurora, CO
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: We started with asking ourselves how we could better predict cardiovascular and stroke outcomes. In an ideal world, we would be able to predict cardiovascular disease (CVD) and stroke with 100% accuracy long before the occurrence of the event. The challenge here is there are so many potential risk factors, and testing each one using traditional methods would be extremely time consuming, and possibly infeasible.
Therefore, we used artificial intelligence to find potential risk factors that could be important for risk of CVD and stroke. The results of this analysis pointed to consumption of coffee cups per day and the number of times red meat was consumed per week as being potentially important predictors of CVD.
We then looked into these findings further using traditional statistical analyses to determine that increased coffee consumption and red meat consumption appeared to be associated with decreased risk of CVD. The study initially used data from the Framingham Heart Study (FHS) original cohort.
The findings from this data were then tested using data from 2 independent studies, the Cardiovascular Heart Study (CHS) and the Atherosclerosis Risk in Communities Study (ARIC), which both supported the association of increased coffee consumption with decreased CVD risk.
Dr. Wayne Campbell[/caption]
Wayne W. Campbell PhD
Center on Aging and the Life Course
Purdue University
MedicalResearch.com: What is the background for this study?
Response: Organizations that promote healthy eating often recommend consuming no more than 3.5-4.5 2-3 ounce servings of red meat per week. This recommendation is mainly based on data from epidemiological studies that observe a cohort of peoples’ eating habits over time and relate those habits to whether or not they experience a cardiovascular event, such as a heart attack or stroke, or cardiovascular-related death.
These studies show associations between dietary choices and health but are unable to determine if a dietary choice is actually causing the disease. Randomized controlled clinical trials are able to determine causality by isolating one dietary variable to see the effects of that variable on certain health risk factors. Therefore, our lab compiled data from randomized controlled trials assessing the consumption of ≤ vs >3.5 servings of total red meat per week on blood lipids and lipoproteins and blood pressures, since these are common measures taken by clinicians to determine the risk for developing cardiovascular disease.
Dr. Ferraro[/caption]
Pietro Manuel Ferraro, MD MSc PhD
Assistant Professor
Fondazione Policlinico Universitario A. Gemelli
Catholic University of the Sacred Heart
Senior Collaborator in the Nurses' Health Study
Brigham and Women's Hospital
Channing Division of Network Medicine
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: In our study, we looked at the association between dietary intake of different sources of protein (vegetable, dairy and non-dairy animal), potassium (a marker of fruits and vegetables) and their interaction and the risk of forming kidney stones. We looked at their interaction because some protein is a source of acid, whereas fruits and vegetables are a source of alkali, thus their relationship could potentially impact acid-base status and in turn the risk of stones by modifying the metabolism of calcium and other elements such as urine citrate and uric acid.
We found that the risk of forming stones depends not only on the amount of protein but also on the source, with no risk associated with intake of vegetable and dairy protein, and a modestly higher risk for excessive non-dairy animal protein; on the other hand, intake of potassium was associated with a markedly lower risk. Interestingly, the interaction between intake of protein and potassium, the so called net acid load, was also associated with higher risk of forming kidney stones, suggesting that the effect of acid intake is modulated by that of alkali and vice versa.
Dr. Woon-Puay kOH[/caption]
Woon-Puay KOH | Professor
Office of Clinical Sciences| Duke-NUS Medical School
Singapore 169857
MedicalResearch.com: What is the background for this study?
Response: There is a growing burden of chronic kidney disease worldwide, and many progress to end-stage renal disease (ESRD), which requires dialysis or a kidney transplant. Hence, urgent efforts are needed in risk factor prevention, especially in the general population. Current guidelines recommend restricting dietary protein intake to help manage patients with advanced chronic kidney disease, and slow progression to ESRD. However, there is limited evidence that overall dietary protein restriction or limiting specific food sources of protein intake may slow kidney function decline in the general population. Hence, we embarked on our study to see what dietary advice may be helpful to the general population in order to reduce the risk of ESRD.
MedicalResearch.com Interview with:
Andrea Bellavia
From the Unit of Nutritional Epidemiology and the Unit of Biostatistics
Institute of Environmental Medicine
Karolinska Institutet, Stockholm, Sweden
Medical Research: What are the main findings of the study?
Dr. Bellavia: By evaluating together the consumption of processed and fresh red meat, we observed that processed red meat consumption was associated with shorter life, implying a potential negative effect on health. On the other hand, consumption of only fresh red meat was not associated with either shorter or longer survival. Therefore, the main finding of this work is that the negative effects of red meat consumption might only be due to meat processing, which counteract the positive effects of the beneficial nutrients of meat.