Skip to main content
Log in

Effect of Egg Consumption on Blood Pressure: a Systematic Review and Meta-analysis of Randomized Clinical Trials

  • Nutrition and Hypertension (T Mori, Section Editor)
  • Published:
Current Hypertension Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

We identified and quantified the results of randomized controlled trials (RCTs) that have assessed the impact of egg consumption on blood pressure in adults.

Recent Findings

We conducted a comprehensive search of medical bibliographic databases up to February 2019 for RCTs investigating the effect of egg consumption on blood pressure in adults. Fifteen RCTs were included with a total of 748 participants. Overall, egg consumption had no significant effect on systolic blood pressure (weighted mean difference (WMD) = 0.046 mmHg; 95% CI − 0.792, 0.884) and diastolic blood pressure (WMD = − 0.603 mmHg; 95% CI − 1.521, 0.315). Subgroup analyses had no effect on pooled results and no heterogeneity was found among included studies.

Summary

Egg consumption has no significant effects on systolic and diastolic blood pressure in adults. Due to several limitations among existing studies, general conclusions cannot be drawn regarding the beneficial or neutral impact of egg consumption on blood pressure in adults.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

Abbreviations

CVD:

Cardiovascular diseases

HTN:

Hypertension

CHD:

Coronary heart disease

RR:

Relative risk

RCTs:

Randomized controlled trials

SBP:

Systolic blood pressure

DBP:

Diastolic blood pressure

PRISMA:

Preferred reporting items for systematic review and meta-analyses

PROSPERO:

Prospective register of systematic reviews

WMD:

Weighted mean differences

CAD:

Coronary artery disease

IHD:

Ischemic heart disease

IQW:

Ile-Gln-Trp

LKP:

Leu-Lys-Pro

IRW:

Ile-Arg-Trp

NO:

Nitric oxide

ACE:

Angiotensin converting enzyme

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Benjamin EJ, Virani SS, Callaway CW, Chamberlain AM, Chang AR, Cheng S, et al. Heart disease and stroke statistics-2018 update: a report from the American Heart Association. Circulation. 2018;137(12):e67–e492.

    Article  Google Scholar 

  2. Hajjar I, Kotchen JM, Kotchen TA. Hypertension: trends in prevalence, incidence, and control. Annu Rev Public Health. 2006;27:465–90.

    Article  Google Scholar 

  3. GBD 2016 Risk Factors Collaborators. Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390:1345–422.

  4. Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: analysis of worldwide data. Lancet. 2005;365:217–23.

    Article  Google Scholar 

  5. Khanna A, Lefkowitz L, White WB. Evaluation of recent fixed-dose combination therapies in the management of hypertension. Curr Opin Nephrol Hypertens. 2008;17:477–83.

    Article  CAS  Google Scholar 

  6. Reddy KS, Katan MB. Diet, nutrition and the prevention of hypertension and cardiovascular diseases. Public Health Nutr. 2004;7(1a):167–86.

    Article  Google Scholar 

  7. • Kovacs-Nolan J, Phillips M, Mine Y. Advances in the value of eggs and egg components for human health. J Agric Food Chem. 2005;53:8421–31.

    Article  CAS  Google Scholar 

  8. McNamara DJ. The fifty year rehabilitation of the egg. Nutrients. 2015;7:8716–22.

    Article  Google Scholar 

  9. McGuire S. Scientific report of the 2015 Dietary Guidelines Advisory Committee. Washington, DC: US Departments of Agriculture and Health and Human Services, 2015. Adv Nutr. 2016;7:202–4.

    Article  Google Scholar 

  10. Berger S, Raman G, Vishwanathan R, Jacques PF, Johnson EJ. Dietary cholesterol and cardiovascular disease: a systematic review and meta-analysis. Am J Clin Nutr. 2015;102:276–94.

    Article  CAS  Google Scholar 

  11. • Alexander DD, Miller PE, Vargas AJ, Weed DL, Cohen SS. Meta-analysis of egg consumption and risk of coronary heart disease and stroke. J Am Coll Nutr. 2016;35:704–16.

    Article  CAS  Google Scholar 

  12. •• Zhang Y, Zhang DZ. Red meat, poultry, and egg consumption with the risk of hypertension: a meta-analysis of prospective cohort studies. J Hum Hypertens. 2018;32:507–17.

    Article  CAS  Google Scholar 

  13. Ballesteros MN, Valenzuela F, Robles AE, Artalejo E, Aguilar D, Andersen CJ, et al. One egg per day improves inflammation when compared to an oatmeal-based breakfast without increasing other cardiometabolic risk factors in diabetic patients. Nutrients. 2015;7:3449–63.

    Article  CAS  Google Scholar 

  14. Blesso CN, Andersen CJ, Barona J, Volk B, Volek JS, Fernandez ML. Effects of carbohydrate restriction and dietary cholesterol provided by eggs on clinical risk factors in metabolic syndrome. J Clin Lipidol. 2013;7:463–71.

