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The Study

Abstract 4346313: Unprocessed Red and Processed Meat and Alternative Protein Sources in Relation to Risk of Coronary Heart Disease: A Pooled Analysis of 1.7 million Participants

In simple terms

This study looked at what people eat and whether they later got heart disease, but it didn’t change anyone’s diet on purpose. It can show that eating more meat is linked to higher heart disease risk, but it can’t prove that meat caused the disease because other lifestyle factors might be involved.

52%

Analysis score

52/ 72

Maximum 72 for a cohort study.

Where the score came from

Reporting0
Methodology38
Publication100
Statistical77
Study type (basis of the score)
Cohort Study
Level 2b - Individual cohort study
What’s the bottom line?

Eating a lot of red meat or processed meat is linked to a higher chance of dying from heart disease, especially for women. Eating nuts, seeds, soy, or dairy instead can lower that risk.

Where does this study sit?

Reviews of RCTs (Meta-analyses)

Max 100

Randomized Trials

Max 90

Reviews of Cohort Studies

Max 85

Cohort Studies

Max 72

Reviews of Case-Control Studies

Max 63

Case-Control Studies

Max 58

Cross-Sectional & Case Series

Max 50

Expert Opinion

Max 5
StrongerWeaker
Cohort Studies
Level 2b
52

52 / 100

Quality score

Groups of people are followed over time to see who develops an outcome. Strong for identifying risk factors and associations, but cannot prove causation as firmly as RCTs.

Cannot establish causation

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Key takeaways

Summary

Based on the study abstract and findings.

  1. 1Yes, the results suggest that changing what you eat—especially replacing meat with plant-based foods—can meaningfully reduce heart disease risk, particularly for women.
  2. 2Women who eat ≥125g of unprocessed red meat daily have a 34% higher risk of fatal heart disease; men have a 6% higher risk.
  3. 3For processed meat (≥50g/day), women have a 39% higher risk, men a 13% higher risk.
  4. 4Replacing meat with plant proteins lowers risk.

Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data

Publication

Journal

Circulation

Year

2025

Authors

Fenglei Wang, Molin Wang, T. Tong, L. Al-Shaar, You Wu, Timothy J. Key, Walter C Willett, S. Smith-Warner

Fit Body Science verdict — we translate health studies into clear verdicts backed by peer-reviewed research.

Not medical advice. For informational purposes only. Always consult a qualified healthcare professional before making health decisions.