1. © 2011 The British Nutrition Foundation Meat in the diet Dr Áine O’Connor British Nutrition Foundation

2. © 2011 The British Nutrition Foundation Overview Definition Nutritional content Red meat consumption and disease risk New guidance on meat intake Summary

3. © 2011 The British Nutrition Foundation The eatwell plate Meat, fish, eggs, beans and other non-dairy sources of protein

4. © 2011 The British Nutrition Foundation Nutrient Content of Meat High biological value protein Important micronutrients essential for good health Most healthy, balanced diets will include lean meat Meat, fish, eggs, beans and other non-dairy sources of protein

5. © 2011 The British Nutrition Foundation Definition of Meat Carcass meat (beef and veal, lamb and mutton, and pork) Poultry (chicken, turkey) Processed meat/meat products including red meat products and poultry products (ham, bacon, tinned meat, salami) Offal and game (venison, pheasant, rabbit)

6. © 2011 The British Nutrition Foundation Energy Content of Meat Energy Energy provided of meat is variable Meat contains -virtually no carbohydrate -principally protein - 17kJ/4kcal per g -variable fat - 37kJ/9kcal per g (↑ fat content=↑ energy) In UK adults: meat (all sources) contributes to 17% of total energy intake red meat contributes to 12% of total energy intake (2008-2010 NDNS data)

7. © 2011 The British Nutrition Foundation Protein Content of Meat Protein Dietary protein is required for growth, maintenance and repair of the body and can also provide energy Red meat contains on average –20-24g of protein per 100g (raw) –27-35g of protein per 100g (cooked) When meat is cooked water content ↓ and nutrients become more concentrated so protein ↑) In most developed countries average protein intakes for all age groups are above requirements Reference Nutrient Intake for adults: 55g/day (men), 45g/day (women)

8. © 2011 The British Nutrition Foundation Protein Content of Meat (continued) Protein Proteins from animal sources contain the full range of essential amino acids required for an adult’s diet Meat & meat products (incl. poultry) contributes to 40% (men) and 35% (women) of average daily protein intake in adults (NDNS 2008/10 data).

9. © 2011 The British Nutrition Foundation Fat Content of Meat Fat Supplies rich source of energy and essential nutrients such as fat-soluble vitamins and essential fatty acids Fatty acid composition of meat Depends on the whether or not the species is ruminant Lean red meat contains similar proportions of MUFAs to SFAs however exact proportions vary depending on type Lean meat is relatively higher in PUFA and lower in SFA compared to with untrimmed meat. Trimming fat off meat will help lower the proportion of SFA as visible fat is higher in SFA.

10. © 2011 The British Nutrition Foundation Fat Content of Meat Source: MAFF, 1995

11. © 2011 The British Nutrition Foundation Intakes vs. recommendations Source: National Diet and Nutrition Survey (NDNS) 2000/01 and data from the 2008/09 – 2010/11 NDNS rolling survey As % of food energy Recommendation s MenWomen Previous survey 2008- 2010 Previous survey 2008- 2010 Total fat35%35.5%35.2%34.7%34.4% Saturates (SFAs)11%13.3%13.0%13.2%12.6% Monounsaturates (MUFAs) 13%12.0%12.7%11.4%12.1% n-6 polyunsaturates (PUFAs) Minimum 1%5.3%5.1%5.3%5.1% n-3 polyunsaturates (PUFAs) Minimum 0.2%1.0% 1.1% Trans fatLess than 2%1.2%0.8%1.1%0.8%

12. © 2011 The British Nutrition Foundation Fat Content of Meat SFAs Main SFAs present are: –palmitic acid (C16:0) –stearic acid (C18:0) Minor amounts of –myristic acid (C14:0) –lauric acid (12:0) Shown to ↑ cholesterol levels more potently than C16:0 No effect on cholesterol

13. © 2011 The British Nutrition Foundation Fat Content of Meat MUFAs Lean beef has similar proportions of SFAs and MUFAs Main MUFA present is: - oleic acid (C18:1) About 30-40% of fat in meat is composed of MUFAs

14. © 2011 The British Nutrition Foundation PUFAs Source of essential fatty acids linoleic (n-6) and α- linolenic acid (n-3) Intakes of n-6 are within recommended ranges, but intakes of n-3 could be improved Ingested n-3 → long chain PUFAs (EPA and DHA) ↑ intakes of long chain PUFAs have been associated with reduced risk of atherosclerosis, heart attack, cancer etc.. Meat makes an important contribution to long chain n-3 for those who eat little/no oily fish Fat Content of Meat

15. © 2011 The British Nutrition Foundation PUFAs continued Work to enhance the fatty acid profile of beef so that it is of benefit to human health, without causing a detrimental effect on appearance, shelf-life or eating quality – ProSafeBeef (EU project) The feeding regime of the animals is a major factor in the content of PUFAs in meat. e.g. meat from animals fed on grass all year round have a higher proportion of PUFAs Fat Content of Meat