    Article  Google Scholar 

  15. Clayton ZS, Scholar KR, Shelechi M, Hernandez LM, Barber AM, Petrisko YJ, et al. Influence of resistance training combined with daily consumption of an egg-based or bagel-based breakfast on risk factors for chronic diseases in healthy untrained individuals. J Am Coll Nutr. 2015;34:113–9.

    Article  CAS  Google Scholar 

  16. DiMarco DM, Missimer A, Murillo AG, Lemos BS, Malysheva OV, Caudill MA, et al. Intake of up to 3 eggs/day increases HDL cholesterol and plasma choline while plasma Trimethylamine-N-oxide is unchanged in a healthy population. Lipids. 2017;52:255–63.

    Article  CAS  Google Scholar 

  17. Fuller N, Caterson I, Sainsbury A, Denyer G, Fong M, Gerofi J, et al. The effect of a high-egg diet on cardiovascular risk factors in people with type 2 diabetes: the diabetes and egg (DIABEGG) study-a 3-mo randomized controlled trial1-4. Am J Clin Nutr. 2015;101:705–13.

    Article  CAS  Google Scholar 

  18. Herron KL, Vega-Lopez S, Conde K, Ramjiganesh T, Roy S, Shachter NS, et al. Pre-menopausal women, classified as hypo- or hyperresponders, do not alter their LDL/HDL ratio following a high dietary cholesterol challenge. J Am Coll Nutr. 2002;21:250–8.

    Article  Google Scholar 

  19. Katz DL, Evans MA, Nawaz H, Njike VY, Chan W, Comerford BP, et al. Egg consumption and endothelial function: a randomized controlled crossover trial. Int J Cardiol. 2005;99:65–70.

    Article  Google Scholar 

  20. Katz DL, Ma Y, Kavak Y, Njike V. Effects of EGG ingestion on endothelial function in adults with coronary artery disease: a randomized, controlled, crossover trial. Am Heart J. 2015;169:162–9.

    Article  CAS  Google Scholar 

  21. Lemos BS, Medina-Vera I, Blesso CN, Fernandez ML. Intake of 3 eggs per day when compared to a choline bitartrate supplement, downregulates cholesterol synthesis without changing the LDL/HDL ratio. Nutrients. 2018;24:10(2). https://doi.org/10.3390/nu10020258.

    Article  CAS  Google Scholar 

  22. Missimer A, DiMarco DM, Andersen CJ, Murillo AG, Vergara-Jimenez M, Fernandez ML. Consuming two eggs per day, as compared to an oatmeal breakfast, decreases plasma ghrelin while maintaining the LDL/HDL ratio. Nutrients. 2017;29:9(2). https://doi.org/10.3390/nu9020089.

    Article  CAS  Google Scholar 

  23. Mutungi G, Ratliff J, Puglisi M, Torres-Gonzalez M, Vaishnav U, Leite JO, et al. Dietary cholesterol from eggs increases plasma HDL cholesterol in overweight men consuming a carbohydrate-restricted diet. J Nutr. 2008;138:272–6.

    Article  CAS  Google Scholar 

  24. Njike VY, Ayettey RG, Rajebi H, Treu JA, Katz DL. Egg ingestion in adults with type 2 diabetes: effects on glycemic control, anthropometry, and diet quality-a randomized, controlled, crossover trial. BMJ Open Diabetes Res Care. 2016;4:e000281.

    Article  Google Scholar 

  25. Pearce KL, Clifton PM, Noakes M. Egg consumption as part of an energy-restricted high-protein diet improves blood lipid and blood glucose profiles in individuals with type 2 diabetes. Br J Nutr. 2011;105:584–92.

    Article  CAS  Google Scholar 

  26. Putadechakum S, Phanachet P, Pakpeankitwattana V, Klangjareonchai T, Roongpisuthipong C. Effect of daily egg ingestion with thai food on serum lipids in hyperlipidemic adults. ISRN Nutr. 2013;2013:580213.

    Article  Google Scholar 

  27. Sacks F, Marais G, Handysides G, Salazar J, Miller L, Foster J, et al. Lack of an effect of dietary saturated fat and cholesterol on blood pressure in normotensives. Hypertension. 1984;6(2, Part 1):193–8.

  28. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ. 2009;339:b2535.

    Article  Google Scholar 

  29. Higgins JP, Altman DG, Gøtzsche PC, Jüni P, Moher D, Oxman AD, et al. The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ. 2011;343:d5928.

    Article  Google Scholar 

  30. Schwingshackl L, Knüppel S, Schwedhelm C, Hoffmann G, Missbach B, Stelmach-Mardas M, et al. Perspective: NutriGrade: a scoring system to assess and judge the meta-evidence of randomized controlled trials and cohort studies in nutrition research. Adv Nutr. 2016;7:994–1004.

