[HN Gopher] Association between egg consumption and risk of card...
       ___________________________________________________________________
        
       Association between egg consumption and risk of cardiovascular
       outcomes
        
       Author : undefined1
       Score  : 66 points
       Date   : 2021-02-04 20:43 UTC (2 hours ago)
        
 (HTM) web link (pubmed.ncbi.nlm.nih.gov)
 (TXT) w3m dump (pubmed.ncbi.nlm.nih.gov)
        
       | marz0 wrote:
       | Yet at the same time, a recent study [1] concludes:
       | 
       | > The results suggested that higher egg consumption was
       | positively associated with the risk of diabetes in Chinese
       | adults.
       | 
       | However, it also states:
       | 
       | > The association between egg consumption and diabetes is
       | inconclusive.
       | 
       | These statements seem contradictory to me, but maybe someone can
       | shed more light on this?
       | 
       | [1] https://pubmed.ncbi.nlm.nih.gov/33028452/
        
         | timbit42 wrote:
         | 'Suggests' isn't strong enough to make the association
         | conclusive.
        
       | hirundo wrote:
       | These results conform to my bias, but seem to be based on the
       | same flawed epidemiological data, based largely on seriously
       | flawed NHANES Food Frequency Questionnaires, without the power to
       | make causal associations. If I discount these studies when they
       | tell me eggs will harden my arteries I should do the same when
       | they tell me they don't, which I happen to agree with.
        
       | agmm wrote:
       | If you find this topic interesting, read "The Big Fat Surprise"
        
       | dennis_jeeves wrote:
       | There is one documented evidence of a man eating about 15 eggs
       | (or some huge number) for about 25 years, and was in good health.
       | Some search online should reveal the literature.
        
       | sedatk wrote:
       | This sounds too optimistic and almost 180 degrees opposite of
       | what we've heard from health authorities until today. Can anyone
       | who's an expert on the subject chime in, what's the catch?
        
         | [deleted]
        
       | ncmncm wrote:
       | They told us for _five decades_ that saturated fat was bad for
       | us.
       | 
       | Lately it turns out that saturated fat is _absolutely fine_ ,
       | always was. Eggs, too, apparently.
       | 
       | It has been the sugar, nitrites, margarine and Crisco in
       | everything killing us. The trouble with Crisco was known with
       | certainty _in 1957_ , and it took Fred Kummerow until 2017 to get
       | it _mostly_ out of the US diet. Some companies still get
       | exceptional treatment allowing them to continue putting in
       | poison, apparently because it would _cost them money to stop
       | putting in poison_ just yet. They have poison in the pipeline
       | they would need to throw away that they would prefer to sell.
       | 
       | But, there is still something in American beef that causes
       | trouble; just, not the fat. FDA spent the last five decades _not_
       | investigating why beef is killing people, just out and out
       | assuming it had to be the fat. for no reason at all. Now, we have
       | to start from scratch and find out what is the real cause.
       | 
       | Meanwhile, glucose is absolutely fine, too.
       | 
       | Glucose is what is in corn before they use an enzyme to turn half
       | of it into fructose, which is poison in the amounts Americans
       | eat. They do it because fructose tastes sweeter when it's cold.
       | It's hard to buy glucose; you won't find bags of it at the
       | grocery store, even to put in your coffee where it would be hot
       | and plenty sweet anyway. You pretty much only find it in Karo
       | corn syrup, which is itself getting hard to find.
       | 
       | Remember that name, _Fred Kummerow_. He is _personally_
       | responsible for kids born in this millennium _not_ dying from
       | heart disease caused by poison siphoned into stuff sold labeled
       | as food. The corporations, their pet politicians, and the FDA
       | fought him _every step_ of the way. FDA finally was forced to
       | declare trans fats poison in 2009, and then he had to sue them to
       | make them issue regulations forbidding its use, which they didn
       | 't issue _until 2014_ ; and then they gave industry _3 more
       | years_ to flush the poison out of their pipelines and onto
       | Americans ' arteries.
       | 
       | If you can keep the fructose out of kids, they might not die from
       | type-2 diabetes and metabolic disorder so much.
       | 
       | https://www.drmirkin.com/histories-and-mysteries/fred-kummer...
       | 
       | https://spacedoc.com/articles/the-truth-about-trans-fats
       | 
       | https://www.nytimes.com/2017/06/01/science/fred-kummerow-dea...
       | 
       | https://www.washingtonpost.com/news/to-your-health/wp/2017/0...
       | 
       | https://en.wikipedia.org/wiki/Fred_Kummerow
        
       | lanius wrote:
       | >Higher egg consumption (more than 1 egg/day) was associated with
       | a significantly decreased risk of coronary artery disease
       | 
       | Is there an upper ceiling where the benefit goes away? I go
       | through dozens of eggs a week.
        