16. © 2011 The British Nutrition Foundation Trans fats Trans fats can be produced in 1 of 2 ways: 1.Industrial hydrogenation of vegetable oils to produce semi-solid and solid fats widely used in food manufacture. 2.Hydrogenation of cis-fatty acids by gut bacteria of ruminant animals In UK, intake of trans fats is well below the threshold of 2% of dietary energy as recommended by the FSA

17. © 2011 The British Nutrition Foundation Changes in the fat content and fatty acid composition of meat Advances in food processing technologies, breeding programmes, changes in animal feeds and modern butchery techniques have led to a ↓ in fat content of carcass meat In the UK, fat content has been ↓ by >30% for pork, 15% for beef, and 10% for lamb over past 15 years Modification of diets (cereal based → vegetable & fish oils) in non- ruminant animals e.g. pigs More challenging to alter fatty acid profile of meat from ruminants (influence of gut bacteria)

18. © 2011 The British Nutrition Foundation Age (years) % British males below LRNI < 44 - 67 - 1011 - 1415 - 1819 - 3435 - 6465+ Vitamin B 2 0-1 669 3 5 Vitamin B 6 1--10022 Vitamin B 12 ---0-101 Folate0--1-202 Vitamin A 8891312 5 4 Iron 16 -132213 Zinc 141251495 4 11 Vitamin & mineral intakes: % below LRNI Source: National Diet and Nutrition Survey 2010

19. © 2011 The British Nutrition Foundation Age (years) % British Females below LRNI < 44 - 67 - 1011 - 1415 - 1819 - 3435 - 6465+ Vitamin B 2 0-1 2221136 Vitamin B 6 1--1 5 324 Vitamin B 12 --112113 Folate0-23432 7 Vitamin A 86102012157 4 Iron 16 13 455042167 Zinc 14261037105 4 7 Vitamin & mineral intakes: % below LRNI Source: National Diet and Nutrition Survey 2010

20. © 2011 The British Nutrition Foundation Micronutrient composition of meat Meat contains a range of micronutrients (vitamins and minerals) According to EU legislation, when a serving (100g/100ml) provides 15% of the EU RDA’s it can be considered a “source” Foods contributing 30% of the EU RDA, can be classed as a “rich source”

21. © 2011 The British Nutrition Foundation Micronutrients BeefLambPork Vitamin B1 (thiamin) Rich source Vitamin B3 (niacin) Rich source Vitamin B12 Rich source Iron Source Zinc Rich source Source Selenium Source Potassium Source Phosphorus Source

22. © 2011 The British Nutrition Foundation B vitamins Function : B vitamins work as co-factors in different enzyme systems in the body Meat and animal derived foods are naturally a rich source of B 12 Meat and animal derived foods make an important contribution to B 12 intakes It has been shown consistently that vegetarians and esp. vegans have low dietary intakes of B 12 Meat also contains thiamin (B 1 ), riboflavin (B 2), niacin (B 3 ), folate and B 6

23. © 2011 The British Nutrition Foundation Vitamin D Function : essential for the development and maintenance of bone Many individuals have low vitamin D status Dermal synthesis is the best source and therefore dietary supply of vitamin D is important for housebound people and individuals who wear concealing clothing Meat and liver can provide substantial quantities of 25 (OH)D 3 (vitamin D metabolite) which is thought to have high biological activity and be readily absorbable

24. © 2011 The British Nutrition Foundation Vitamin A Function : Normal structure and function of the skin and body linings e.g. in lungs, normal growth and development, vision and the immune system Source: offal, in particular liver can be an excellent source (retinol) but content can be variable (age of animal, composition of feed) Note: very high doses many have adverse health effects

25. © 2011 The British Nutrition Foundation Vitamin E Function: As an antioxidant protecting the body’s cells against damage Small amounts of vitamin E in meat Due to the fat soluble nature of vitamin E, fattier cuts of meat will have a higher content of this vitamin Introduction of seed oils in animals diets ↑ vitamin E content of the meat

26. © 2011 The British Nutrition Foundation Iron Function: Important as an oxygen carrier in haemoglobin in blood, or myoglobin in muscle, and is also required for many metabolic processes Meat is a rich source of bioavailable iron (haem iron) Non-haem iron is susceptible to factors affecting its bioavailability (e.g. phytate) Meat and meat products provide 19% (men) and 15% (women) to average daily intake of iron (NDNS) Vulnerable groups – infants, girls/women of reproductive age.

