Type 2 & other diabetes

Meat consumption and incident type 2 diabetes: an individual-participant federated meta-analysis of 1·97 million adults with 100 000 incident cases from 31 cohorts in 20 countries

Lancet Diabetes EndocrinolPublished Individual-participant federated meta-analysis of cohort studies

An erratum to this article was published (Lancet Diabetes Endocrinol, Feb 2025 ↗)

Authors' conclusion

The consumption of meat, particularly processed meat and unprocessed red meat, is a risk factor for developing type 2 diabetes across populations. These findings highlight the importance of reducing meat consumption for public health and should inform dietary guidelines.

Study context

Population
Adults aged ≥18 years without diabetes at baseline, with dietary and incident T2D data, 31 InterConnect cohorts in the Americas, Eastern Mediterranean, European, South-East Asia and Western Pacific regions
Participants
1,966,444 adults31 cohorts
Comparison
Higher vs lower consumption of unprocessed red meat, processed meat and poultry
Outcome
Incident T2D
Follow-up
Median 10 (IQR 7-15) years
Methodological detailsrandom-effects meta-analysis, meta-regression, harmonised analytical approaches, adjusted for potential confounders (including BMI)
  • Random-effects meta-analysis
  • Meta-regression
  • Harmonised analytical approaches
  • Adjusted for potential confounders (including BMI)

Pooled result

As reported in the abstract

Estimate (95% CI)
Unprocessed red meatI2=61%
HR per 100 g/day 1.10(1.06–1.15)
Processed meatI2=59%
HR per 50 g/day 1.15(1.11–1.20)
PoultryI2=68%
HR per 100 g/day 1.08(1.02–1.14)
Incident T2D cases
107 271

Further pooled results

Regional associations

Positive associations in North America and European and Western Pacific regions; CIs wide in other regions

Heterogeneity sources

No evidence heterogeneity explained by age, sex or BMI

Poultry sensitivity analyses

Poultry findings weaker under alternative modelling assumptions

Substitution

Replacing processed meat with unprocessed red meat or poultry associated with lower incidence of T2D

Original publication

Meat consumption and incident type 2 diabetes: an individual-participant federated meta-analysis of 1·97 million adults with 100 000 incident cases from 31 cohorts in 20 countries. Lancet Diabetes Endocrinol. Published September 2024. doi:10.1016/s2213-8587(24)00179-7

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