Systematic review2020

The effect of egg consumption on cardiometabolic health outcomes: an umbrella review

Mah E, Chen CO, Liska DJ

Public health nutrition · 11 citations

Review labels

Funding not disclosed

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
Systematic review (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death
Intake measured by
Not stated

Who paid for it

Funding
Funding not disclosed

Publication

Published
2019-10-10 · Public Health Nutr · vol. 23 · issue 5 · pp. 935–955
Publisher
Cambridge University Press
Cited
20 citations · more than 90% of similar papers · 2.8× the field average
References
54 works
Access
Free to read
Research areas
Nutritional Studies and Diet · Obesity, Physical Activity, Diet · Antioxidant Activity and Oxidative Stress
Keywords
Meta-analysis, Medicine, Systematic review, Population, Disease, Environmental health, Cochrane Library, Cohort study, Type 2 Diabetes Mellitus, Gerontology, MEDLINE, Diabetes mellitus, Internal medicine, Endocrinology, Biology
MeSH
humans, cardiovascular diseases, heart diseases, metabolic diseases, diabetes mellitus, type 2, risk factors, eggs, female, male, heart failure, meta-analysis as topic, randomized controlled trials as topic, stroke, systematic reviews as topic

3 authors

  • Eunice Mah
  • C‐Y. Oliver Chen
  • DeAnn J. Liska · corresponding

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.

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

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