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. 2020 Dec 2;371:m4141. doi: 10.1136/bmj.m4141

Table 2.

Hazard ratios (95% confidence intervals) for total coronary heart disease associated with fifths of total, unprocessed, and processed red meat intake (n=43 272)

Fifths of red meat intake Hazard ratio (95% CI) per 1 serving/day P for trend*
First Second Third Fourth Fifth
Total red meat
Median servings/day 0.21 0.52 0.78 1.14 1.72
No of events/person years 811/203 879 833/206 108 859/203 718 865/206 087 1087/204 079
Age adjusted model† 1 1.08 (0.98 to 1.19) 1.15 (1.04 to 1.27) 1.15 (1.04 to 1.27) 1.47 (1.34 to 1.61) 1.20 (1.16 to 1.26) <0.001
Multivariable adjusted model 1‡ 1 1.06 (0.96 to 1.17) 1.11 (1.00 to 1.23) 1.09 (0.97 to 1.21) 1.34 (1.21 to 1.49) 1.15 (1.09 to 1.21) <0.001
Multivariable adjusted model 2§ 1 1.06 (0.96 to 1.18) 1.11 (0.99 to 1.23) 1.08 (0.97 to 1.21) 1.28 (1.14 to 1.45) 1.12 (1.06 to 1.18) <0.001
Unprocessed red meat
Median servings/day 0.14 0.35 0.5 0.71 1.09
No of events/person years 847/205 918 876/199 361 840/207 111 877/201 942 1016/209 540
Age adjusted model† 1 1.13 (1.02 to 1.24) 1.08 (0.98 to 1.19) 1.17 (1.06 to 1.28) 1.36 (1.24 to 1.49) 1.27 (1.18 to 1.35) <0.001
Multivariable adjusted model 1‡ 1 1.12 (1.01 to 1.23) 1.05 (0.95 to 1.16) 1.12 (1.01 to 1.23) 1.24 (1.12 to 1.37) 1.17 (1.08 to 1.26) <0.001
Multivariable adjusted model 2§ 1 1.11 (1.01 to 1.22) 1.04 (0.94 to 1.16) 1.09 (0.98 to 1.22) 1.18 (1.05 to 1.32) 1.11 (1.02 to 1.21) 0.01
Processed red meat
Median servings/day 0.02 0.14 0.21 0.38 0.71
No of events/person years 889/224 469 734/181 661 883/211 353 843/201 440 1107/204 950
Age adjusted model† 1 1.05 (0.95 to 1.15) 1.14 (1.04, 1.25) 1.12 (1.02 to 1.24) 1.39 (1.27 to 1.52) 1.32 (1.24 to 1.41) <0.001
Multivariable adjusted model 1‡ 1 1.02 (0.93 to 1.13) 1.09 (0.99, 1.20) 1.06 (0.96 to 1.16) 1.24 (1.12 to 1.36) 1.20 (1.12 to 1.30) <0.001
Multivariable adjusted model 2§ 1 1.02 (0.92 to 1.13) 1.09 (0.98, 1.20) 1.05 (0.95 to 1.17) 1.19 (1.07 to 1.33) 1.15 (1.06 to 1.25) 0.001
*

P value when each fifth was assigned the median value and treated as a continuous variable.

Adjusted for age and year of questionnaire return.

Adjusted for variables in age-adjusted model+race or ethnicity (white, black, Asian, other), marital status (married, divorced, widowed, never married), living arrangement (lives with family, lives alone, other), profession (dentist, pharmacist, optometrist, podiatrist, veterinarian), work status (full time, part time, retired), smoking status (never smoker, former smoker, current 1-14 cigarettes/d, current 15-24 cigarettes/d, current ≥25 cigarettes/d), physical activity(<3, 3-8.9, 9-17.9, 18-26.9, and ≥27 in metabolic equivalents of task/wk), body mass index;(<21, 21-22.9, 23-24.9, 25-26.9, 27-29.9, 30-32.9, 33-34.9, 35-39.9, ≥40), alcohol intake (0, 0.1-4.9, 5.0-9.9, 10-14.9, or ≥15.0 g/d), multivitamin use (yes, no), aspirin use (yes, no), family history of early coronary heart disease or stroke (diagnosis <60 years; yes, no), and total energy intake (fifths).

§

Adjusted for variables in model 1+intakes of poultry, fish, egg, high fat dairy, low fat dairy, nuts, legumes, soy, whole grains, fruit, vegetables, and coffee, and glycemic index.