Meta-analysis2025Industry fundedOpen access

Funded in part by Australian Egg Corporation Limited, Australian Eggs, PhD scholarship partly funded by Australian Eggs Ltd

The Impact of Egg Consumption on Gastrointestinal Health: A Systematic Literature Review and Meta-Analysis

Sultan N, Tuck CJ, Cheng E, Kellow NJ, Biesiekierski JR

Nutrients · 3 citations

Review labels

Author industry tiesIndustry funded

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
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Not stated

Who paid for it

Funding
Industry funded
Industry group
Australian Egg Corporation Limited
University or hospital
Monash University
Industry group
Australian Eggs
Government
Medical Research Council
Government
National Health and Medical Research Council
Government
National Health and Medical Research Council Emerging Leadership Fellowship
Industry group
PhD scholarship partly funded by Australian Eggs Ltd
Authors
At least one author declares a financial tie to industry
Grants
National Health and Medical Research Council (2025943); Australian Eggs (GROW005); National Health and Medical Research Council (GROW005); Australian Egg Corporation Limited (GROW005); Australian Egg Corporation Limited (APP2025943)

Based on 7 listed funder(s) and full-text disclosure statement.

Publication

Published
2025-06-20 · Nutrients · vol. 17 · issue 13 · p. 2059
Publisher
Multidisciplinary Digital Publishing Institute
Cited
3 citations · more than 67% of similar papers · 0.9× the field average
References
87 works
Access
Open access (journal) · CC-BY
Research areas
Nutritional Studies and Diet · Gut microbiota and health · Food composition and properties
Keywords
Meta-analysis, Gastrointestinal tract, Medicine, Systematic review, Microbiome, Randomized controlled trial, Internal medicine, Choline, Trimethylamine N-oxide, Gastroenterology, Physiology, MEDLINE, Biology, Bioinformatics, Trimethylamine, Biochemistry
MeSH
gastrointestinal tract, humans, choline, methylamines, c-reactive protein, diet, eggs, adult, female, male, biomarkers, gastrointestinal microbiome

5 authors

From AU

  • Nessmah SultanMonash University
  • Caroline J. TuckSwinburne University of Technology
  • T.C.E. ChengMonash University
  • Nicole J. Kellow · correspondingMonash University
  • Jessica R. Biesiekierski · correspondingThe University of Melbourne; Monash University

Abstract

Objective

Eggs are a valuable source of nutrients and bioactive compounds that may influence the gastrointestinal tract by modulating the microbiome, promoting the production of gastrointestinal-related metabolites, and mediating inflammation. Limited human studies have explored the effects of whole egg intake on indices of gastrointestinal health. This systematic literature review aimed to synthesise research investigating the impact of whole egg consumption on markers of gastrointestinal health.

Methods

Five databases were searched from inception until July 2024. Studies were included if they examined the link between whole egg consumption and gastrointestinal markers, including symptoms, gut microbiome composition, inflammation, colonic fermentation, and egg-derived metabolites such as trimethylamine N-oxide (TMAO) in healthy adults. Two reviewers independently conducted title and abstract and full-text screening, with conflicts resolved by a third reviewer. Similarly, two authors conducted data extraction, which was verified by a third. A risk of bias assessment was conducted using validated tools. Random effects meta-analyses were performed to summarise the effect of egg consumption on TMAO, choline, and C-reactive protein (CRP).

Results

Twenty-two studies were included in a narrative synthesis and ten in the meta-analyses. Nine were randomised controlled trials (RCTs), three were non-randomised intervention trials, eight were cross-sectional, and two were prospective cohort studies. Meta-analyses indicated that egg consumption did not impact plasma TMAO (n = 6, p = 0.22) or CRP (n = 3, p = 0.45) concentrations but did increase plasma choline (n = 5, p < 0.001) in the short term (≤4 weeks). Four studies found correlations between habitual egg consumption and specific gut bacteria, although results varied as egg consumption was both positively and negatively associated with butyrate-producing genera.

Conclusions

This review found conflicting results regarding egg consumption and most gastrointestinal outcomes, highlighting that future studies are needed to explore links between habitual egg intake and plasma TMAO, microbial diversity, and inflammation (PROSPERO registration: 408532).

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

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