RT Journal Article T1 Replacing red meat and processed red meat for white meat, fish, legumes or eggs is associated with lower risk of incidence of metabolic syndrome. A1 Becerra-Tomás, Nerea A1 Babio, Nancy A1 Martínez-González, Miguel Ángel A1 Corella, Dolores A1 Estruch, Ramon A1 Ros, Emilio A1 Fitó, Montserrat A1 Serra-Majem, Lluís A1 Salaverria, Itziar A1 Lamuela-Raventós, Rosa M A1 Lapetra, José A1 Gómez-Gracia, Enrique A1 Fiol, Miguel A1 Toledo, Estefanía A1 Sorlí, José V A1 Pedret-Llaberia, Maria Roser A1 Salas-Salvadó, Jordi K1 Metabolic syndrome K1 PREDIMED-study K1 Processed red meat K1 Red meat K1 Total meat AB Few studies have assessed the association between consumption of red meat (RM) and processed red meats (PRM) and the incidence of metabolic syndrome (MetS) and results have been inconsistent. We investigated associations between total consumption of meat and its subtypes and incident MetS and estimated the effect of substituting RM or PRM for alternative protein-rich foods. We analyzed 1868 participants (55-80 years-old) recruited into the PREDIMED study who had no MetS at baseline and were followed for a median of 3.2 years. MetS was defined using updated harmonized criteria. Anthropometric variables, dietary habits, and blood biochemistry were determined at baseline and yearly thereafter. Multivariable-adjusted hazard ratios (HRs) of MetS were estimated for the two upper tertiles (versus the lowest one) of mean consumption of meat and its subtypes during the follow-up as exposure. Comparing the highest vs the lowest tertile of consumption, we observed an increased risk of MetS incidence, with HRs of 1.23 (95% confidence interval [CI]: 1.03-1.45) and 1.46 (CI: 1.22-1.74) for total meat and pooled RM and PRM, respectively. Compared with participants in the lowest tertile, those in the highest tertile of poultry and rabbit consumption had a lower risk of MetS incidence. The risk of MetS was lower when one-serving/day of RM or PRM was replaced by legumes, poultry and rabbit, fish or eggs. RM and PRM consumption was associated with higher risk of MetS. Replacing RM or PRM with other protein-rich foods related to a lower risk of MetS and should, therefore, be encouraged. This trial was registered at controlled-trials.com as ISRCTN35739639. YR 2016 FD 2016-03-31 LK http://hdl.handle.net/10668/9999 UL http://hdl.handle.net/10668/9999 LA en DS RISalud RD Apr 11, 2025