    Article  Google Scholar 

  31. DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986;7:177–88.

    Article  CAS  Google Scholar 

  32. Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ. 2003;327:557–60.

    Article  Google Scholar 

  33. Fan J. Local polynomial modelling and its applications: monographs on statistics and applied probability 66. 1st ed. Routledge; 2018.

  34. Egger M, Smith GD, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997;315:629–34.

    Article  CAS  Google Scholar 

  35. Iyengar S, Greenhouse JB. Sensitivity analysis and diagnostics. In: Cooper H, Hedges LV, Valentine JC, editors. The handbook of research synthesis and meta-analysis. New York: Russell Sage Foundation; 2009. p. 417–33.

    Google Scholar 

  36. Duggan K, Anderson C, Arnolda L, Boyden A, Cowley D, Dart A, et al. Guide to the management of hypertension 2008-assessing and managing raised blood pressure in adults. 2008;2008:1–34.

  37. Shin JY, Xun P, Nakamura Y, He K. Egg consumption in relation to risk of cardiovascular disease and diabetes: a systematic review and meta-analysis. Am J Clin Nutr. 2013;98:146–59.

    Article  CAS  Google Scholar 

  38. Wang MX, Wong CH, Kim JE. Impact of whole egg intake on blood pressure, lipids and lipoproteins in middle-aged and older population: a systematic review and meta-analysis of randomized controlled trials. Nutr Metab Cardiovasc Dis. 2019;29(7):653–64. https://doi.org/10.1016/j.numecd.2019.04.004.

    Article  CAS  PubMed  Google Scholar 

  39. Herron KL, Fernandez ML. Are the current dietary guidelines regarding egg consumption appropriate? J Nutr. 2004;134:187–90.

    Article  CAS  Google Scholar 

  40. Majumder K, Chakrabarti S, Morton JS, Panahi S, Kaufman S, Davidge ST, et al. Egg-derived ACE-inhibitory peptides IQW and LKP reduce blood pressure in spontaneously hypertensive rats. J Funct Foods. 2015;13:50–60.

    Article  CAS  Google Scholar 

  41. Jahandideh F, Chakrabarti S, Majumder K, Li Q, Panahi S, Morton JS, et al. Egg white protein hydrolysate reduces blood pressure, improves vascular relaxation and modifies aortic angiotensin II receptors expression in spontaneously hypertensive rats. J Funct Foods. 2016;27:667–73.

    Article  CAS  Google Scholar 

  42. • Liao W, Fan H, Davidge ST, Wu J. Egg white-derived antihypertensive peptide IRW (Ile-Arg-Trp) reduces blood pressure in spontaneously hypertensive rats via the ACE2/Ang (1-7)/mas receptor axis. Mol Nutr Food Res. 2019;63:e1900063.

    Article  Google Scholar 

  43. Mancia G, Fagard R, Narkiewicz K, Redon J, Zanchetti A, Boehm M, et al. 2013 ESH/ESC guidelines for the management of arterial hypertension: the Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Blood Press. 2013;22:193–278.

    Article  Google Scholar 

  44. Khan K, Jovanovski E, Ho H, Marques A, Zurbau A, Mejia S, et al. The effect of viscous soluble fiber on blood pressure: a systematic review and meta-analysis of randomized controlled trials. Nutr Metab Cardiovasc Dis. 2018;28:3–13.

    Article  CAS  Google Scholar 

Download references

Acknowledgments

We thank Iran University of Medical Sciences for providing facilities to search in electronic databases.

Availability of Data and Material

It was registered in the PROSPERO (international prospective register of systematic reviews) database under the number CRD42019127500.

Funding

ZSC is currently supported by NIH T32 DK007135-44.

Author information

Authors and Affiliations

Authors

Contributions

RKM screened and selected the trials, extracted the data, and wrote the manuscript. MM screened and selected the trials, extracted the data, and assessed quality of included studies. ZSC reviewed and edited the manuscript. SZS screened the trials. NP screened and selected the trials and assessed quality of included studies. MKS screened the trials. SS conceived the idea, conducted the research, analyzed the data, and performed statistical analysis and had primary responsibility for final content. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Sepideh Soltani.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Nutrition and Hypertension

Supplementary Materials

ESM 1

(PDF 32.9 kb)

ESM 2

(PDF 75.1 kb)

ESM 3

(PDF 75.4 kb)

ESM 4

(PDF 43.8 kb)

ESM 5

(PDF 36.6 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kolahdouz-Mohammadi, R., Malekahmadi, M., Clayton, Z.S. et al. Effect of Egg Consumption on Blood Pressure: a Systematic Review and Meta-analysis of Randomized Clinical Trials. Curr Hypertens Rep 22, 24 (2020). https://doi.org/10.1007/s11906-020-1029-5

Download citation

  • Published:

  • DOI: https://doi.org/10.1007/s11906-020-1029-5

Keywords

Navigation