Zhang Xianzhuo, Lv Meng, Luo Xufei, Estill Janne, Wang Ling, Ren Mengjuan, Liu Yunlan, Feng Ziyun, Wang Jianjian, Wang Xiaohui, Chen Yaolong
The First School of Clinical Medicine, Lanzhou University, Lanzhou, China.
School of Public Health, Lanzhou University, Lanzhou, China.
Ann Transl Med. 2020 Nov;8(21):1343. doi: 10.21037/atm-20-4243.
Several systematic reviews and meta-analyses have assessed the association between egg consumption and human health, but the evidence is often conflicting.
We conducted a systematic literature search to find all systematic reviews and meta-analyses that assess the association between egg consumption and any type of health outcome. We used AMSTAR to evaluate the methodological quality of the reviews, and GRADE to determine the quality of evidence. We visualized the results using a human anatomy diagram and evidence mapping.
Our search revealed 29 systematic reviews and meta-analyses. Eight studies were of high methodological quality, 16 studies of medium quality, and five studies of low quality. We identified 34 primary outcomes from the included 29 reviews, which were combined into a total of 22 different health outcomes. Two of the primary outcomes were based on high-quality evidence, 18 on moderate-quality evidence, and 14 on low-quality evidence. Egg consumption was associated with an increased risk of two diseases and decreased risk of six outcomes. For ten outcomes, no significant association was found, and for four outcomes, different reviews came to conflicting conclusions.
The association between egg consumption and the risk of cancer, diabetes, cardiovascular diseases and other related diseases has been studied in several meta-analyses. The evidence from different studies on the same topic was often conflicting, which can complicate the making of dietary recommendations.
多项系统评价和荟萃分析评估了鸡蛋摄入与人类健康之间的关联,但证据往往相互矛盾。
我们进行了一项系统的文献检索,以查找所有评估鸡蛋摄入与任何类型健康结局之间关联的系统评价和荟萃分析。我们使用AMSTAR评估这些评价的方法学质量,并使用GRADE确定证据质量。我们使用人体解剖图和证据映射来直观展示结果。
我们的检索共发现29项系统评价和荟萃分析。8项研究方法学质量高,16项中等质量,5项低质量。我们从纳入的29项评价中确定了34个主要结局,这些结局被合并为总共22种不同的健康结局。其中2个主要结局基于高质量证据,18个基于中等质量证据,14个基于低质量证据。鸡蛋摄入与两种疾病风险增加以及六种结局风险降低相关。对于十种结局,未发现显著关联,对于四种结局,不同的评价得出了相互矛盾的结论。
多项荟萃分析研究了鸡蛋摄入与癌症、糖尿病、心血管疾病及其他相关疾病风险之间的关联。关于同一主题的不同研究证据往往相互矛盾,这可能会使饮食建议的制定变得复杂。