Abstract
Background/Objectives:
Several studies have suggested differential health effects in relation to different meat composition in Western population. The purpose of the study was to examine secular trends in meat and seafood consumption patterns among Chinese adults between 1991 and 2011.
Subjects/Methods:
Our longitudinal data are from 21 144 adults aged 18–75 in the China Health and Nutrition Survey, prospective cohort study. We assessed the intakes of meat and subtypes with three 24-h dietary recalls. We conducted multilevel mixed-effect logistic and linear regression models to examine meat consumption dynamics.
Results:
The proportions of Chinese adults who consumed red meat, poultry and seafood increased from 65.7% in 1991 to 86.1% in 2011, from 7.5 to 20.9% and from 27.4 to 37.8%, respectively. With rapid decrease in meat intakes since 2009, the intakes of total meat, red meat, poultry and seafood among their consumers were 86.7 g/day, 86.4 g/day, 71.0 g/day and 70.3 g/day in 2011, respectively, which were just slightly higher compared with those in 1991. Fatty fresh pork has been predominantly component of total meat overtime, which consituted 54.0% of total meat intake, 80.0% of fresh red meat intake and 98.7% of fatty fresh red meat intake in 2011.
Conclusion:
Over the past two decades, meat consumption patterns of Chinese adults have been characterized by having a predominant intake of fatty fresh pork, suboptimal intakes of seafood and increased proportion of adults having excessive intakes of red meat and poultry overtime.
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References
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: 1–13.
Azadbakht L, Rouhani MH . Red meat consumption: Emphasis on chronic diseases or sticking to nutrient deficiency? J Res Med Sci 2012; 17: 315–316.
McNeill S, Van Elswyk ME . Red meat in global nutrition. Meat Sci 2012; 92: 166–173.
Daniel CR, Cross AJ, Koebnick C, Sinha R . Trends in meat consumption in the USA. Public Health Nutr 2011; 14: 575–583.
Wang Y, Beydoun MA, Caballero B, Gary TL, Lawrence R . Trends and correlates in meat consumption patterns in the US adult population. Public Health Nutr 2010; 13: 1333–1345.
Linseisen J, Kesse E, Slimani N, Bueno-De-Mesquita HB, Ocke 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: 1243–1258.
Montonen J, Boeing H, Fritsche A, Schleicher E, Joost HG, Schulze MB et al. Consumption of red meat and whole-grain bread in relation to biomarkers of obesity, inflammation, glucose metabolism and oxidative stress. Eur J Nutr 2013; 52: 337–345.
Vergnaud AC, Norat T, Romaguera D, Mouw T, May AM, Travier N et al. Meat consumption and prospective weight change in participants of the EPIC-PANACEA study. Am J Clin Nutr 2010; 92: 398–407.
Wang Y, Beydoun MA . Meat consumption is associated with obesity and central obesity among US adults. Int J Obes 2009; 33: 621–628.
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: 2271–2283.
Cross AJ . Higher red meat consumption is associated with increased risk of all-cause, cardiovascular, and cancer mortality. Evid Based Nurs 2012; 15: 121–122.
Villegas R, Shu XO, Gao YT, Yang G, Cai H, Li H et al. The association of meat intake and the risk of type 2 diabetes may be modified by body weight. Int J Med Sci 2006; 3: 152–159.
Chen GC, Lv DB, Pang Z, Liu QF . Red and processed meat consumption and risk of stroke: a meta-analysis of prospective cohort studies. Eur J Clin Nutr 2013; 67: 91–95.
Wang J, Joshi AD, Corral R, Siegmund KD, Marchand LL, Martinez ME et al. Carcinogen metabolism genes, red meat and poultry intake, and colorectal cancer risk. Int J Cancer 2012; 130: 1898–1907.
Alexander DD, Miller AJ, Cushing CA, Lowe KA . Processed meat and colorectal cancer: a quantitative review of prospective epidemiologic studies. Eur J Cancer Prev 2010; 19: 328–341.
Xu X, Yu E, Gao X, Song N, Liu L, Wei X et al. Red and processed meat intake and risk of colorectal adenomas: a meta-analysis of observational studies. Int J Cancer 2013; 132: 437–448.
Chan DS, Lau R, Aune D, Vieira R, Greenwood DC, Kampman E et al. Red and processed meat and colorectal cancer incidence: meta-analysis of prospective studies. PLoS One 2011; 6: e20456.
Fretts AM, Howard BV, McKnight B, Duncan GE, Beresford SA, Mete M et al. Associations of processed meat and unprocessed red meat intake with incident diabetes: the Strong Heart Family Study. Am J Clin Nutr 2012; 95: 752–758.
Larsson SC, Virtamo J, Wolk A . Red meat consumption and risk of stroke in Swedish women. Stroke 2011; 42: 324–329.
Lajous M, Tondeur L, Fagherazzi G, de Lauzon-Guillain B, Boutron-Ruaualt MC, Clavel-Chapelon F . Processed and unprocessed red meat consumption and incident type 2 diabetes among French women. Diabetes care 2012; 35: 128–130.
Rosell M, Appleby P, Spencer E, Key T . Weight gain over 5 years in 21,966 meat-eating, fish-eating, vegetarian, and vegan men and women in EPIC-Oxford. Int J Obes 2006; 30: 1389–1396.
Popkin BM, Adair LS, Ng SW . Global nutrition transition and the pandemic of obesity in developing countries. Nutr Rev 2012; 70: 3–21.
