Egg consumption and risk of cardiovascular events among Iranians: results from Isfahan Cohort Study (ICS).


Journal

European journal of clinical nutrition
ISSN: 1476-5640
Titre abrégé: Eur J Clin Nutr
Pays: England
ID NLM: 8804070

Informations de publication

Date de publication:
10 2022
Historique:
received: 09 02 2021
accepted: 10 03 2022
revised: 26 02 2022
pubmed: 30 3 2022
medline: 13 10 2022
entrez: 29 3 2022
Statut: ppublish

Résumé

The association between egg consumption and cardiovascular events remains controversial. This study aims to evaluate this association in cardiovascular events including myocardial infarction (MI), ischemic coronary heart disease (ICHD), stroke, cardiovascular disease (CVD), and CVD mortality in an Iranian population. This prospective cohort study included 6504 adults (age ≥ 35 years) with no history of CVD event at baseline. The frequency of egg consumption was assessed using a validated food frequency questionnaire. Participants were followed for 12 years and incidence of new CVD cases were determined through active examinations and linkages to multiple registries. Cox frailty models were conducted to calculate adjusted hazard ratios (HR)s for cardiovascular events associated with egg consumption. Over a median follow-up of 12 years, fully adjusted model [adjusted for age, sex, education, residency, smoking, daily physical activity, family history of CVD, metabolic syndrome, aspirin, body mass index and Global Dietary Index] revealed a null association between egg and cardiovascular events. Compared with non-consumers (<1 time/week), higher egg consumption (≥3 time/week) was not associated with incident MI (HR = 1.44, 95% CI: 0.86, 2.41; P = 0.48), ICHD (HR = 1.26, 95% CI: 0.80, 1.99; P = 0.41), stroke (HR = 0.79, 95% CI: 0.46, 1.38; P = 0.71) and CVD (HR = 1.05, 95% CI: 0.79, 1.40; P = 0.93). These findings suggest that higher egg consumption is not associated with increased risk of MI, ICHD, stroke, and CVD among Iranians. Larger studies with longer duration of follow-up are warranted to explore these associations in populations with higher egg consumption.

Identifiants

pubmed: 35347253
doi: 10.1038/s41430-022-01118-1
pii: 10.1038/s41430-022-01118-1
doi:

Substances chimiques

Aspirin R16CO5Y76E

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1409-1414

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer Nature Limited.

