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. 2022 May 23;14(10):2168. doi: 10.3390/nu14102168

Table 1.

Results from recent epidemiological studies and meta-analysis showing the lack of correlation between dietary cholesterol and blood cholesterol.

Population/Number of Studies Association Assessed Main Result Reference (Year)
177,555 adults from PURE, TRASCEND and ONTARGET studies Egg consumption with blood lipids and CVD Higher egg intake is not associated with TC, LDL, TG, HDL, total mortality, or CVD. [23] (2020)
8095 hypertense adults from the China Health and Nutrition Survey Cholesterol intake from eggs and other sources and mortality Cholesterol from eggs but not other sources is associated with lower mortality. [28] (2020)
8358 Chinese adults Dietary cholesterol and dyslipidemia Cholesterol intake is associated with lower plasma TG and higher HDL-cholesterol in women, but not men.
Cholesterol from eggs is associated with lower risk of dyslipidemia.
[34] (2022)
Three large cohort studies: NHS (1980–2012), NHS II (1991–2017) and HPFS (1986–2016).
16 prospective cohort studies (6 American, 8 European, and 2 Asian)
Egg intake and CVD risk An increase of one egg per day is not associated with any CVD risk. Egg intake is associated with lower CVD risk in Asian populations. [39] (2017)
39 prospective cohort studies from North America, Europe, and Asia Egg consumption and the risk of CVD, CHD, and stroke Consumption of six eggs per week has an inverse association with CVD events (but not stroke), when compared to no intake. No association is found for stroke. [35] (2021)
40 studies with participants without diagnosed CVD No association between dietary cholesterol and coronary artery disease (CAD), ischemic stroke, or hemorrhagic stroke.
Dietary cholesterol increases total blood cholesterol, without affecting LDL/HDL ratio.
[36] (2015)
NHS (1980–2012), NHS II (1991–2017) and HPFS (1986–2016).
16 prospective cohort studies (6 American, 8 European, and 2 Asian)
Eegg intake and the risk of developing T2DM Higher egg intake is associated with lower prevalence of hypercholesterolemia. [42] (2020)

CVD: cardiovascular disease; CHD: coronary heart disease; TC: total cholesterol; LDL: low-density lipoprotein; HDL: high-density lipoprotein; TG: Triglyceride; NHS: the Nurses’ Health Study; HPFS: the Health Professional Follow up Study.