Zhai F, Wang H, Du S, He Y, Wang Z, Ge K et al. Prospective study on nutrition transition in China. Nutr Rev 2009; 67: S56–S61.
Popkin BM, Gordon-Larsen P . The nutrition transition: worldwide obesity dynamics and their determinants. Int J Obes 2004; 28: S2–S9.
Yan S, Li J, Li S, Zhang B, Du S, Gordon-Larsen P et al. The expanding burden of cardiometabolic risk in China: the China Health and Nutrition Survey. Obes Rev 2012; 13: 810–821.
Adair LS, Gordon-Larsen P, Du SF, Zhang B, Popkin BM . The emergence of cardiometabolic disease risk in Chinese children and adults: consequences of changes in diet, physical activity and obesity. Obes Rev 2014; 15: 49–59.
Zhai FY, Du SF, Wang ZH, Zhang JG, Du WW, Popkin BM . Dynamics of the Chinese diet and the role of urbanicity, 1991-2011. Obes Rev 2014; 15: 16–26.
CPC-UNC China Health and Nutrition Survey. Available at http://www.cpc.unc.edu/projects/china (Accessed 10 March 2014) 2011.
Popkin BM, Du S, Zhai F, Zhang B . Cohort Profile: The China Health and Nutrition Survey–monitoring and understanding socio-economic and health change in China, 1989-2011. Int J Epidemiol 2010; 39: 1435–1440.
Zhang B, Zhai FY, Du SF, Popkin BM . The China Health and Nutrition Survey, 1989-2011. Obes Rev 2014; 15: 2–7.
Popkin BM . Reducing meat consumption has multiple benefits for the world's health. Arch Intern Med 2009; 169: 543–545.
Yang Y, Wang G, Pan X . China Food Composition Table 2009. 2nd edn. Peking University Medical Press: Beijing, China, 2009.
Popkin BM, Lu B, Zhai F . Understanding the nutrition transition: measuring rapid dietary changes in transitional countries. Public Health Nutr 2002; 5: 947–953.
China Nutrition Society Dietary Guidelines for Chinese Residents. 1st edn. Tibet People’s Publishing House: Lhasa, China, 2010.
China Nutrition Society Chinese Residens' Dietary Reference Intakes. 1st edn China Light Industry Press: Beijing, China, 2002).
Jones-Smith JC, Popkin BM . Understanding community context and adult health changes in China: development of an urbanicity scale. Soc Sci Med 2010; 71: 1436–1446.
National Bureau of Statistics of China China Statistical Yearbook. Available at http://www.yearbookchina.com/naviBook-YINFN-0.html (Accessed 12 July 2014) 2012.
Andreyeva T, Long MW, Brownell KD . The impact of food prices on consumption: a systematic review of research on the price elasticity of demand for food. Am J Public Health 2010; 100: 216–222.
Green R, Cornelsen L, Dangour AD, Turner R, Shankar B, Mazzocchi M et al. The effect of rising food prices on food consumption: systematic review with meta-regression. Brit Med J 2013; 346: f3703.
Wang ZH, Zhang B, Wang HJ, Zhang JG, Du WW, Su C et al. Study on the multilevel and longitudinal association between red meat consumption and changes in body mass index, body weight and risk of incident overweight among Chinese adults. Zhonghua Liu Xing Bing Xue Za Zhi 2013; 34: 661–667.
Takata Y, Shu XO, Gao YT, Li H, Zhang X, Gao J et al. Red meat and poultry intakes and risk of total and cause-specific mortality: results from cohort studies of Chinese adults in Shanghai. PLoS One 2013; 8: e56963.
Harvard School of Public Health The Long Road to the 2010 Dietary Guidelines for Americans. Available at http://www.hsph.harvard.edu/nutritionsource (Accessed 10 March 2014) 2011.
World Cancer research Fund/American Institute for Cancer Research Food, Nutrition, Physical activity and the Prevention of Cancer: a Global Perspective. Available at http://www.dietandcancerreport.org/expert_report/report_contents/index.php (Accessed 10 March 2014) 2007.
Miglioretti DL, Heagerty PJ . Marginal modeling of multilevel binary data with time-varying covariates. Biostatistics 2004; 5: 381–398.
Von Korff M, Koepsell T, Curry S, Diehr P . Multi-level analysis in epidemiologic research on health behaviors and outcomes. Am J Epidemiol 1992; 135: 1077–1082.
Willett W . Nutritional Epidemiology. 2nd ed. Oxford University Press: New York, 1998.
Gerber N, Scheeder MR, Wenk C . The influence of cooking and fat trimming on the actual nutrient intake from meat. Meat Sci 2009; 81: 148–154.
Acknowledgements
This research uses data from the China Health and Nutrition Survey (CHNS). We thank the National Institute for Nutrition and Food Safety, China Center for Disease Control and Prevention, Carolina Population Center (5 R24 HD050924), the University of North Carolina at Chapel Hill, the NIH (R01-HD30880, DK056350, R24 HD050924, and R01-HD38700) and the Fogarty International Center, NIH, for providing financial support for the CHNS data collection and analysis of files from 1989 to 2011 and future surveys.
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Wang, Z., Zhai, F., Wang, H. et al. Secular trends in meat and seafood consumption patterns among Chinese adults, 1991–2011. Eur J Clin Nutr 69, 227–233 (2015). https://doi.org/10.1038/ejcn.2014.225
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DOI: https://doi.org/10.1038/ejcn.2014.225
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