27. © 2011 The British Nutrition Foundation Weaning “Around 6 months is the ideal time to introduce solid foods. Before this, the baby’s digestive system is still developing, and introducing solids too early can increase the risk of infections and allergies” (DH “Birth to Five”, 2009) At around 6 months, stores of some nutrients, such as iron, start to run out and therefore additional sources are needed. Meat is an important source of nutrients and useful to include in the diet from 6 months.

28. © 2011 The British Nutrition Foundation Zinc Function: Is essential for cell division and therefore for growth and tissue repair. Also necessary for normal reproductive development, immune system and healing of wounds. Meat is a source of bioavailable zinc In the UK, meat and meat products provide ~ 34% Some concerns regarding low intakes of zinc among sub-groups of UK population (adolescent girls)

29. © 2011 The British Nutrition Foundation Selenium Function : Acts as an antioxidant, necessary for the use of iodine in thyroid hormone production, immune system function Meat is a useful source of selenium, esp. red meat (dependent on diet of livestock and soil) The proportion of meat and meat products that contributes to intakes of selenium in the UK has not been measured in recent NDNS surveys Intakes of selenium in UK are thought to have ↓in recent years (selenium-rich wheat, Canada and USA → European wheat)

30. © 2011 The British Nutrition Foundation Processed meats and meat products In general processed meats and meat products are more likely to contain a higher content of sodium than lean meat However they can provide extra nutrients not typically found in meat (carbohydrate, fibre) The addition of sodium enhances and modifies the flavour, physical properties and contributes to the preservation of the product The food industry is constantly working to reduce the amount of salt in processed meat products In May 2009 the FSA published revised salt reduction targets for 2012.

31. © 2011 The British Nutrition Foundation The relationship between red meat consumption and disease risk

32. © 2011 The British Nutrition Foundation Red meat and cancer The most studied cancer in relation to red and processed meat intake is colorectal cancer (CRC) Most of the evidence of the association between red meat and CRC shows an increase in risk of CRC in the highest consumers of red meat compared to the lowest consumers, although most studies have not reached statistical significance

33. © 2011 The British Nutrition Foundation Red meat and cancer WCRF (2011) stated that “A substantial amount of data from cohort studies showed a dose-response relationship, supported by evidence for plausible mechanisms operating in humans.” Concluded that there is convincing evidence that red and processed meat increase CRC risk The UK Scientific Advisory Committee on Nutrition (SACN) suggested that red and processed meat intake was probably associated with increased CRC risk

34. © 2011 The British Nutrition Foundation Red meat and cancer Any association between red meat intake and cancer at other sites remains inconclusive. Stomach Lung Pancreas Oesophagus Endometrium Breast ?

35. © 2011 The British Nutrition Foundation Red meat and Cardiovascular disease (CVD) Red meat contains saturated fatty acids, a high intake of which can increase risk of CVD. Red meat contains other fatty acids (n-3 PUFAs & MUFAs) and important micronutrients (B vitamins & selenium) that may decrease risk of CVD. Lean red meat can be promoted as part of a healthy diet for CVD prevention.

36. © 2011 The British Nutrition Foundation Other health effects Obesity Vegetarians tend to weigh less than non-vegetarians – confounding factors? Higher protein foods/meals may make you feel fuller for longer than those with lower protein content. Source of protein does not have a significant effect on satiety in context of a healthy diet. Moderate intakes of lean red meat can form part of a healthy diet along with plenty of starchy carbohydrates and fruit & veg, which will promote weight loss and maintenance of a healthy weight. Type 2 diabetes High consumers of red meat have higher risk (non-sign increased risk).

37. © 2011 The British Nutrition Foundation SACN report “Iron and Health” (2010) led to new guidance on eating red and processed meat from the UK Department of Health (Feb 2011) Adults who eat >90g red & processed meat a day should reduce their intake to 70g a day on average. 42% men and 12% women consume >90g/day (2000/01 NDNS data). Meat intake recommendations http://www.nhs.uk/Livewell/Goodfood/Pages/red-meat.aspx

38. © 2011 The British Nutrition Foundation Meat and meat products can make an important contribution to nutrient intakes in the diet. Within the context of a healthy, varied diet lean red meat contributes protein, long chain n-3 fatty acids, and micronutrients such as iron, zinc, selenium and vitamin D and vitamins B 3 and vitamin B 12. Some of these nutrients are more bio-available in meat than alternative food sources, and some have been identified by SACN as being in short supply in the diets of some sections of the population (SACN 2008). Meat – a summary

39. © 2011 The British Nutrition Foundation Useful information eSeminars: “What’s your beef? Red meat in the diet” http://www.foodafactoflife.org.uk/Section.aspx?siteId=19&section Id=96 © 2011 The British Nutrition Foundation http://onlinelibrary.wiley.com/doi/10.1111/j.1 467-3010.2010.01871.x/abstract

40. © 2011 The British Nutrition Foundation Thank you www.nutrition.org.uk www.foodafactoflife.org