Cohort study2021

Egg consumption associated with all-cause mortality in rural China: a 14-year follow-up study

Liu L, Huang X, Wang B, Song Y, Lin T, Zhou Z, Guo H, Chen P, Yang Y, Ling W, Qin X, Tang G, Liu C, Li J, Zhang Y, Spence JD, Huo Y, Zhang H, Xu X

European journal of public health · 4 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
National Natural Science Foundation of China
Government
National Key Research and Development Program of China
Government
Economic, Trade and Information Commission of Shenzhen Municipality
Government
National Key Research and Development Program
Government
111 project from the Education Ministry of China
Government
Science, Technology and Innovation Committee of Shenzhen
Government
Major projects of the Science and Technology Department, Jiangxi
University or hospital
Outstanding Youths Development Scheme of Nanfang Hospital, Southern Medical University
Nonprofit
Jiangxi Outstanding Person Foundation
Government
Science and Technology Planning Project of Guangzhou, China
Grants
National Key Research and Development Program of China (2018ZX09301034003); National Key Research and Development Program of China (2018ZX09739010); National Natural Science Foundation of China (81973133); National Key Research and Development Program of China (2016YFE0205400); National Natural Science Foundation of China (81730019); National Natural Science Foundation of China (81500233); National Natural Science Foundation of China (81960074)

Based on 10 listed funder(s).

Publication

Published
2020-12-23 · Eur J Public Health · vol. 31 · issue 3 · pp. 613–618
Publisher
Oxford University Press
Cited
6 citations · more than 75% of similar papers · 0.7× the field average
References
34 works
Access
Paywalled
Research areas
Nutritional Studies and Diet · Obesity, Physical Activity, Diet · Agriculture Sustainability and Environmental Impact
Keywords
Medicine, Body mass index, Demography, Cohort study, Cohort, Population, Environmental health, Internal medicine
MeSH
humans, diet, risk factors, cohort studies, follow-up studies, eggs, adult, china

19 authors

From CN, CA

  • Lishun LiuShenzhen Genoimmune Medical Institute; Beijing Advanced Innovation Center for Food Nutrition and Human Health; China Agricultural University
  • Xiao Bo HuangNanchang University; Second Affiliated Hospital of Nanchang University
  • Binyan WangAnhui Medical University; Nanfang Hospital; Shenzhen Genoimmune Medical Institute; Southern Medical University
  • Yun Kyoung SongBeijing Advanced Innovation Center for Food Nutrition and Human Health; China Agricultural University
  • Teng-Fei LinBeijing Advanced Innovation Center for Food Nutrition and Human Health; China Agricultural University
  • Ziyi ZhouBeijing Advanced Innovation Center for Food Nutrition and Human Health; China Agricultural University

Abstract

Background

Dietary recommendations regarding egg intake remain controversial topic for public health. We hypothesized that there was a positive association between egg consumption and all-cause mortality.

Methods

To test this hypothesis, we enrolled 9885 adults from a community-based cohort in Anhui Province, China during 2003-05. Egg consumption was assessed by food questionnaire. Stratified analyses were performed for age, sex, body mass index (BMI), blood pressure, smoking, drinking and laboratory tests.

Results

After an average follow-up of 14.1 years, 9444 participants were included for analysis. A total of 814 deaths were recorded. Participants' BMI and lipid profile had no significantly difference between three egg consumption groups. BMI was 21.6±2.7 of the whole population, especially BMI>24 was only 17.3%. A bivariate association of egg consumption >6/week with increased all-cause mortality was observed compared with ≤6/week (RR: 1.35, 95% CI: 1.05, 1.73, P = 0.018). A significant interaction was observed for BMI ≥ 21.2 kg/m2 vs. BMI<21.2 kg/m2 (P for interaction: 0.001). No other significant interactions were found.

Conclusions

In this study, consuming >6 eggs/week increased risk of all-cause mortality, even among lean participants, especially who with BMI ≥ 21.2 kg/m2. Eggs are an easily accessible and constitute an affordable food source in underdeveloped regions. Consuming <6 eggs/week may be the most suitable intake mode.

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

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