Live data from Hacker News

Associations of Egg Consumption with Cardiovascular Disease and Mortality

jamanetwork.com

41–50 of 59 posts

Re: Associations of Egg Consumption with Cardiovascular Disease and Mortality

#41
post #3

But I like eggs damnit. Edit 1. My comment was made on a submission, which I did not think would gain much notice. Oops. Low quality comment to the fore! Edit 2. Really though, I eat a couple of eggs a day. I should scale it back anyway, as a hedge, and eat non-traditional (In USA) breakfasts, like rice and beans.

and you can pry the bacon out of my cold dead hands!

[deleted]

Re: Associations of Egg Consumption with Cardiovascular Disease and Mortality

#43
post #20

Earlier quoted context omitted.

How do you get fibre then?

a large number of vegetables are low carb.

By weight maybe, but by relative composition, 80% of the calories in broccoli come from carbs.

Re: Associations of Egg Consumption with Cardiovascular Disease and Mortality

#44
post #6

Oh great, another one of those bs self reporting nutritional studies over super long periods of time. 17.5 years and they only followed up once from what I can tell. Can you accurately report what you ate over the last 17.5 years? Even over the past week can be difficult as I realized when I started tracking my food in MyFitnessPal. Unless consistently tracking, it's pretty easy to be very far off from what you actua…

Are you suggesting that they didn't actually eat more eggs / cholesterol, but some other factor that makes people statistically significantly more likely to have CVD and die also makes people more likely to falsely report egg / cholesterol consumption?

An obvious factor to look at among the subjects would be body fat level.

Maybe many of those who consumed more eggs or cholesterol simply just ate more.

If the study simply tracked calories, maybe calories would be found to be correlated with CVD risk.

Problem with that, you can't really track what some people eat for 30 years.

Re: Associations of Egg Consumption with Cardiovascular Disease and Mortality

#45

Amid the neverending diet controversy it seems safest to do low carb (non-keto), medium high-quality fat of which a majority is monounsaturated, medium protein - and be aware not to reduce saturated fat too much as it's not that scary after all, but also don't go overboard like some of the somewhat extreme saturated fat advocates that have appeared in the last few years.

Low refined carb definitely, but most of the diet patterns with a long track record of health (e.g. think blue zones) contain plenty of complex carbs. Sweet potatoes, whole grains, and vegetables all feature prominently.

IMO what's "safest" right now is to follow empirical observation and cleave to a pattern that is successful, rather than trying to break down the important parts and construct your own diet from those pieces.

Re: Associations of Egg Consumption with Cardiovascular Disease and Mortality

#46

Earlier quoted context omitted.

> Most national dietary guidelines seem to be fairly high in carbs imho Yes. I agree. I can't recall seeing any modern country's dietary guides suggest a low-carb / keto diet.

I also wanted to say in my last comment that most government endorsed diets only recommend limiting added sugar. Also, much of that bro-science is now being promoted by many MDs and there's a good chance you'll see some of it become officially adopted in the coming years (and I say this as someone who sees this as a pendulum swing instead of adopting what we learned moderation).

Yes. Dr. Atkins was singing this tune in 1989. Then after having several heart attacks, he died 14 years later of another heart attack.

Re: Associations of Egg Consumption with Cardiovascular Disease and Mortality

#48

Totally commonsensical theory. Just have eggs and coffee together. The effects negate each other and while you are at it toss some garlic and olive oil in the egg scramble. No need to thank me.

So, wait...the theory, then is to have...breakfast?

Sign me up.

Re: Associations of Egg Consumption with Cardiovascular Disease and Mortality

#49
post #6

Oh great, another one of those bs self reporting nutritional studies over super long periods of time. 17.5 years and they only followed up once from what I can tell. Can you accurately report what you ate over the last 17.5 years? Even over the past week can be difficult as I realized when I started tracking my food in MyFitnessPal. Unless consistently tracking, it's pretty easy to be very far off from what you actua…

Are you suggesting that they didn't actually eat more eggs / cholesterol, but some other factor that makes people statistically significantly more likely to have CVD and die also makes people more likely to falsely report egg / cholesterol consumption?

This study has lots of problems. I'm not totally convinced the results are statistically significant. The problem with using non-linear models and not showing P values is it is open to interpretation what a statistically significant result is. To me, these results don't seem that compelling. For the cholesterol question, the Adjusted Risk for CVD at the 95% confidence level is between 1.39% and 5.09%, and for All-Cause Mortality, it is 2.51%-6.36%. That means according to this study cholesterol consumption is more highly correlated with all-cause mortality than it is with CVD. That seems hard to believe, but might be true.

The biggest issue I have is with using non-linear models. I don't have access to the full article so I don't know why they chose the statistical methods they did, but I'm suspicious that they don't report P values for what it seems should be linear relationships. I don't buy the non-linearity argument in the summary. Once you get into non-linear regression models the risk of overfitting gets worse. There is a lot of work that has to be done to show you've accounted for this, and it's hard to tell from the summary if that was done.

They also didn't control for some things I would have liked to see. Namely, calories and weight gain. So, it could be that all this study is really showing is a relationship between overeating, weight gain, and CVD and all-cause mortality. It may simply be that people who eat more calories and end up being overweight are also more likely to eat a lot of eggs and cholesterol. In this case, it's gaining weight that causes health issues, not the eggs. It's just the case that people who eat too much and are overweight also happen to eat a lot of eggs. What I'd like to see is a study where they control for calories consumed, weight gain, lean mass etc. and then see how a diet with more cholesterol performed against a diet with less cholesterol.

Re: Associations of Egg Consumption with Cardiovascular Disease and Mortality

#50

Earlier quoted context omitted.

> Most national dietary guidelines seem to be fairly high in carbs imho Yes. I agree. I can't recall seeing any modern country's dietary guides suggest a low-carb / keto diet.

I also wanted to say in my last comment that most government endorsed diets only recommend limiting added sugar. Also, much of that bro-science is now being promoted by many MDs and there's a good chance you'll see some of it become officially adopted in the coming years (and I say this as someone who sees this as a pendulum swing instead of adopting what we learned moderation).

Speaking of bro-science, added sugar is chemically equal to naturally occurring sugars and you can't discriminate against one with out the other (either it's healthy or it is not). Hint: It's not. That fruit may have vitamins, but they are basically embedded in a candy bar nutrition wise. Actually, it's worse than a candy bar because it lacks protein and fat which keep you satiated.
Post reply on HN