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Mediterranean diet and cardio-metabolic health: what is the role of meat?


Traditional Mediterranean diet is known for its health benefits in prevention of cardio-metabolic diseases and risk factors associated with it. The role of red meat in Mediterranean diet is to some extent overlooked with the main focus on foods of plant origin. The majority of existing guidelines encourage general population to limit intakes of red meat. However, in reality, it is a significant part of the Mediterranean cuisine. Red meat is an excellent source of macro and micronutrients: high-quality protein, B vitamins, essential amino acids, omega-3 polyunsaturated fatty acids, phosphorus, zinc, iron, and selenium. Currently, there is not enough scientific evidence to suggest the strict limitation of the red meat consumption among the general population, however, there is a substantial evidence to support the advice to eliminate the consumption of processed meat from the diet.

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  1. Keys A, Keys M. How to eat well and stay well. The Mediterranean way. Garden City: Doubleday and Co.; 1975. p. 325.

  2. Nichols M, Townsend N, Luengo-Fernandez R, Leal J, Gray A, Scarborough P, et al. European Cardiovascular Disease Statistics 2012. Brussels: European Society of Cardiology, Sophia Antipolis; 2012.

  3. Keys A. Coronary heart disease in seven countries. Circulation. 1970;41:186–95.

    Google Scholar 

  4. United States Senate. Select Committee on Nutrition and Human Needs. Dietary goals for the United States. 2nd edn. (US Government printing office, Washington, 1977).

  5. Trichopoulou A, Costacou T, Bamia C, Trichopoulos D. Adherence to a Mediterranean diet and survival in a Greek population. N Engl J Med. 2003;348:2599–608.

    Article  Google Scholar 

  6. Fung TT, McCullough ML, Newby PK, Manson JE, Meigs JB, Rifai N, et al. Diet-quality scores and plasma concentrations of markers of inflammation and endothelial dysfunction. Am J Clin Nutr. 2005;82:163–73.

    Article  CAS  Google Scholar 

  7. Alberti-Fidanza A, Fidanza F. Mediterranean adequacy index of Italian diets. Public Health Nutr. 2004;7:937–41.

    Article  Google Scholar 

  8. Panagiotakos DB, Pitsavos C, Stefanadis C. Dietary patterns: a Mediterranean diet score and its relation to clinical and biological markers of cardiovascular disease risk. Nutr Metab Cardiovasc Dis. 2006;16:559–68.

    Article  Google Scholar 

  9. Rumawas ME, Dwyer JT, Mckeown NM, Meigs JB, Rogers G, Jacques PF. The development of the Mediterranean-style dietary pattern score and its application to the American diet in the Framingham Offspring Cohort. J Nutr. 2009;139:1150–6.

    Article  CAS  Google Scholar 

  10. Schröder H, Fitó M, Estruch R, Martínez-González MA, Corella D, Salas-Salvadó J, et al. A short screener is valid for assessing Mediterranean diet adherence among older Spanish men and women. J Nutr. 2011;141:1140–5.

    Article  Google Scholar 

  11. Slimani N, Fahey M, Welch A, Wirfält E, Stripp C, Bergström E. et al. Diversity of dietary patterns observed in the European Prospective Investigation into Cancer and Nutrition (EPIC) project. Public Health Nutr. 2002;5:1311–28.

    Article  CAS  Google Scholar 

  12. Trichopoulou A, Kouris-Blazos A, Wahlqvist ML, Gnardellis C, Lagiou P, Polychronopoulos E, et al. Diet and overall survival in elderly people. BMJ. 1995;311:1457–60.

    Article  CAS  Google Scholar 

  13. Food and Agriculture Organization. Current worldwide annual meat consumption per capita, livestock andfish primary equivalent. (, Accessed 24 September 2018).

