Adults can continue to eat their current levels of red meat, as well as processed and unprocessed meats, unless they feel inclined to change their habits for non-nutritional reasons, according to a panel of reviewers who conducted several recent studies and developed a new guideline on the topic.
An editorial accompanying the studies and guideline stated, “This is sure to be controversial, but it is based on the most comprehensive review of the evidence to date. Because that review is inclusive, those who seek to dispute it will be hard pressed to find appropriate evidence with which to build an argument.”
Unprocessed red meat and processed meat are unlikely to be causal factors for adverse health outcomes, although it is possible they have a very small causal effect, the guideline stated. The guideline, editorial, and reviews were published by Annals of Internal Medicine on Oct. 1.
The guideline stated, “Our weak recommendation that people continue their current meat consumption highlights both the uncertainty associated with possible harmful effects and the very small magnitude of effect, even if the best estimates represent true causation, which we believe to be implausible.”
The guideline was developed by a panel based on four de novo systematic reviews that considered evidence on consumption of meat, as well as one review that addressed consumers' beliefs and values about consuming it. The reviews included data from millions of patients.
The first review was a meta-analysis of cohort studies that focused on how dietary patterns, including the amount of red or processed meat consumed, affected all-cause mortality, cardiometabolic outcomes, and cancer incidence and mortality. More than 100 studies including more than six million participants were analyzed. The overall conclusions were that dietary patterns, including differences in meat consumption, may result in only small differences in outcomes over long periods.
The next study was a meta-analysis that looked specifically at cohort studies examining how reductions in red and processed meat might affect cancer incidence and mortality. It included 118 studies with more than six million participants, and it, too, found that the possible impact of reduced meat intake was very small.
The third study was a meta-analysis of cohort studies that looked specifically at meat consumption and its relationship to all-cause mortality and cardiometabolic outcomes and found that any link was very small.
In the fourth analysis, researchers examined randomized controlled trials that compared diets with differing amounts of red meat for at least six months. They found 12 eligible studies, but one of them—the Women's Health Initiative—was so large (almost 49,000 women) that it dominated the analysis. The authors concluded that diets restricted in red meat may have little or no effect on major cardiometabolic outcomes and cancer mortality and incidence, although the certainty of the evidence was low.
Finally, a review of consumers' beliefs about meat consumption found that reasons for eating meat included enjoyment, the belief that meat was essential to a healthy diet, cultural reasons, and disbelief about potential negative health effects.
The editorial said that nutritional epidemiology research often has methodological problems and that it may be time to stop producing observational research in this area. “These meta-analyses include millions of participants. Further research involving much smaller cohorts has limited value,” the editorial said. “High-quality randomized controlled trials are welcome, but only if they're designed to tell us things we don't already know.”
Instead, the editorial continued, a major overhaul of the methods for communicating nutritional data is needed to reach target populations and change health outcomes. One potential takeaway from these studies is that there are many reasons other than health to reduce meat consumption, the editorialists said.
“Ethical concerns about animal welfare can be important, as can concerns about the effects of meat consumption on the environment,” they wrote. “Both of these issues might be more likely to sway people, and they have the added benefit of empirical evidence behind them. And if they result in reducing meat consumption, and some receive a small health benefit as a side effect, everyone wins.”
courtesy: acpinternist.org
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London (PTI): Bollywood stars Shah Rukh Khan and Kajol huddled under an umbrella on a rainy Thursday in London to unveil their bronze likeness from an iconic ‘Dilwale Dulhania Le Jayenge’ scene.
The sculpture of the duo joins Leicester Square’s ‘Scenes in the Square’ trail depicting memorable shots from some of the world’s most famous films, with ‘DDLJ’ marking a Bollywood first and the 30th anniversary of the 1995 box-office hit. It is in this popular London square that SRK as Raj and Kajol as Simran first cross paths unknowingly.
“DDLJ was made with a pure heart. We wanted to tell a story about love, how it can bridge barriers and how the world would be a better place if it had a lot of love in it, and I think this is why 'DDLJ' has had a lasting impact for over 30 years now," said Khan.
“Personally, 'DDLJ' is part of my identity, and it is humbling to see film, and Kajol and me, receiving so much love since it was released,” he said.
He expressed his gratitude to the Heart of London Business Alliance, behind the cinematic trail at Leicester Square, for celebrating ‘DDLJ’ and “immortalising” its lead stars.
“Seeing ‘DDLJ’ become the first Indian film to be honoured in the iconic Scenes in the Square trail is an emotional moment and has brought back so many memories.
"I feel immense pride knowing the film has been embraced around the world, and I want to share this moment with the entire cast and crew of ‘DDLJ’, my friend and director Aditya Chopra and the Yash Raj Films family. This is a moment I will never forget,” added Khan.
Kajol, joined by her daughter Nysa and son Yug, posed with Khan in front of the statue as she braved the rain in a green saree.
“It’s incredible to see ‘Dilwale Dulhania Le Jayenge’ continue to receive so much love, even 30 years later. Watching the statue being unveiled in London felt like reliving a piece of our history - a story that has truly travelled across generations,” said Kajol.
“Seeing it find its rightful place in Leicester Square, a location of such enormous significance to ‘DDLJ’, makes this moment even more special. For the film to be honoured in this way in the UK – the first Indian film to receive such recognition – is something that will forever stay in the hearts and minds of all the ‘DDLJ’ fans across the world,” she said.
Their statue, captured in a dancing pose from the hit song ‘Mehndi Laga Ke Rakhna’, joins the likes of Harry Potter, Bridget Jones, Mary Poppins, and Batman in what is dubbed as an ever-growing celebration of movie magic in a square packed with multiplex cinema screens.
“When ‘Dilwale Dulhania Le Jayenge’, DDLJ, was released 30 years ago, the film became a defining moment for Indian cinema and changed the face of the industry, capturing the hearts of everyone who saw it all over the globe," said Akshaye Widhani, CEO of Yash Raj Films.
“We’re thrilled to be the first Indian film to be represented in ‘Scenes in the Square’. It also marks 30 years of DDLJ, a film that has spread love and joy globally, and shows the cultural impact it has had in UK.
“We are honoured that our superstars and our film are being recognised on the world stage alongside the Hollywood elite, from Gene Kelly to Laurel & Hardy to Harry Potter. This statue will be a great way to express the international appeal of Indian movies and build bridges amongst communities through cinema,” he said.
Since its release in 1995, ‘DDLJ’ has become the longest-running film in Hindi cinema history.
Ros Morgan, Chief Executive at Heart of London Business Alliance, said: “We’re proud to welcome global megastars Shah Rukh Khan and Kajol to our Scenes in the Square trail.
"Dilwale Dulhania Le Jayenge is a cinematic phenomenon that has shaped generations, and London’s first tribute to Indian cinema honours a story whose magic continues to captivate audiences worldwide.”
It is a particularly special year for the film, with a musical based on the romance playing to packed houses at Manchester’s Opera House earlier this year. Aditya Chopra reprised his role as director of the English language stage production, ‘Come Fall In Love – The DDLJ Musical’, which revolved around the love story of Simran and Roger.
The script was a nod to the original as it followed Simran as a young British Indian woman who finds herself engaged to a family friend in India in an arranged marriage. However, the plot thickens when she falls in love with a British man named Roger.