Références

Drouin-Chartier JP, Chen S, Li Y, Schwab AL, Stampfer MJ, Sacks FM, et al. Egg consumption and risk of cardiovascular disease: three large prospective US cohort studies, systematic review, and updated meta-analysis. BMJ. 2020;368:m513.
doi: 10.1136/bmj.m513
Dehghan M, Mente A, Rangarajan S, Mohan V, Lear S, Swaminathan S, et al. Association of egg intake with blood lipids, cardiovascular disease, and mortality in 177,000 people in 50 countries. Am J Clin Nutr. 2020;111:795–803.
doi: 10.1093/ajcn/nqz348
Godos J, Micek A, Brzostek T, Toledo E, Iacoviello L, Astrup A, et al. Egg consumption and cardiovascular risk: a dose-response meta-analysis of prospective cohort studies. Eur J Nutr. 2021;60:1833–62.
doi: 10.1007/s00394-020-02345-7
Tong TYN, Appleby PN, Key TJ, Dahm CC, Overvad K, Olsen A, et al. The associations of major foods and fibre with risks of ischaemic and haemorrhagic stroke: a prospective study of 418 329 participants in the EPIC cohort across nine European countries. Eur Heart J. 2020;41:2632–40.
doi: 10.1093/eurheartj/ehaa007
van den Brandt PA. Red meat, processed meat, and other dietary protein sources and risk of overall and cause-specific mortality in The Netherlands Cohort Study. Eur J Epidemiol. 2019;34:351–69.
doi: 10.1007/s10654-019-00483-9
Dietary Guidelines Advisory Committee. Scientific report of the 2015 dietary guidelines advisory committee: advisory report to the secretary of health and human services and the secretary of agriculture. Washington, DC: US Dept of Agriculture, Agricultural Research Service; 2015.
Krittanawong C, Narasimhan B, Wang Z, Virk HUH, Farrell AM, Zhang H, et al. Association between egg consumption and risk of cardiovascular outcomes: a systematic review and meta-analysis. Am J Med. 2021;134:76–83.e2.
doi: 10.1016/j.amjmed.2020.05.046
Rouhani MH, Rashidi-Pourfard N, Salehi-Abargouei A, Karimi M, Haghighatdoost F. Effects of egg consumption on blood lipids: a systematic review and meta-analysis of randomized clinical trials. J Am Coll Nutr. 2018;37:99–110.
doi: 10.1080/07315724.2017.1366878
Farvid MS, Malekshah AF, Pourshams A, Poustchi H, Sepanlou SG, Sharafkhah M, et al. Dietary protein sources and all-cause and cause-specific mortality: the Golestan Cohort Study in Iran. Am J Prev Med. 2017;52:237–48.
doi: 10.1016/j.amepre.2016.10.041
Sarrafzadegan N, Talaei M, Sadeghi M, Kelishadi R, Oveisgharan S, Mohammadifard N, et al. The Isfahan cohort study: rationale, methods and main findings. J Hum Hypertens. 2011;25:545–53.
doi: 10.1038/jhh.2010.99
Sarrafzadegan N, Azadbakht L, Mohammadifard N, Esmaillzadeh A, Safavi M, Sajadi F, et al. Do lifestyle interventions affect dietary diversity score in the general population? Public Health Nutr. 2009;12:1924–30.
doi: 10.1017/S1368980009004856
Sarrafzadegan N, Kelishadi R, Sadri G, Malekafzali H, Pourmoghaddas M, Heidari K, et al. Outcomes of a comprehensive healthy lifestyle program on cardiometabolic risk factors in a developing country: the Isfahan Healthy Heart Program. Arch Iran Med. 2013;16:4–11.
pubmed: 23273227
Talaei M, Rabiei K, Talaei Z, Amiri N, Zolfaghari B, Kabiri P, et al. Physical activity, sex, and socioeconomic status: A population based study. ARYA atheroscler. 2013;9:51–60.
pubmed: 23696760 pmcid: 3653259
Mohammadifard N, Sajjadi F, Maghroun M, Alikhasi H, Nilforoushzadeh F, Sarrafzadegan N. Validation of a simplified food frequency questionnaire for the assessment of dietary habits in Iranian adults: Isfahan Healthy Heart Program, Iran. ARYA Atheroscler. 2015;11:139–46.
pubmed: 26405443 pmcid: 4568199
Mohammadifard N, Sarrafzadegan N, Nouri F, Sajjadi F, Alikhasi H, Maghroun M, et al. Using factor analysis to identify dietary patterns in Iranian adults: Isfahan Healthy Heart Program. Int J Public Health. 2012;57:235–41.
doi: 10.1007/s00038-011-0260-x
Mohammadifard N, Kelishadi R, Safavi M, Sarrafzadegan N, Sajadi F, Sadri GH, et al. Effect of a community-based intervention on nutritional behaviour in a developing country setting: the Isfahan Healthy Heart Programme. Public Health Nutr. 2009;12:1422–30.
doi: 10.1017/S1368980008004230
Luepker RV, Apple FS, Christenson RH, Crow RS, Fortmann SP, Goff D, et al. Case definitions for acute coronary heart disease in epidemiology and clinical research studies: a statement from the AHA Council on Epidemiology and Prevention; AHA Statistics Committee; World Heart Federation Council on Epidemiology and Prevention; the European Society of Cardiology Working Group on Epidemiology and Prevention; Centers for Disease Control and Prevention; and the National Heart, Lung, and Blood Institute. Circulation. 2003;108:2543–9.