  14. Aranceta J, Serra-Majem L. Dietary guidelines for the Spanish population. Public Health Nutr. 2001;4:1403–8.

    CAS  PubMed  Google Scholar 

  15. D’Alessandro A, De Pergola G. Mediterranean diet pyramid: a proposal for Italian people. Nutrients. 2014;6:4302–16.

    Article  Google Scholar 

  16. International Agency for Research on Cancer, World Health Organization. IARC monographs evaluate consumption of red meat and processed meat. Lyon: International Agency for Research on Cancer; 2015.

  17. Aykan NF. Red meat and colorectal cancer. Oncol Rev. 2015;9:288.

    Article  Google Scholar 

  18. Cassens RG, Greaser ML, Ito T, Lee M.Reactions of nitrite in meat. Food Technol.1979;33:46–57.

    CAS  Google Scholar 

  19. Cassens RG. Composition and safety of cured meats in the USA. Food Chem. 1997;59:561–6.

    Article  CAS  Google Scholar 

  20. International Agency for Research on Cancer. Ingested nitrate and nitrite, and cyanobacterial peptide toxins. Lyon, France, WHO; 2010.

  21. Babio N, Bullo M, Basora J, Martinez-Gonzalez MA, Fernández-Ballart J, Márquez-Sandoval F, et al. Adherence to the Mediterranean diet and risk of metabolic syndrome and its components. Nutr Metab Cardiovasc Dis. 2009;19:563–70.

    Article  CAS  Google Scholar 

  22. Babio N, Sorlí M, Bulló M, Basora J, Ibarrola-Jurado N, Fernández-Ballart J, et al. Association between red meat consumption and metabolic syndrome in a Mediterranean population at high cardiovascular risk: cross-sectional and 1-year follow-up assessment. Nutr Metab Cardiovasc Dis. 2012;22:200–7.

    Article  CAS  Google Scholar 

  23. 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;121:2271–83.

    Article  Google Scholar 

  24. Schwab U, Lauritzen L, Tholstrup T, Haldorsson TI, Riserus U, Uusitupa M. et al.Effect of the amount and type of dietary fat on cardiometabolic risk factors and risk of developing type-2 diabetes, cardiovascular disease, and cancer: a systematic review.Food Nutr Res.2014;58:25145.

    Article  Google Scholar 

  25. Micha R, Peñalvo JL, Cudhea F, Imamura F, Rehm CD, Mozaffarian D. Association between dietary factors and mortality from heart disease, stroke, and type 2 diabetes in the United States. JAMA. 2017;317:912–24.

    Article  Google Scholar 

  26. Karppanen H, Mervaala E. Sodium intake and hypertension. Prog Cardiovasc Dis. 2006;49:59–75.

    Article  CAS  Google Scholar 

  27. World Health Organization. Prevention of cardiovascular disease: guidelines for assessment and management of cardiovascular risk. Geneva, Switzerland, WHO; 2007.

  28. Briggs D, Wahlqvist M, eds. Food Facts: the complete no-fadsplain-facts guide to healthy eating. Melbourne: Penguin Books Australia; 1988.

  29. Calkins BM, Whittaker DJ, Nair PP, Rider AA, Turjman N. Diet, nutrition intake, and metabolism in populations at high and low risk for colon cancer. Nutrient intake. Am J Clin Nutr. 1984;40:896–905.

    Article  CAS  Google Scholar 

  30. Abbaspour N, Hurrell R, Kelishadi R.Review on iron and its importance for human health. J Res MedSci.2014;19:164–174.

    Google Scholar 

  31. Williams P. Nutritional composition of red meat. Nutr Diet. 2007;64:S113–9.

    Article  Google Scholar 

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This article is published as part of a supplement sponsored by the Mediterranean Diet Foundation and the Diputació de Barcelona.

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Correspondence to Irina Uzhova.

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Uzhova, I., Peñalvo, J.L. Mediterranean diet and cardio-metabolic health: what is the role of meat?. Eur J Clin Nutr 72 (Suppl 1), 4–7 (2019).

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