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Eur J Nutr. 2019 Aug;58(5):2003-2010. doi: 10.1007/s00394-018-1754-6. Epub 2018 Jun 15.

Moderate egg consumption and all-cause and specific-cause mortality in the Spanish European Prospective into Cancer and Nutrition (EPIC-Spain) study.

Author information

1
Unit of Nutrition and Cancer, Cancer Epidemiology Research Programme, Catalan Institute of Oncology (ICO), Bellvitge Biomedical Research Institute (IDIBELL), Avda Gran Via 199-203, L'Hospitalet de Llobregat, 08907, Barcelona, Spain. rzamora@idibell.cat.
2
Unit of Nutrition and Cancer, Cancer Epidemiology Research Programme, Catalan Institute of Oncology (ICO), Bellvitge Biomedical Research Institute (IDIBELL), Avda Gran Via 199-203, L'Hospitalet de Llobregat, 08907, Barcelona, Spain.
3
Catalan Institute of Oncology (ICO), Barcelona, Spain.
4
Public Health Directorate, Asturias, Spain.
5
Escuela Andaluza de Salud Pública, Instituto de Investigación Biosanitaria ibs, Granada, Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain.
6
CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
7
Public Health Division of Gipuzkoa, Regional Government of the Basque Country, Donostia, Spain.
8
Department of Epidemiology, Murcia Regional Health Council, IMIB-Arrixaca, Murcia, Spain.
9
Department of Health and Social Sciences, Universidad de Murcia, Murcia, Spain.
10
Navarra Public Health Institute, Pamplona, Spain.
11
IdiSNA, Navarra Institute for Health Research, Pamplona, Spain.
12
REDISECC Red de Servicios de Salud Orientados a Enfermedades Crónicas, Madrid, Spain.

Abstract

PURPOSE:

Dietary guidelines for egg consumption for general population differ among public health agencies. Our aim was to investigate the association between egg intake and both all-cause and specific-cause of mortality in a Mediterranean population.

METHODS:

The European Prospective Investigation into Cancer and Nutrition (EPIC)-Spain cohort included 40,621 men and women aged 29-69 years old in the nineties from 5 Spanish regions. After a mean of 18 years of follow-up, 3,561 deaths were recorded, of which 1,694 were from cancer, 761 from CVD, and 870 from other causes. Data on egg consumption was collected using a validated diet history at recruitment. Cox proportional hazards models, adjusted for confounders, were used in the analyses.

RESULTS:

The mean (standard deviation) egg consumption was 22.0 g/day (15.8) and 30.9 g/day (23.1) in women and men, respectively. No association was observed between egg consumption and all-cause mortality for the highest vs the lowest quartile (HR 1.01; 95% CI 0.91-1.11; P trend = 0.96). Likewise, no association was observed with cancer and cardiovascular diseases mortality. However, an inverse association was found between egg consumption and deaths for other causes (HR 0.76; 95% CI 0.63-0.93; P trend = 0.003), particularly for deaths from the nervous system (HR 0.59; 95% CI 0.35-1.00; P trend = 0.036). No interaction was detected with the adherence to Mediterranean diet.

CONCLUSIONS:

This study shows no association between moderate egg consumption, up to 1 egg per day, and main causes of mortality in a large free-living Mediterranean population.

KEYWORDS:

Cohort; EPIC-Spain; Egg; Intake; Mortality

PMID:
29905885
DOI:
10.1007/s00394-018-1754-6

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