doi: 10.1161/01.CIR.0000100560.46946.EA
Therneau T. Mixed effects Cox models. R package version 2.2-5. CRAN repository. 2015.
Hougaard P. Frailty models for survival data. Lifetime Data Anal. 1995;1:255–73.
Wienke A. Frailty Models, Max Planck Institute for Demographic Research, MPIDR Working Paper WP 2003−032, 2003. http://www.demogr.mpg.de/ .
Rothman KJ, Greenland S, Lash TLJMe. Types of epidemiologic studies. Modern Epidemiology (second ed.), Lippincott, Raven. 1998;3:95−7.
Murray DM. Design and analysis of community trials: lessons from the Minnesota Heart Health Program. Am J Epidemiol. 1995;142:569–75.
doi: 10.1093/oxfordjournals.aje.a117677
Hannan PJ, Murray DM, Jacobs DR Jr, McGovern PG. Parameters to aid in the design and analysis of community trials: intraclass correlations from the Minnesota Heart Health Program. Epidemiol. 1994;5:88–95.
doi: 10.1097/00001648-199401000-00013
Zhong VW, Van Horn L, Cornelis MC, Wilkins JT, Ning H, Carnethon MR, et al. Associations of dietary cholesterol or egg consumption with incident cardiovascular disease and mortality. JAMA. 2019;321:1081–95.
doi: 10.1001/jama.2019.1572
Xia X, Liu F, Yang X, Li J, Chen J, Liu X, et al. Associations of egg consumption with incident cardiovascular disease and all-cause mortality. Sci China Life Sci. 2020;63:1317–27.
doi: 10.1007/s11427-020-1656-8
Djousse L, Gaziano JM. Egg consumption and risk of heart failure in the Physicians’ Health Study. Circulation. 2008;117:512–6.
doi: 10.1161/CIRCULATIONAHA.107.734210
Djousse L, Ho YL, Nguyen XT, Quaden RM, Gagnon DR, Gaziano JM, et al. Egg consumption and risk of coronary artery disease in the Million Veteran Program. Clin Nutr. 2020;39:2842–7.
doi: 10.1016/j.clnu.2019.12.017
Hu FB, Stampfer MJ, Rimm EB, Manson JE, Ascherio A, Colditz GA, et al. A prospective study of egg consumption and risk of cardiovascular disease in men and women. JAMA. 1999;281:1387–94.
doi: 10.1001/jama.281.15.1387
Blesso CN. Egg phospholipids and cardiovascular health. Nutrients. 2015;7:2731–47.
doi: 10.3390/nu7042731
Berger S, Raman G, Vishwanathan R, Jacques PF, Johnson EJ. Dietary cholesterol and cardiovascular disease: a systematic review and meta-analysis. Am J Clin Nutr. 2015;102:276–94.
doi: 10.3945/ajcn.114.100305
Singh IM, Shishehbor MH, Ansell BJ. High-density lipoprotein as a therapeutic target: a systematic review. JAMA. 2007;298:786–98.
doi: 10.1001/jama.298.7.786
Bonnema AL, Altschwager DK, Thomas W, Slavin JL. The effects of the combination of egg and fiber on appetite, glycemic response and food intake in normal weight adults - a randomized, controlled, crossover trial. Int J Food Sci Nutr. 2016;67:723–31.
doi: 10.1080/09637486.2016.1196654
Ratliff J, Leite JO, de Ogburn R, Puglisi MJ, VanHeest J, Fernandez MLJNR. Consuming eggs for breakfast influences plasma glucose and ghrelin, while reducing energy intake during the next 24 h in adult men. Nutr Res. 2010;30:96–103.
doi: 10.1016/j.nutres.2010.01.002
Chung HY, Rasmussen HM, Johnson EJ. Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men. J Nutr. 2004;134:1887–93.
doi: 10.1093/jn/134.8.1887
Kim JE, Gordon SL, Ferruzzi MG, Campbell WW. Effects of egg consumption on carotenoid absorption from co-consumed, raw vegetables. Am J Clin Nutr. 2015;102:75–83.
doi: 10.3945/ajcn.115.111062
Ciccone MM, Cortese F, Gesualdo M, Carbonara S, Zito A, Ricci G, et al. Dietary intake of carotenoids and their antioxidant and anti-inflammatory effects in cardiovascular care. Mediators Inflamm. 2013;2013:782137.
doi: 10.1155/2013/782137
Handelman GJ, Nightingale ZD, Lichtenstein AH, Schaefer EJ, Blumberg JB. Lutein and zeaxanthin concentrations in plasma after dietary supplementation with egg yolk. Am J Clin Nutr. 1999;70:247–51.
doi: 10.1093/ajcn.70.2.247

Auteurs

Noushin Mohammadifard (N)

Hypertension Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

Marzieh Taheri (M)

Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

Fahimeh Haghighatdoost (F)

Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran. f_haghighatdoost@yahoo.com.

Narges Grau (N)

Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

Jamshid Najafian (J)

Interventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

Masoumeh Sadeghi (M)

Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

Mohammad Talaei (M)

Institute of Population Health Sciences, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.

Nizal Sarrafzadegan (N)

Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH