@article {Qin1756, author = {Chenxi Qin and Jun Lv and Yu Guo and Zheng Bian and Jiahui Si and Ling Yang and Yiping Chen and Yonglin Zhou and Hao Zhang and Jianjun Liu and Junshi Chen and Zhengming Chen and Canqing Yu and Liming Li}, editor = {, and , and Chen, Junshi and Chen, Zhengming and Clarke, Robert and Collins, Rory and Guo, Yu and Li, Liming and Lv, Jun and Peto, Richard and Walters, Robin and Avery, Daniel and Boxall, Ruth and Bennett, Derrick and Chang, Yumei and Chen, Yiping and Du, Huaidong and Gilbert, Simon and Hacker, Alex and Hill, Mike and Holmes, Michael and Iona, Andri and Kartsonaki, Christiana and Kerosi, Rene and Kong, Ling and Kurmi, Om and Lancaster, Garry and Lewington, Sarah and Lin, Kuang and Mcdonnell, John and Millwood, Iona and Nie, Qunhua and Radhakrishnan, Jayakrishnan and Ryder, Paul and Sansome, Sam and Schmidt, Dan and Sherliker, Paul and Sohoni, Rajani and Stevens, Becky and Turnbull, Iain and Walters, Robin and Wang, Jenny and Wang, Lin and Wright, Neil and Yang, Ling and Yang, Xiaoming and Bian, Zheng and Guo, Yu and Han, Xiao and Hou, Can and Pei, Pei and Liu, Chao and Jing, Biao and Tan, Yunlong and Yu, Canqing and Pang, Zengchang and Gao, Ruqin and Li, Shanpeng and Wang, Shaojie and Liu, Yongmei and Du, Ranran and Zang, Yajing and Cheng, Liang and Tian, Xiaocao and Zhang, Hua and Zhai, Yaoming and Ning, Feng and Sun, Xiaohui and Li, Feifei and Lv, Silu and Wang, Junzheng and Hou, Wei and Zeng, Mingyuan and Jiang, Ge and Zhou, Xue and Yang, Liqiu and He, Hui and Yu, Bo and Li, Yanjie and Xu, Qinai and Kang, Quan and Guo, Ziyan and Wang, Dan and Hu, Ximin and Wang, Hongmei and Chen, Jinyan and Fu, Yan and Fu, Zhenwang and Wang, Xiaohuan and Weng, Min and Guo, Zhendong and Wu, Shukuan and Li, Yilei and Li, Huimei and Fu, Zhifang and Wu, Ming and Zhou, Yonglin and Zhou, Jinyi and Tao, Ran and Yang, Jie and Su, Jian and Liu, Fang and Zhang, Jun and Hu, Yihe and Lu, Yan and Ma, Liangcai and Tang, Aiyu and Zhang, Shuo and Jin, Jianrong and Liu, Jingchao and Tang, Zhenzhu and Chen, Naying and Huang, Ying and Li, Mingqiang and Meng, Jinhuai and Pan, Rong and Jiang, Qilian and Lan, Jian and Liu, Yun and Wei, Liuping and Zhou, Liyuan and Ping wang, Ningyu Chen and Meng, Fanwen and Qin, Yulu and Wang, Sisi and Wu, Xianping and Zhang, Ningmei and Chen, Xiaofang and Zhou, Weiwei and Luo, Guojin and Li, Jianguo and Chen, Xiaofang and Zhong, Xunfu and Liu, Jiaqiu and Sun, Qiang and Ge, Pengfei and Ren, Xiaolan and Dong, Caixia and Zhang, Hui and Mao, Enke and Wang, Xiaoping and Wang, Tao and Zhang, Xi and Zhang, Ding and Zhou, Gang and Feng, Shixian and Chang, Liang and Fan, Lei and Gao, Yulian and He, Tianyou and Sun, Huarong and He, Pan and Hu, Chen and Zhang, Xukui and Wu, Huifang and He, Pan and Yu, Min and Hu, Ruying and Wang, Hao and Qian, Yijian and Wang, Chunmei and Xie, Kaixu and Chen, Lingli and Zhang, Yidan and Gu, Dongxia Pan,qijun and Huang, Yuelong and Chen, Biyun and Yin, Li and Liu, Huilin and Fu, Zhongxi and Xu, Qiaohua and Xu, Xin and Zhang, Hao and Long, Huajun and Li, Xianzhi and Zhang, Libo and Qiu, Zhe}, title = {Associations of egg consumption with cardiovascular disease in a cohort study of 0.5 million Chinese adults}, volume = {104}, number = {21}, pages = {1756--1763}, year = {2018}, doi = {10.1136/heartjnl-2017-312651}, publisher = {BMJ Publishing Group Ltd}, abstract = {Objective To examine the associations between egg consumption and cardiovascular disease (CVD), ischaemic heart disease (IHD), major coronary events (MCE), haemorrhagic stroke as well as ischaemic stroke.Methods During 2004{\textendash}2008, over 0.5 million adults aged 30{\textendash}79 years were recruited from 10 diverse survey sites in China. Participants were asked about the frequency of egg consumption and were followed up via linkages to multiple registries and active investigation. Among 461 213 participants free of prior cancer, CVD and diabetes, a total of 83 977 CVD incident cases and 9985 CVD deaths were documented, as well as 5103 MCE. Stratified Cox regression was performed to yield adjusted hazard ratios for CVD endpoints associated with egg consumption.Results At baseline, 13.1\% of participants reported daily consumption (usual amount 0.76 egg/day) and 9.1\% reported never or very rare consumption (usual amount 0.29 egg/day). Compared with non-consumers, daily egg consumption was associated with lower risk of CVD (HR 0.89, 95\% CI 0.87 to 0.92). Corresponding multivariate-adjusted HRs (95\% CI) for IHD, MCE, haemorrhagic stroke and ischaemic stroke were 0.88 (0.84 to 0.93), 0.86 (0.76 to 0.97), 0.74 (0.67 to 0.82) and 0.90 (0.85 to 0.95), respectively. There were significant dose-response relationships of egg consumption with morbidity of all CVD endpoints (P for linear trend \<0.05). Daily consumers also had an 18\% lower risk of CVD death and a 28\% lower risk of haemorrhagic stroke death compared to non-consumers.Conclusion Among Chinese adults, a moderate level of egg consumption (up to \<1 egg/day) was significantly associated with lower risk of CVD, largely independent of other risk factors.}, issn = {1355-6037}, URL = {https://heart.bmj.com/content/104/21/1756}, eprint = {https://heart.bmj.com/content/104/21/1756.full.pdf}, journal = {Heart} }