Unprocessed Red Meat and Processed Meat Consumption
Authors: Yi Wan, Fenglei Wang
Journal: Annals of Internal Medicine (2020)

Letters5 May 2020Unprocessed Red Meat and Processed Meat ConsumptionYi Wan, PhD and Fenglei Wang, MSYi Wan, PhDZhejiang University, Hangzhou, China (Y.W.)Search for more papers by this author and Fenglei Wang, MSHarvard T.H. Chan School of Public Health, Boston, Massachusetts (F.W.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L20-0124 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We read Johnston and colleagues' guideline (1) with interest. The authors performed a series of systematic reviews on meat consumption and made dietary guideline recommendations based on these reviews. We appreciate the heated discussion about meat consumption raised by the authors. However, we are concerned about the evidence grading system adopted in the dietary guideline development process.The authors used the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach to rate the quality of evidence and evaluate the strength of recommendations. This method was mainly developed for recommendations in clinical practice guidelines that provide a guide ...References1. Johnston BC, Zeraatkar D, Han MA, et al. Unprocessed red meat and processed meat consumption: dietary guideline recommendations from the Nutritional Recommendations (NutriRECS) consortium. Ann Intern Med. 2019;71:756-764. [PMID: 31569235]. doi:10.7326/M19-1621 LinkGoogle Scholar2. Guyatt G, Oxman AD, Akl EA, et al. GRADE guidelines: 1. Introduction—GRADE evidence profiles and summary of findings tables. J Clin Epidemiol. 2011;64:383-394. [PMID: 21195583] CrossrefMedlineGoogle Scholar3. Vernooij RWM, Zeraatkar D, Han MA, et al. Patterns of red and processed meat consumption and risk for cardiometabolic and cancer outcomes. A systematic review and meta-analysis of cohort studies. Ann Intern Med. 2019;171:703-710. [PMID: 31569217]. doi:10.7326/M19-0655 LinkGoogle Scholar4. Schwingshackl L, Knüppel S, Schwedhelm C, et al. Perspective: NutriGrade: a scoring system to assess and judge the meta-evidence of randomized controlled trials and cohort studies in nutrition research. Adv Nutr. 2016;7:994-1004. [PMID: 28140319] CrossrefMedlineGoogle Scholar5. World Cancer Research Fund; American Institute for Cancer Research. Judging the evidence. Continuous Update Project Expert Report 2018. 2019. Accessed at dietandcancerreport.org on 15 October 2019. Google Scholar Author, Article, and Disclosure InformationAffiliations: Zhejiang University, Hangzhou, China (Y.W.)Harvard T.H. Chan School of Public Health, Boston, Massachusetts (F.W.)Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L20-0124. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoUnprocessed Red Meat and Processed Meat Consumption: Dietary Guideline Recommendations From the Nutritional Recommendations (NutriRECS) Consortium Bradley C. Johnston , Dena Zeraatkar , Mi Ah Han , Robin W.M. Vernooij , Claudia Valli , Regina El Dib , Catherine Marshall , Patrick J. Stover , Susan Fairweather-Taitt , Grzegorz Wójcik , Faiz Bhatia , Russell de Souza , Carlos Brotons , Joerg J. Meerpohl , Chirag J. Patel , Benjamin Djulbegovic , Pablo Alonso-Coello , Malgorzata M. Bala , and Gordon H. Guyatt Unprocessed Red Meat and Processed Meat Consumption Cynthia L. Gong , Nadine K. Zawadzki , Roy Zawadzki , Jeffrey Tran , and Joel W. Hay Unprocessed Red Meat and Processed Meat Consumption Bradley C. Johnston , Dena Zeraatkar , Robin W.M. Vernooij , Montserrat Rabassa , Regina El Dib , Claudia Valli , Mi Ah Han , Pablo Alonso-Coello , Malgorzata M. Bala , and Gordon H. Guyatt Unprocessed Red Meat and Processed Meat Consumption Eric C. Westman Unprocessed Red Meat and Processed Meat Consumption Richard M. Rosenfeld Unprocessed Red Meat and Processed Meat Consumption Daniel A. Meyer Metrics 5 May 2020Volume 172, Issue 9Page: 638-639KeywordsGrading of Recommendations Assessment Development and EvaluationMeatNutritionObservational studiesQuestionnairesRandomized trialsResearch ethicsResearch fundingSystematic reviewsTreatment guidelines ePublished: 5 May 2020 Issue Published: 5 May 2020 Copyright & PermissionsCopyright © 2020 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...