Cross-sectional study2014

Egg consumption and insulin metabolism in the Insulin Resistance Atherosclerosis Study (IRAS)

Lee CT, Liese AD, Lorenzo C, Wagenknecht LE, Haffner SM, Rewers MJ, Hanley AJ

Public health nutrition · 7 citations

Review labels

Food frequency questionnaire

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Cross-sectional study (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Food frequency questionnaire

Who paid for it

Funding
Independent funding
University or hospital
University of Toronto
Government
National Institutes of Health
Government
National Heart, Lung, and Blood Institute
Government
National Institute of Diabetes and Digestive and Kidney Diseases
Government
NIDDK NIH HHS
Government
NHLBI NIH HHS
Grants
National Heart, Lung, and Blood Institute (U01 HL 47892); National Heart, Lung, and Blood Institute (HL-47902); National Heart, Lung, and Blood Institute (R01-58329); National Heart, Lung, and Blood Institute (U01 HL 47902); National Institutes of Health (M01-RR-43); National Heart, Lung, and Blood Institute (HL 47892); National Heart, Lung, and Blood Institute (U01 HL047892); National Institute of Diabetes and Digestive and Kidney Diseases (R01 DK029867); National Heart, Lung, and Blood Institute (DK-29867); National Heart, Lung, and Blood Institute (U01 HL047902); National Institutes of Health (DK29867)

Based on 6 listed funder(s).

Publication

Published
2013-06-19 · Public Health Nutr · vol. 17 · issue 7 · pp. 1595–1602
Publisher
Cambridge University Press
Cited
11 citations · more than 68% of similar papers · 0.3× the field average
References
24 works
Access
Free to read
Research areas
Nutritional Studies and Diet · Obesity, Physical Activity, Diet · Consumer Attitudes and Food Labeling
Keywords
Insulin resistance, Insulin, Internal medicine, Endocrinology, Medicine, Insulin sensitivity, Diabetes mellitus, Cholesterol
MeSH
humans, insulin resistance, insulin, blood glucose, cholesterol, dietary, glucose tolerance test, body mass index, diet, fasting, cross-sectional studies, feeding behavior, eggs, middle aged, female, male

7 authors

From CA, US

  • Chee-Tin Christine LeeUniversity of Toronto
  • Angela D. LieseUniversity of South Carolina
  • Carlos LorenzoThe University of Texas at San Antonio Health Science Center
  • Lynne E. WagenknechtWake Forest University
  • Steven M. HaffnerBaylor College of Medicine
  • Marian RewersUniversity of Colorado Denver

Abstract

Objective

To examine the association between egg consumption and measures of insulin sensitivity (SI), acute insulin response (AIR) and metabolic clearance rate of insulin (MCRI).

Design

Cross-sectional analysis.

Settings

Egg consumption, categorized as <1/week, 1 to <3/week, 3 to <5/week and ≥5/week, was measured using a validated FFQ. SI, AIR and MCRI were determined from frequently sampled intravenous glucose tolerance tests.

Subjects

Non-diabetic participants (n 949) in the Insulin Resistance Atherosclerosis Study (IRAS).

Results

Egg consumption was inversely associated with SI and MCRI, and positively associated with fasting insulin in regression models adjusted for demographic, socio-economic, lifestyle and dietary factors (β = -0·22, 95 % CI -0·38, -0·045, P = 0·05 for SI; β = -0·20, 95 % CI -0·34, -0·055, P = 0·005 for MCRI; β = 0·35, 95 % CI 0·15, 0·54, P = 0·002 for fasting insulin; all P values for linear trend). These associations remained significant after additionally adjusting for energy intake or dietary saturated fat, although dietary cholesterol and BMI attenuated these associations to non-significance. Egg consumption was not associated with AIR.

Conclusions

Dietary cholesterol and BMI appear to mediate the inverse association of egg consumption with insulin sensitivity and clearance. Alternatively, egg consumption may be clustered with other dietary behaviours which increase BMI, hence negatively impacting on insulin sensitivity and clearance.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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