Journal
NUTRITION METABOLISM AND CARDIOVASCULAR DISEASES
Volume 24, Issue 8, Pages 869-876Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.numecd.2014.03.002
Keywords
Fatty fresh red meat; Abdominal obesity; Waist circumference; Chinese
Funding
- Institute of Nutrition and Food Safety, Chinese Center for Disease Control and Prevention, China
- National Institutes of Health (NIH), USA [R01-HD30880, DK056350, R01-HD38700]
- Fogarty International Center, NIH, USA [D43 TW009077]
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Aim: We examined the longitudinal association between red meat (RM) consumption and the risk of abdominal obesity in Chinese adults. Methods and results: Our data are from 16,822 adults aged 18-75 in the China Health and Nutrition Survey from 1993 to 2011. We assessed RM intake with three 24-h dietary recalls. We defined abdominal obesity as a waist circumference (WC) >= 85 centimeters (cm) for men and >= 80 cm for women. Multilevel mixed-effect regression models showed that men experienced WC increases of 0.74 cm (95% confidence interval [CI]: 0.39-1.09) from a higher total intake of fresh RM and 0.59 cm (95% CI: 0.24-0. 95) from a higher intake of fatty fresh RM but 0.14 cm (95% CI: -0.39 to 0.66) from a higher intake of lean fresh RM in the top quartile versus non-consumers when adjusted for potential confounders. In contrast, after additional adjustment for baseline WC, the odds ratios of abdominal obesity in men were attenuated for total fresh RM (1.25 [95% CI: 1.06-1.47]) and fatty fresh RM (1.22 [95% CI: 1.03-1.44]) but were still not affected by lean fresh RM (0.95 [95% CI: 0.75-1.22]). Women also showed a positive association of fatty fresh RM intake with abdominal obesity. Conclusion: Greater intake of fatty fresh RM was significantly associated with higher WC (men only) and abdominal obesity risk in Chinese adults. The gender-specific differential association of fatty versus lean fresh RM warrants further study. (C) 2014 Elsevier B.V. All rights reserved.
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