
considered: vegetarians traditionally smoke less, con-
sume less alcohol, tea, and coffee, and, being gener-
ally more health conscious, tend to exercise more.
Typically, the meat-eating groups tend to be domin-
ated by sedentary, physically inactive subjects with
little interest in diet. Since the 1950s, omnivorous
diets have been relatively high in animal protein and
fat with insufficient dietary fiber, fruit and vegetables,
such that meat intake may have acted as a marker for
a generally ‘unhealthy’ diet.
0031 Regular consumption of red meat is associated,
epidemiologically, with increased risk of coronary
heart disease (CHD), owing to its fat composition.
There is, however, a growing bank of evidence that a
healthy diet which includes lean red meat can pro-
duce positive changes in lipid biochemistry. Blood
cholesterol levels are increased by inclusion of beef
fat, not by lean beef in an otherwise low-fat diet.
Equal amounts of lean beef, chicken, and fish added
to low-fat, low-saturated-fat diets similarly reduce
plasma cholesterol and low-density lipoprotein chol-
esterol levels in hypercholesterolemic and normo-
cholesterolemic men and women.
0032 The association between the arachidonic acid con-
tent of meat and increased thrombotic tendencies
has recently been challenged. The presence of large
amounts of linoleic acid in current diets results in
plasma increases of linoleic and arachidonic acids
only, but in the absence of linoleic acid, the long-
chain n-6 and n-3 polyunsaturated fatty acids present
in lean meat can influence the plasma pool, increasing
plasma 20:3n-6, 20:4n-6, and 20:5n-3 fatty acids and
probably reducing thrombotic tendencies.
0033 Meat has been associated with various cancers,
particularly colon cancer. However, meat-eating is
strongly inversely correlated with gastric cancer,
which makes any public-health recommendations
difficult to determine, based on meat-eating alone.
Epidemiologically it is difficult to distinguish the in-
fluence of animal fat, protein, and meat.
0034 There does appear to be an independent role for
protein as a source of cooked food mutagens. Hetero-
cyclic amines produced on overcooking meat have
been shown to be carcinogenic in rats, although at
normal cooking temperatures and average cooking
times, the level of these compounds produced is not
excessive, compared with the amounts required for
carcinogenicity.
0035 Nitrates are added to meat products to prevent
microbial proliferation. However, the levels used
now are much reduced such that the nitrosocom-
pounds (NOC) produced from these additives are
present at very low levels in meat products. Contrary
to public perception, their carcinogenic potential is
likely to be minor. In humans, high-protein (meat)
diets increase fecal NOC levels, although the signifi-
cance of this for normal healthy diets remains unclear.
0036Daily consumption of green and yellow vegetables
with meat is associated with a reduced risk of cancer
at many sites, whereas daily meat consumption with
less frequent vegetable consumption has been associ-
ated with increased risk. The significance of meat’s
role as a risk factor in cancer causation remains the
subject of much debate, and results of more informa-
tive long-term cohort studies are required to elucidate
the full picture.
0037There are many paradoxes concerning the apparent
associations between meat consumption and both
CHD and cancer. Some of these are listed in
Table 10. They serve to demonstrate that the diet
and health story, at least as far as meat is concerned,
is both complex and incomplete. Two reasons for this
are, first, that meat is but one influential aspect of the
diet. Its effects are modified by other foods (e.g., fruit
and vegetables) such that the net effect may be quite
different. Second, the changing lipid composition of
meat, in response to increased knowledge of lipids in
relation to health, will continue to alter the role
played by meat in this context. Fortunately, since
most of the valuable nutrients in meat are within
the lean component, reducing the visible fat has little
bearing on its contribution to micronutrient status
(Table 11).
Hygiene and Safety Aspects
0038The wholesomeness of meat and meat products is
dependent on a variety of factors, some of which act
in the period prior to arrival of the animal or bird at
the slaughterhouse. The health status of the herd or
tbl0010Table 10 Paradoxical associations between meat and health
. Generally, in countries where meat consumption is high, intake
of protective fruit and vegetables tends to be low, and vice
versa.
. There is a lower risk of colon cancer among South Asian
immigrants to the UK, than in the general population, and this
is equally true of vegetarian and meat-eating Asians.
. Mormons who abstain from alcohol, tea, coffee, and smoking
but consume meat have death rates from cancer and CHD
similar to those of vegetarian groups, indicating that meat is
not the major determinant. Blood pressure is reduced on
switching from a meat-based diet to a vegetarian diet, but
adding meat to a vegetarian diet is not associated with an
increase in blood pressure, suggesting that the potassium-
to-sodium ratio is more influential than the presence of meat
per se.
. Consumption of meat has almost doubled in Japan since the
1970s, yet CHD morbidity has reduced from an already low
level. Meat consumption in the USA remains higher than in the
UK, yet, unlike the UK, morbidity from CHD has been falling
steadily since the 1970s.
MEAT/Nutritional Value 3805