Global Health Asia-Pacific March 2020 | Page 22

Holistic Health An egg a day keeps consensus away Researchers still cannot agree on the health benefits of eating eggs R esearch into eating eggs shows that it’s devilishly difficult to find a conclusive answer to whether they are good or bad for heart health, especially in people with certain diseases, such as diabetes. For every study that shows eggs can reduce the risk of cardiovascular disease, another contradicts it. For example, a 2018 Chinese study of almost half a million people found that eating an egg a day could reduce the risk of stroke by 26 percent compared to people who don’t eat them. It also showed that daily egg consumption was associated with a lower risk of cardiovascular disease overall. In particular, daily egg consumers had a 26 percent lower risk of haemorrhagic stroke, which has a higher prevalence in China than in high-income countries, accompanied by a 28 percent lower risk of haemorrhagic stroke death. They also benefited from an 18 percent lower risk of cardiovascular disease death. Daily egg consumption similarly produced a 12 percent reduction in the risk of ischaemic heart when compared with the “never/rarely” consumption category. As this was an observational study, however, no firm conclusions could be drawn about cause and effect, but its large sample size had taken into account established and potential risk factors for cardiovascular disease, the authors said. In contrast, American research published last March found that high sources of dietary cholesterol, such as eggs, were associated with a higher risk of heart disease. In analysing the dietary intake of nearly 30,000 American adults over more than 17 years, the team found that each additional half an egg consumed increased the risk of heart disease by over three percent. This study was also observational. Despite being a prominent source of dietary cholesterol, eggs also contain high-quality protein, many vitamins, and bioactive components, such as phospholipids and carotenoids. They’ve also been found to help regulate the intake of fat and carbohydrates, protect eye health, and promote healthy blood vessels and healthy pregnancies. Given these health benefits, how does egg consumption affect those suffering from certain diseases such as diabetes? A 2018 study at Sydney University’s Boden Institute of Obesity, Nutrition, Exercise and Eating Disorders found that eating 12 eggs a week for a year did not increase cardiovascular risk factors in people with pre- diabetes and type 2 diabetes. 20 MARCH 2020 Dr Nick Fuller, who led the study, told Global Health Asia-Pacific that a number of previous epidemiological studies had indicated that high egg consumption could be associated with worse outcomes, however. “The findings in such studies are affected by many confounding factors. For example, at the time that these epidemiological studies were being conducted, a public health campaign was advising people to limit their cholesterol intake, including their consumption of eggs,” Dr Fuller said. “Individuals consuming more than six eggs per week at that time may have been less likely to be following healthy dietary and lifestyle advice in general.” GlobalHealthAndTravel.com