The Consumption of Animal and Plant Foods in Areas of High Prevalence of Stroke and Colorectal Cancer

Diets of red and processed meat have been reported as important risk factors for developing colorectal cancer. Given the racial and ethnic differences in the incidence of colorectal cancer, patterns of food consumption, and areas of residence, particularly in the South, more data is needed on the relationship between residing in a high stroke area, colorectal cancer incidence levels, and red meat and processed meat consumption. We created online surveys to ascertain meat, red meat, and healthy food consumption levels. We used OLS regression to evaluate the association between residence in Stroke Belt states and colorectal cancer incidence quartiles with food consumption. We further used path analysis using structural equation modeling to evaluate if age, sex, race/ethnicity, income, and comorbidity index mediated the association between residence in the eight-state Stroke Belt, colorectal cancer incidence groups, and meat consumption. Our sample included 923 participants, with 167 (18.1%) residing in the Stroke Belt and 13.9% being in the highest colorectal cancer incidence group. The findings show that residing in a Stroke Belt state is predictive of the consumption of overall meat 0.93 more days per week or red meat 0.55 more days per week compared to those not residing in a Stroke Belt state. These data can be used to develop future diet interventions in these high-risk areas to reduce rates of colorectal cancer and other negative health outcomes.

[1]  S. Choi,et al.  Ethnic differences in attitudes, beliefs, and patterns of meat consumption among American young women meat eaters , 2022, Nutrition research and practice.

[2]  Reed J. D. Sorensen,et al.  Health effects associated with consumption of unprocessed red meat: a Burden of Proof study , 2022, Nature Medicine.

[3]  Rajesh Sharma,et al.  Type-2 Diabetes Mellitus (T2DM): Spatial-temporal Patterns of Incidence, Mortality and Attributable Risk Factors from 1990 to 2019 among 21 World Regions , 2022, Endocrine.

[4]  Rizwan Kalani,et al.  Heart Disease and Stroke Statistics—2022 Update: A Report From the American Heart Association , 2022, Circulation.

[5]  A. Jemal,et al.  Colorectal cancer statistics, 2020 , 2020, CA: a cancer journal for clinicians.

[6]  P. Greenland,et al.  Associations of Processed Meat, Unprocessed Red Meat, Poultry, or Fish Intake With Incident Cardiovascular Disease and All-Cause Mortality. , 2020, JAMA internal medicine.

[7]  H. Campos,et al.  Red meat consumption and metabolic syndrome in the Costa Rica Heart Study , 2020, European journal of nutrition.

[8]  Ahmedin Jemal,et al.  Breast cancer statistics, 2019 , 2019, CA: a cancer journal for clinicians.

[9]  D. Mozaffarian,et al.  Trends in Processed Meat, Unprocessed Red Meat, Poultry, and Fish Consumption in the United States, 1999-2016. , 2019, Journal of the Academy of Nutrition and Dietetics.

[10]  J. Salas-Salvadó,et al.  Association Between Dairy Product Consumption and Colorectal Cancer Risk in Adults: A Systematic Review and Meta-Analysis of Epidemiologic Studies. , 2019, Advances in nutrition.

[11]  S. Cash,et al.  Greenhouse gas emissions, total food spending and diet quality by share of household food spending on red meat: results from a nationally representative sample of US households , 2019, Public Health Nutrition.

[12]  Ahmedin Jemal,et al.  Cancer Statistics for Hispanics/Latinos, 2018 , 2018, CA: a cancer journal for clinicians.

[13]  R. Piedmont,et al.  Who is Mturk? Personal characteristics and sample consistency of these online workers , 2018, Mental Health, Religion & Culture.

[14]  A. Jemal,et al.  Ovarian cancer statistics, 2018 , 2018, CA: a cancer journal for clinicians.

[15]  Li-Jung Liang,et al.  Trends in Racial/Ethnic and Nativity Disparities in Cardiovascular Health Among Adults Without Prevalent Cardiovascular Disease in the United States, 1988 to 2014 , 2018, Annals of Internal Medicine.

[16]  Craig M. Hales,et al.  Prevalence of Obesity Among Adults and Youth: United States, 2015-2016. , 2017, NCHS data brief.

[17]  Qingchuan Zhao,et al.  Red and processed meat consumption and colorectal cancer risk: a systematic review and meta-analysis , 2017, Oncotarget.

[18]  G. Colditz,et al.  Racial disparity in life expectancies and life years lost associated with multiple obesity‐related chronic conditions , 2017, Obesity.

[19]  S. Larsson Dietary Approaches for Stroke Prevention , 2017, Stroke.

[20]  A. Jemal,et al.  Cancer statistics, 2017 , 2017, CA: a cancer journal for clinicians.

[21]  J. Geleijnse,et al.  Dairy Consumption and Risk of Stroke: A Systematic Review and Updated Dose–Response Meta‐Analysis of Prospective Cohort Studies , 2016, Journal of the American Heart Association.

[22]  Laurence S Freedman,et al.  Addressing Current Criticism Regarding the Value of Self-Report Dietary Data. , 2015, The Journal of nutrition.

[23]  U. Keller,et al.  Health Risks Associated with Meat Consumption: A Review of Epidemiological Studies. , 2015, International journal for vitamin and nutrition research. Internationale Zeitschrift fur Vitamin- und Ernahrungsforschung. Journal international de vitaminologie et de nutrition.

[24]  D. Tilman,et al.  Global diets link environmental sustainability and human health , 2014, Nature.

