Evidence map›Paper›PMID 35871921›Full record

ArticleClinical nutrition ESPEN2022

Egg consumption and risk of acute stroke in the Million Veteran Program.

Omar Al-Ramady, Ahmad Nawid Latifi, Timothy Treu, Yuk-Lam Ho, Sudha Seshadri, Hugo J Aparicio, Kelly Cho, Peter Wf Wilson, J Michael Gaziano, Luc Djoussé

Open access · greenAbstract read
In one paragraph

Article in Clinical nutrition ESPEN, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Omar Al-RamadyMassachusetts Veterans Epidemiology Research and Information Center, Veterans Affairs Healthcare System, Boston, MA, USA; Division of Aging, Department of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Ahmad Nawid LatifiMassachusetts Veterans Epidemiology Research and Information Center, Veterans Affairs Healthcare System, Boston, MA, USA; Division of Aging, Department of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. Electronic address: nawidlatifi@gmail.com.
Timothy TreuMassachusetts Veterans Epidemiology Research and Information Center, Veterans Affairs Healthcare System, Boston, MA, USA.
Yuk-Lam HoMassachusetts Veterans Epidemiology Research and Information Center, Veterans Affairs Healthcare System, Boston, MA, USA.
Sudha SeshadriGlenn Biggs Institute for Alzheimer's and Neurodegenerative Diseases, University of Texas Health Sciences Center, San Antonia, TX, USA; Emory University, USA.
Hugo J AparicioBoston University School of Medicine, Boston, MA, USA.
Kelly ChoMassachusetts Veterans Epidemiology Research and Information Center, Veterans Affairs Healthcare System, Boston, MA, USA; Division of Aging, Department of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Peter Wf WilsonEmory University, USA.
J Michael GazianoMassachusetts Veterans Epidemiology Research and Information Center, Veterans Affairs Healthcare System, Boston, MA, USA; Division of Aging, Department of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Luc DjousséMassachusetts Veterans Epidemiology Research and Information Center, Veterans Affairs Healthcare System, Boston, MA, USA; Division of Aging, Department of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Brigham and Women's Hospital · USEmory University · US

Funding

PRECURSORS OF STROKE INCIDENCE AND PROGNOSISR01NS017950 · NINDS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Hugo Javier Aparicio, Jose Rafael Romero · 1985 to 2026
$22.9M
Temporal Trends, Novel Imaging and Molecular Characterization of Preclinical and Clinical Alzheimer's Disease in the Framingham CohortsR01AG054076 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI DECARLI, CHARLES, SESHADRI, SUDHA · 2016 to 2020
$12.3M
Cardiovascular Disease Risk Factors, Cardiovascular Disease Risk Prediction, and Genetics in the Million Veteran ProgramI01BX004821 · VA · VETERANS HEALTH ADMINISTRATION · PI PETER WYMAN WILSON · 2020 to 2026
–
BLRD VA I01 BX003340BLRD VA I01 BX004821NIA NIH HHS R01 AG054076NINDS NIH HHS R01 NS017950
6 · The paper itself

Abstract

backgroundWhile observational data suggest a higher risk of coronary artery disease with frequent egg consumption, only limited and inconsistent data are available on the relation of egg consumption with stroke.

objectiveThe primary objective was to assess whether egg consumption is associated with a higher risk of ischemic and hemorrhagic stroke among US veterans.

methodsIn a prospective cohort study of US veterans from the Million Veteran Program (MVP), egg intake was collected through a self-reported food frequency questionnaire at baseline. Incidence of stroke was ascertained via ICD9/ICD10 codes from the electronic health records. Multivariable Cox proportional hazard models were used to estimate the multivariable adjusted hazard ratios.

resultsA total of 233,792 veterans (91.6% men) were studied with a mean age of 65.6 ± 11.7 years. During a mean follow-up of 3.3 years, a total of 5740 cases of fatal and non-fatal ischemic stroke and 423 cases of fatal and non-fatal hemorrhagic stroke occurred. Median egg consumption was 2-4 eggs/week. Crude incidence rates for acute ischemic stroke were 6.5, 7.2, 7.1, 7.4, 8.0, 8.1, and 8.6 cases per 1000 person-years for egg consumption of <1/month, 1-3/month, 1/week, 2-4/week, 5-6/week, 1/day, and ≥2/day, respectively. Corresponding multivariable adjusted hazard ratios (95% CI) were 1.00 (ref), 1.10 (0.96-1.25), 1.09 (0.96-1.23), 1.10 (0.98-1.25), 1.16 (1.01-1.33), 1.20 (1.03-1.40), and 1.22 (1.03-1.45) controlling for age, sex, ethnicity, body mass index, diabetes, smoking, alcohol intake, modified DASH score, and education (p linear trend 0.0085). For hemorrhagic stroke, multivariable adjusted hazard ratios (95% CI) after controlling for age, sex, ethnicity, body mass index, modified DASH score, and level of education were 1.00 (ref), 1.28 (0.96-1.72), 1.22 (0.93-1.61), and 1.19 (0.88-1.61) for egg consumption of <1/week, 1/week, 2-4/week, 5+/week, respectively.

conclusionOur data are consistent with a positive association of egg consumption with acute ischemic stroke but not hemorrhagic stroke among veterans.

Indexed as

EggsStrokeVeteransAgedFemaleHumansIschemic StrokeMaleMiddle AgedProspective StudiesRisk FactorsEgg consumptionEpidemiologyNutritionRisk factorsStroke

Identifiers

PMID35871921
PMCPMC11863351
OpenAlexW4281863461

What Socratic holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.