What you probably already know: Cutting back on meat has significant health benefits. A new report highlighted in the Journal of the American Medical Association is drawing renewed attention to the role of diet in preventing cardiovascular disease, the No. 1 killer of women. Experts recommend a significant shift away from meat-heavy eating patterns toward more plant-based foods. The article cites updated guidance from the American Heart Association, which emphasizes that a diet rich in vegetables, fruits, whole grains, legumes and nuts are consistently associated with better heart health outcomes. The recommendations reflect a growing body of evidence linking high consumption of red and processed meats to increased risks of heart disease and related conditions.

Why it matters: The new guidance is noteworthy in that it doesn’t call for eliminating meat entirely but encourages moderation and substitution. “We appreciate that the majority of Americans eat a fair amount of meat, and so we have to be cognizant of that,” says Amit Khera, M.D., vice chair of the statement’s writing committee and director of preventive cardiology at the University of Texas Southwestern Medical Center. “But if people even shifted somewhat more towards plant-based sources or healthier sources of protein, we think that could go a long way for cardiovascular health.” The guidelines are similar to those issued five years ago, but more explicitly warns of the dangers of a meat-heavy diet.

What it means: Individuals are advised to incorporate more beans, lentils and soy-based foods while limiting processed meats such as sausages and deli products. The emphasis is on overall dietary patterns rather than individual nutrients, which the guidelines say reflect a broader nutrition trend. Diet, also, is just one component of cardiovascular health, along with weight management, exercise and avoiding tobacco use. The updated recommendations come amid rising rates of cardio disease across the globe, with one in three deaths last year attributed to heart issues. Plant-forward diets are also associated with lower environmental impacts.

What happens next: In January, new federal Dietary Guidelines for Americans “made headlines with controversial recommendations that promoted red meat, butter and beef tallow.” Though both advise a diet of whole grains, more vegetables and fruit and limitations on salt, sugar and highly processed foods, there are some significant differences. “Protein is perhaps the biggest sticking point,” the new study says. “There is not a recommendation to eat a lot of protein and emphasize it at every meal.” Khera adds: “If we really want to prevent disease, it has to start early in life. This is a critical message we want to reinforce.”

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