[25]  J. Skelton,et al.  Prevalence and trends in obesity and severe obesity among children in the United States, 1999-2012. , 2014, JAMA pediatrics.

[26]  K. Flegal,et al.  Prevalence of childhood and adult obesity in the United States, 2011-2012. , 2014, JAMA.

[27]  M. Moradi-Lakeh,et al.  Meat, fish, and esophageal cancer risk: a systematic review and dose-response meta-analysis. , 2013, Nutrition reviews.

[28]  Yuni Choi,et al.  Consumption of red and processed meat and esophageal cancer risk: meta-analysis. , 2013, World journal of gastroenterology.

[29]  D. Dabelea,et al.  Changing Trends in the Prevalence and Disparities of Obesity and Other Cardiovascular Disease Risk Factors in Three Racial/Ethnic Groups of USA Adults , 2012, Advances in preventive medicine.

[30]  Sherita Hill Golden,et al.  Health disparities in endocrine disorders: biological, clinical, and nonclinical factors--an Endocrine Society scientific statement. , 2012, The Journal of clinical endocrinology and metabolism.

[31]  An Pan,et al.  Red meat consumption and mortality: results from 2 prospective cohort studies. , 2012, Archives of internal medicine.

[32]  S. Larsson,et al.  Red and processed meat consumption and risk of pancreatic cancer: meta-analysis of prospective studies , 2012, British Journal of Cancer.

[33]  Michael D. Buhrmester,et al.  Amazon's Mechanical Turk , 2011, Perspectives on psychological science : a journal of the Association for Psychological Science.

[34]  Rashmi Sinha,et al.  Trends in meat consumption in the USA , 2010, Public Health Nutrition.

[35]  G. Ursin,et al.  Meat consumption and the risk of type 2 diabetes: a systematic review and meta-analysis of cohort studies , 2009, Diabetologia.

[36]  R. Sinha,et al.  A prospective study of meat, cooking methods, meat mutagens, heme iron, and lung cancer risks. , 2009, The American journal of clinical nutrition.

[37]  W. Craig Health effects of vegan diets. , 2009, The American journal of clinical nutrition.

[38]  M. Beydoun,et al.  Meat consumption is associated with obesity and central obesity among US adults , 2009, International Journal of Obesity.

[39]  R. Sinha,et al.  Intakes of red meat, processed meat, and meat mutagens increase lung cancer risk. , 2009, Cancer research.

[40]  L. Balluz,et al.  Differences in prevalence of obesity among black, white, and Hispanic adults - United States, 2006-2008. , 2009, MMWR. Morbidity and mortality weekly report.

[41]  M. Glade Food, Nutrition, Physical Activity and the Prevention of Cancer: A Global Perspective, World Cancer Research Fund/American Institute for Cancer Research. American Institute for Cancer Research, Washington, D.C (2007), ISBN: 978-0-9722522-2-5 , 2008 .

[42]  W. Kannel,et al.  Avoiding the looming Latino/Hispanic cardiovascular health crisis: a call to action. , 2007, Journal of the cardiometabolic syndrome.

[43]  Alicja Wolk,et al.  Meat consumption and risk of colorectal cancer: A meta‐analysis of prospective studies , 2006, International journal of cancer.

[44]  A. Karter,et al.  Disparities in HbA1c Levels Between African-American and Non-Hispanic White Adults With Diabetes , 2006, Diabetes Care.

[45]  S. Larsson,et al.  Processed meat consumption and stomach cancer risk: a meta-analysis. , 2006, Journal of the National Cancer Institute.

[46]  C. González Nutrition and cancer: the current epidemiological evidence , 2006, British Journal of Nutrition.

[47]  Mario Plebani,et al.  Meat intake and risk of stomach and esophageal adenocarcinoma within the European Prospective Investigation Into Cancer and Nutrition (EPIC). , 2006, Journal of the National Cancer Institute.

[48]  T. Key,et al.  Health effects of vegetarian and vegan diets , 2006, Proceedings of the Nutrition Society.

[49]  Ulrike Peters,et al.  A prospective study of meat and meat mutagens and prostate cancer risk. , 2005, Cancer research.

[50]  H. Jensen,et al.  Sociodemographic, knowledge, and attitudinal factors related to meat consumption in the United States. , 2005, Journal of the American Dietetic Association.

[51]  Paolo Vineis,et al.  Meat, fish, and colorectal cancer risk: the European Prospective Investigation into cancer and nutrition. , 2005, Journal of the National Cancer Institute.

[52]  Ahmedin Jemal,et al.  Cancer Disparities by Race/Ethnicity and Socioeconomic Status , 2004, CA: a cancer journal for clinicians.

[53]  C. Hennekens,et al.  Hypertension: trends, risks, drug therapies and clinical challenges in African Americans. , 2004, Ethnicity & disease.

[54]  Richard York,et al.  Social Structural Influences on Meat Consumption , 2003 .

[55]  E. Riboli,et al.  Meat consumption and colorectal cancer risk: Dose‐response meta‐analysis of epidemiological studies , 2002, International journal of cancer.

[56]  I. White,et al.  Systematic review of the prospective cohort studies on meat consumption and colorectal cancer risk: a meta-analytical approach. , 2001, Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology.

[57]  D. Mant Prevention , 1994, The Lancet.

[58]  N. Dubrawsky Cancer statistics , 1989, CA: a cancer journal for clinicians.