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The effect of egg consumption on cardiometabolic health outcomes: an umbrella review.
Public Health Nutr. 2020 04; 23(5):935-955.PH

Abstract

OBJECTIVE

This umbrella review provides an overview of the consistency and gaps in the evidence base on eggs and cardiometabolic health.

DESIGN

PubMed, Web of Science, Cochrane Library, the Nutrition Evidence Systematic Review and Agency for Healthcare Research and Quality databases were screened for evidence-based reviews in English that assessed human studies on egg consumption and cardiometabolic outcomes.

RESULTS

Seven systematic reviews and fifteen meta-analyses were identified, with eighteen of these published since 2015. Overall, the systematic reviews were of low quality, while meta-analyses were of moderate- to high-quality. No association of increased egg intake and risks of heart disease or stroke in the general population were found in the meta-analyses. Increased risk of heart failure was noted in two meta-analyses that analysed the same three cohort studies. Five recent meta-analyses reported no increased risk of type 2 diabetes mellitus (T2DM) in the general population, although increased risk in US-based populations only has been reported. Older (<2013) meta-analyses reported increased risks of cardiovascular disease (CVD) or heart disease in T2DM populations, and no recent evidence-based reviews were identified. Finally, only one meta-analysis reported intervention studies specifically on eggs and biomarkers (i.e. lipids), and the results contradicted those from observation studies.

CONCLUSIONS

Recent evidence-based reviews conclude that increased egg consumption is not associated with CVD risk in the general population. More research is needed on the positive associations between egg consumption and heart failure and T2DM risk, as well as CVD risk in diabetics, before firm conclusions can be made.

Authors+Show Affiliations

Biofortis, Mérieux NutriSciences, Addison, IL, USA.Biofortis, Mérieux NutriSciences, Addison, IL, USA.Biofortis, Mérieux NutriSciences, Addison, IL, USA.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

31599222

Citation

Mah, Eunice, et al. "The Effect of Egg Consumption On Cardiometabolic Health Outcomes: an Umbrella Review." Public Health Nutrition, vol. 23, no. 5, 2020, pp. 935-955.
Mah E, Chen CO, Liska DJ. The effect of egg consumption on cardiometabolic health outcomes: an umbrella review. Public Health Nutr. 2020;23(5):935-955.
Mah, E., Chen, C. O., & Liska, D. J. (2020). The effect of egg consumption on cardiometabolic health outcomes: an umbrella review. Public Health Nutrition, 23(5), 935-955. https://doi.org/10.1017/S1368980019002441
Mah E, Chen CO, Liska DJ. The Effect of Egg Consumption On Cardiometabolic Health Outcomes: an Umbrella Review. Public Health Nutr. 2020;23(5):935-955. PubMed PMID: 31599222.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effect of egg consumption on cardiometabolic health outcomes: an umbrella review. AU - Mah,Eunice, AU - Chen,C-Y Oliver, AU - Liska,DeAnn J, Y1 - 2019/10/10/ PY - 2019/10/11/pubmed PY - 2019/10/11/medline PY - 2019/10/11/entrez KW - Clinical KW - Hypertension KW - Metabolic syndrome KW - Observational KW - RCT KW - Stroke SP - 935 EP - 955 JF - Public health nutrition JO - Public Health Nutr VL - 23 IS - 5 N2 - OBJECTIVE: This umbrella review provides an overview of the consistency and gaps in the evidence base on eggs and cardiometabolic health. DESIGN: PubMed, Web of Science, Cochrane Library, the Nutrition Evidence Systematic Review and Agency for Healthcare Research and Quality databases were screened for evidence-based reviews in English that assessed human studies on egg consumption and cardiometabolic outcomes. RESULTS: Seven systematic reviews and fifteen meta-analyses were identified, with eighteen of these published since 2015. Overall, the systematic reviews were of low quality, while meta-analyses were of moderate- to high-quality. No association of increased egg intake and risks of heart disease or stroke in the general population were found in the meta-analyses. Increased risk of heart failure was noted in two meta-analyses that analysed the same three cohort studies. Five recent meta-analyses reported no increased risk of type 2 diabetes mellitus (T2DM) in the general population, although increased risk in US-based populations only has been reported. Older (<2013) meta-analyses reported increased risks of cardiovascular disease (CVD) or heart disease in T2DM populations, and no recent evidence-based reviews were identified. Finally, only one meta-analysis reported intervention studies specifically on eggs and biomarkers (i.e. lipids), and the results contradicted those from observation studies. CONCLUSIONS: Recent evidence-based reviews conclude that increased egg consumption is not associated with CVD risk in the general population. More research is needed on the positive associations between egg consumption and heart failure and T2DM risk, as well as CVD risk in diabetics, before firm conclusions can be made. SN - 1475-2727 UR - https://www.unboundmedicine.com/medline/citation/31599222/The_effect_of_egg_consumption_on_cardiometabolic_health_outcomes:_an_umbrella_review L2 - https://www.cambridge.org/core/product/identifier/S1368980019002441/type/journal_article DB - PRIME DP - Unbound Medicine ER -
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