Cohort study2020Open access

Cholesterol and Egg Intakes, and Risk of Hypertension in a Large Prospective Cohort of French Women

MacDonald CJ, Madika AL, Bonnet F, Fagherazzi G, Lajous M, Boutron-Ruault MC

Nutrients · 11 citations

Review labels

Food frequency questionnaireNo stated lifestyle adjustment

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
Cohort study (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death
Intake measured by
Food frequency questionnaire

Who paid for it

Funding
Independent funding
Government
Agence Nationale de la Recherche
Nonprofit
Fédération Française de Cardiologie
Nonprofit
Ligue Contre le Cancer
Nonprofit
Mutuelle Générale de l'Education Nationale
Nonprofit
French League against Cancer
University or hospital
Gustave Roussy Institute
Nonprofit
Mutuelle Générale de l’Education Nationale
Government
French Research Agency
Government
European Community
Grants
Agence Nationale de la Recherche (ANR-10-COHO-0006)

Based on 9 listed funder(s).

Publication

Published
2020-05-08 · Nutrients · vol. 12 · issue 5 · p. 1350
Publisher
Multidisciplinary Digital Publishing Institute
Cited
18 citations · more than 90% of similar papers · 2.4× the field average
References
53 works
Access
Open access (journal) · CC-BY
Research areas
Nutritional Studies and Diet · Obesity, Physical Activity, Diet · Consumer Attitudes and Food Labeling
Keywords
Medicine, Hazard ratio, Prospective cohort study, Proportional hazards model, Cohort, Cohort study, Cholesterol, Risk factor, Population, Internal medicine, Environmental health, Confidence interval
MeSH
humans, hypertension, cholesterol, dietary, risk, prospective studies, eating, eggs, adult, aged, middle aged, france, female, nutritional physiological phenomena, surveys and questionnaires, heart disease risk factors

6 authors

From FR, LU, MX, US

  • Conor‐James MacDonaldUniversité Paris-Sud; Inserm; Université Paris-Saclay; Institut Gustave Roussy; Centre de recherche en Epidémiologie et Santé des Populations
  • Anne‐Laure MadikaUniversité Paris-Sud; Inserm; Université de Lille; Université Paris-Saclay; Institut Gustave Roussy; Centre Hospitalier Universitaire de Lille; Centre de recherche en Epidémiologie et Santé des Populations
  • Fabrice BonnetUniversité Paris-Sud; Inserm; Université Paris-Saclay; Institut Gustave Roussy; Centre de recherche en Epidémiologie et Santé des Populations; Centre Hospitalier Universitaire de Rennes; Université de Rennes
  • Guy FagherazziUniversité Paris-Sud; Inserm; Université Paris-Saclay; Institut Gustave Roussy; Luxembourg Institute of Health; Centre de recherche en Epidémiologie et Santé des Populations
  • Martín LajousInstituto Nacional de Salud Pública; Harvard Global Health Institute
  • Marie‐Christine Boutron‐Ruault · correspondingUniversité Paris-Sud; Inserm; Université Paris-Saclay; Institut Gustave Roussy; Centre de recherche en Epidémiologie et Santé des Populations

Abstract

Purpose: The relationship between egg and cholesterol intakes, and cardiovascular disease is controversial. Meta-analyses indicate that egg consumption is associated with increased cardiovascular disease and mortality, but reduced incidence of hypertension, a major risk factor for cardiovascular disease. This study aims to investigate the associations between consumption of egg and cholesterol, and hypertension risk in a cohort of French women. Methods: We used data from the E3N cohort study, a French prospective population-based study initiated in 1990. From the women in the study, we included those who completed a detailed diet history questionnaire, and who did not have prevalent hypertension or cardiovascular disease at baseline, resulting in 46,424 women. Hypertension cases were self-reported. Egg and cholesterol intake was estimated from dietary history questionnaires. Cox proportional hazard models with time-updated exposures were used to calculate hazard ratios. Spline regression was used to determine any dose-respondent relationship. Results: During 885,321 person years, 13,161 cases of incident hypertension were identified. Higher cholesterol consumption was associated with an increased risk of hypertension : HRQ1-Q5 = 1.22 [1.14:1.30], with associations similar regarding egg consumption up to seven eggs per week: HR4-7 eggs = 1.14 [1.06:1.18]. Evidence for a non-linear relationship between hypertension and cholesterol intake was observed. Conclusion: Egg and cholesterol intakes were associated with a higher risk of hypertension in French women. These results merit further investigation in other populations.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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