Egg Consumption and Risk of Type 2 Diabetes in Men and Women

被引:123
作者
Djousse, Luc [1 ]
Gaziano, J. Michael [1 ,2 ,3 ]
Buring, Julie E. [1 ,2 ,4 ,5 ]
Lee, I-Min [2 ,5 ]
机构
[1] Harvard Univ, Brigham & Womens Hosp, Sch Med, Dept Med,Div Aging, Boston, MA 02115 USA
[2] Harvard Univ, Brigham & Womens Hosp, Sch Med, Dept Med,Div Prevent Med, Boston, MA 02115 USA
[3] Boston Vet Affairs Healthcare Syst, MAVERIC, Jamaica Plain, MA USA
[4] Harvard Univ, Sch Med, Dept Ambulatory Care & Prevent, Boston, MA 02115 USA
[5] Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA
关键词
DIETARY-CHOLESTEROL; CARDIOVASCULAR-DISEASE; PRIMARY PREVENTION; VITAMIN-E; FAT; LIPOPROTEINS; HEALTH;
D O I
10.2337/dc08-1271
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE - Whereas limited and inconsistent findings have been reported On the relation between dietary cholesterol or egg consumption and fasting glucose, no previous study has examined the association between egg consumption and type 2 diabetes. This project sought to examine the relation between egg intake and the risk of type 2 diabetes in two large prospective cohorts. RESEARCH DESIGN AND METHODS - it, this prospective Study, we used data from two completed randomized trials: 20,703 men from the Physicians' Health Study 1 (1982-2007) and 36,295 women from the Women's Health Study (1992-2007). Egg consumption was ascertained using questionnaires, and we Used the Cox proportional hazard model to estimate relative risks of type 2 diabetes. RESULTS - During mean follow-up of 20.0 years in men and 11.7 years in women, 1,921 men and 2,112 women developed type 2 diabetes. Compared with no egg consumption, multivariable adjusted hazard ratios for type 2 diabetes were 1.09 (95% CI 0.87-1.37), 1.09 (0.88-1.34), 1.18 (0.95-1.45), 1.46 (1.14-1.86), and 1.58 (1.25-2.01) for consumption of <1, 1, 2-4, 5-6, and >= 7 eggs/week, respectively, in men (P for trend <0.0001). Corresponding multivariable hazard ratios for women were 1.06 (0.92-1.22), 0.97 (0.83-1.1.2), 1.19 (1.03,1.38), 1.18 (0.88-1.58), and 1.77 (1.28-2.43), respectively (P for trend <0.0001.). CONCLUSIONS - These data suggest that high levels of egg consumption (daily) are associated With an increased risk of type 2 diabetes in men and women. Confirmation of these findings in other populations is warranted.
引用
收藏
页码:295 / 300
页数:6
相关论文
共 25 条
[1]   Cholesterol and unsaturated fat diets influence lipid and glucose concentrations in rats [J].
Adamopoulos, PN ;
Papamichael, CM ;
Zampelas, A ;
Moulopoulos, SD .
COMPARATIVE BIOCHEMISTRY AND PHYSIOLOGY B-BIOCHEMISTRY & MOLECULAR BIOLOGY, 1996, 113 (03) :659-663
[2]   Dietary cholesterol does not increase biomarkers for chronic disease in a pediatric population from northern Mexico [J].
Ballesteros, MN ;
Cabrera, RM ;
Saucedo, MD ;
Fernandez, ML .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 2004, 80 (04) :855-861
[3]  
Chakrabarty Gayatri, 2004, Indian J Physiol Pharmacol, V48, P286
[4]  
Chakrabarty Gayatri, 2002, Indian J Physiol Pharmacol, V46, P492
[5]   Egg consumption in relation to cardiovascular disease and mortality:: the Physicians' Health Study [J].
Djousse, Luc ;
Gaziano, J. Michael .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 2008, 87 (04) :964-969
[6]   Dietary cholesterol provided by eggs and plasma lipoproteins in healthy populations [J].
Fernandez, ML .
CURRENT OPINION IN CLINICAL NUTRITION AND METABOLIC CARE, 2006, 9 (01) :8-12
[7]   HABITUAL DIETARY-INTAKE AND GLUCOSE-TOLERANCE IN EUGLYCEMIC MEN - THE ZUTPHEN STUDY [J].
FESKENS, EJM ;
KROMHOUT, D .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 1990, 19 (04) :953-959
[8]   The ABCG5 polymorphism contributes to individual responses to dietary cholesterol and carotenoids in eggs [J].
Herron, KL ;
McGrane, MM ;
Waters, D ;
Lofgren, IE ;
Clark, RM ;
Ordovas, JM ;
Fernandez, ML .
JOURNAL OF NUTRITION, 2006, 136 (05) :1161-1165
[9]   A prospective study of egg consumption and risk of cardiovascular disease in men and women [J].
Hu, FB ;
Stampfer, MJ ;
Rimm, EB ;
Manson, JE ;
Ascherio, A ;
Colditz, GA ;
Rosner, BA ;
Spiegelman, D ;
Speizer, FE ;
Sacks, FR ;
Hennekens, CH ;
Willett, WC .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 281 (15) :1387-1394
[10]   Vitamin E in the primary prevention of cardiovascular disease and cancer - The Women's Health Study: A randomized controlled trial [J].
Lee, IM ;
Cook, NR ;
Gaziano, JM ;
Gordon, D ;
Ridker, PM ;
Manson, JE ;
Hennekens, CH ;
Buring, JE .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2005, 294 (01) :56-65