Eggs make up a relatively small contribution to the energy consumption of the average American, in part because of the perception that the cholesterol content makes them a forbidden food for a heart-healthy diet. The relationship between egg cholesterol, blood cholesterol, and cardiovascular disease risk is complex and not clearly understood. In addition, eggs provide many valuable and bioavailable nutrients. Thus, the place of eggs in meal planning should be reconsidered while keeping in mind the diet and lifestyle recommendations of the American Heart Association.
Herron KL, Fernandez MLAre the current dietary guidelines regarding egg consumption appropriate? J Nutr. 2004;134:187-190.
2.
McNamara DJThe impact of egg limitation on coronary heart disease risk: do the numbers add up?J Am Coll Nutr.2000;19:540S-548S.
3.
Kritchevsky SB, Kritchevsky D.Egg consumption and coronary heart disease: an epidemiological overview. J Am Coll Nutr. 2000;19:549-555.
4.
Dawber TB, Nickerson RJ, Brand FN, Pool J.Eggs, serum cholesterol and coronary heart disease. Am J Clin Nutr. 1982;36:617-625.
5.
Tillotson JL , Bartsch GE, Gordon D., Grandits GA, Stamler J.Food group and nutrient intake at baseline in the Multiple Risk Factor Intervention Trial. Am J Clin Nutr.1997;65:228S-257S.
6.
Song WO, Kerver JMNutritional contribution of eggs toAmerican diets. J Am Coll Nutr. 2000;19:556-562.
7.
Djousse L., Gaziano JMEgg consumption in relation to cardiovascular disease and mortality: the Physicians' Health Study. Am J Clin Nutr. 2008;87:964-969.
8.
Kritchevsky SBAdherence bias in epidemiology. Am J Clin Nutr. 2008;88:1448-1449.
9.
Nettleton JA, Steffen LM, Loehr LR, Rosamond WD, Folsom ARIncident heart failure is associated with lower whole-grain intake and greater high fat dairy and egg intake in the Atherosclerosis Risk in Communities (ARIC) study. J Am Diet Assoc. 2008;108:1881-1887.
10.
Ershow AG, Costello RBDietary guidance for heart failure: a perspective on needs for prevention and management. Heart Fail Rev. 2006;11:7-12.
11.
Djousse L., Gaziano JMEgg consumption and risk of heart failure in the Physicians' Health Study . Circulation. 2008;117: 512-516.
12.
Fernandes MLDietary cholesterol provided by eggs and plasma lipoproteins in healthy populations. Curr Opin Clin Nutr Metab Care. 2006;9(1):8-12.
13.
Greene CM, Waters D., Clark RM, Contois JH, Fernandez MLPlasma LDL and HDL characteristics and carotenoid content are positively influenced by egg consumption in an elderly population. Nutr Metab. 2006;3:6.
14.
Knopp RH, Retzlaff B., Fish B., et al. Effects of insulin resistance and obesity on lipoproteins and sensitivity to egg feeding. Arterioscler Thromb Vasc Biol . 2006;23:1437-1443.
15.
Herron KL, McGrane MM, Water D., et al. The ABCG5 polymorphism contributes to individual responses to dietary cholesterol and carotenoids in eggs. J Nutr. 2006:136:1161-1165.
16.
Wenzel AJ, Gerweck C., Barato D., Nicolosi RJ, Handelman GJ, Curran-Celentano J.A 12-wk egg intervention increases serum zeaxanthin and macular pigment optical density in women. J Nutr. 2006;136:2568-2573.
17.
Bourre JM, Galea F.An important source of omega-3 fatty acids, vitamin D and E, carotenoids, iodine and selenium: a new natural multi-enriched egg. J Nutr Health Aging. 2006;5:371-376.
18.
Centers for Disease Control and Prevention.The Power of Prevention: Reducing the Health Economic Burden of Chronic Disease. Atlanta, GA: Department of Health and Human Services, Centers for Disease Control and Prevention ; February 2003.
Ratcliff JC , Mutungi G., Puglisi MJ, Volek JS, Fernandez MLEggs modulate the inflammatory response to carbohydrate restricted diets in overweight men. Nutr Metab . 2008;5:6.
21.
Mutungi G., Ratliff J., Puglisi M., et al. Dietary cholesterol from eggs increases plasma HDL cholesterol in overweight men consuming a carbohydrate-restricted diet. J Nutr. 2008;138:272-276.
22.
Klein R., Klein BE, Jensen SC, Meuer SMThe five-year incidence and progression of age-related macular degeneration . Ophthalmology. 1997;104:7-21.
23.
Goldberg J. , Flowerdew J., Smith E., Brody JA, Tso MOM . Factors related to age-related macular degeneration: analysis of data form the First National Health and Nutrition Examination Survey. Am J Epidemiol. 1988:128:700-710.
24.
Handelman GJ , Nightingale ZD, Lichtenstein AH, Schaefer EJ, Blumberg JBLutein and zeaxanthin concentration in plasma after dietary supplementation with egg yolk. Am J Clin Nutr . 1999;70(2):247-251.
25.
Sommerburg O., Keunen JE, Bird AC, van Kujik FJFruit and vegetables that are sources for lutein and xeaxanthin: the macular pigment in human eyes. Br J Ophthalmol. 1998;82:907-910.
26.
Johnson EJ, Hammond BR, Yeum KJ, et al. Relationship among serum and tissue concentrations of lutein and zeaxanthin and macular pigment density. Am J Clin Nutr . 2000;71:555-562.
27.
Burke JD, Curran-Celentano J., Wenzel AJDiet and serum carotenoid concentration affect macular pigment optical density in adults 45 years and older. J Nutr. 2005 ;135:1208-1214.
28.
Bone RA, Landrum JT, Guerra LH, Ruiz CALutein and zeaxanthin dietary supplements raise macular pigment density and serum concentrations of these carotenoids in humans. J Nutr . 2003;133: 992-998.
29.
Goodrow EF, Wilson TA, Houde SC, et al. Consumption of one egg per day increases serum lutein and zeaxanthin concentrations in older adults without altering serum lipid and lipoprotein cholesterol concentrations. J Nutr. 2006;136:2519-2524.
30.
Johnson R.Nutrition sense: eating for your eyes. EatingWell. 2009;March/April:40-41.
31.
Lichtenstein AH, Appel LJ, Brands M., et al; American Heart Association Nutrition Committee. Diet and lifestyle recommendations revision 2006: a scientific statement from the American Heart Association Nutrition Committee . Circulation. 2006;114:82-97.
32.
Gidding SS, Lichtenstein AH, Faith MS, et al. Implementing American Heart Association Pediatric and Adult Nutrition Guidelines: a scientific statement from the American Heart Association Nutrition Committee of the Council on Nutrition, Physical Activity and Metabolism, Council on Cardiovascular Disease in the Young, Council on Atherosclerosis, Thrombosis and Vascular Biology, Council on Cardiovascular Nursing, Council on Epidemiology and Prevention and Council for High Blood Pressure Research . Circulation. 2009;119:1161-1175.
33.
Executive summary of the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA. 2001;285:2486-2497.
34.
Garwin JL, Morgan JM, Stowell RL, Richardson MP, Walker MC, Capuzzi DMModified eggs are compatible with a diet that reduces serum cholesterol concentrations in humans. J Nutr. 1992;122: 2153-2160.
35.
Gilbert LCThe functional food trend: what's next and what Americans think about eggs . J Am Coll Nutr.2000;19: 507S-512S.