       | truth_feels_bad wrote:
       | > Two investigators independently reviewed data. Conflicts were
       | resolved through consensus
       | 
       | They're literally telling you that they cherry-picked existing
       | research for whatever serves their narrative.
       | 
       | Occam's razor applies here. They're trying to convince you that
       | consuming cholesterol and saturated fat is not going to clog your
       | arteries. If eggs won't, please tell me what will.
       | 
       | Eggs taste good, and they're in literally everything. Be careful
       | when people tell you what you want to hear.
        
       | blakesterz wrote:
       | Conclusions: Our analysis suggests that higher consumption of
       | eggs (more than 1 egg/day) was not associated with increased risk
       | of cardiovascular disease, but was associated with a significant
       | reduction in risk of coronary artery disease.
       | 
       | That's really interesting! I just had a heart attack a few months
       | ago and eggs have been on my "very rarely" list, I'm glad to see
       | I probably can move those up to "probably fine a few times a
       | week" list.
        
         | the-pigeon wrote:
         | Is your dietary restriction list from a doctor or internet
         | research?
         | 
         | I would definitely consult with your doctor and not apply
         | general study conclusions to your own diet considering you had
         | a heart attack recently.
        
           | monadic3 wrote:
           | Better hope your doctor is reading the right stuff.
        
           | ballenf wrote:
           | I think your advice comes from a good place, but it really
           | depends on the doctor.
           | 
           | I've worked closely with bunch of primary care doctors and
           | would only trust 1 in about 10 of them to give good nutrition
           | advice. My work involved careful review of their clinical
           | treatment of patients in a primary care settings.
           | 
           | My anecdotal experience with cardiologists is no better.
           | 
           | The overall issue is that they have grown tired of really
           | challenging patients to change much of their diets. Even if
           | the diet is what is really killing them. And I don't blame
           | them, but I also think that many doctors don't see nutrition
           | as part of their job.
        
           | blakesterz wrote:
           | Fair question, and I guess the answer is both. He didn't
           | provide any advice that seemed bad, he didn't say avoid eggs,
           | he didn't say have bacon with every meal. But I've also been
           | reading everything I can to make sure I'm not missing
           | anything.
        
         | tootie wrote:
         | One really important thing to understand when you see these
         | sorts of studies is that they are done in aggregate while every
         | human being is different. There are people who can eat eggs and
         | pork and smoke cigars and never suffer consequences, and there
         | are some who are far less tolerant. If you're in a high-risk
         | group because you've already suffered damage, you need to be
         | very risk averse.
        
       | sradman wrote:
       | This systematic review and meta-analysis concludes:
       | 
       | > Our analysis suggests that higher consumption of eggs (more
       | than 1 egg/day) was not associated with increased risk of
       | cardiovascular disease, but was associated with a significant
       | reduction in risk of coronary artery disease.
        
         | cs702 wrote:
         | That's right, no association was found.
         | 
         | Perhaps the title should be changed to "No Association Between
         | Egg Consumption and Risk of Cardiovascular Disease."
        
           | giarc wrote:
           | The association is that there is no association. So it's an
           | accurate title.
        
             | derekp7 wrote:
             | That statement is technically correct. And while being
             | technically correct is great for the fictional bureaucrats
             | on Futurama (I really miss that show), it can also lead to
             | click-bait headlines.
             | 
             | Most people will read a headline that says "The association
             | between..." to mean that there is an association (because
             | that is how it is typically used).
        
               | kubanczyk wrote:
               | A number of studies show a direct association. As of now,
               | the number is zero.
        
       | endisneigh wrote:
       | It's such a shame nutrition science is in such infancy because
       | when I read these types of things I get excited and then a couple
       | years later there's inevitably some contradicting study.
       | 
       | The only thing I've read that seems to never be contradicted is
       | the following quote:
       | 
       | > Eat food, not too much, mostly plants
       | 
       | EDIT: Is it just me, or do they never say how the eggs are
       | prepared? I feel like that would have a huge effect as well as
       | since the preparation method changes the composition of the eggs
       | of course. Frying eggs with a bunch of butter might negate any
       | health benefits eating say, an otherwise poached egg, might have.
       | 
       | I loved fried eggs and wonder if I'd receive more benefit by
       | boiling or poaching, hmm.
        
         | drzaiusapelord wrote:
         | Which is kinda a half measure too. My body has been responding
         | amazingly to a vegetarian diet (w/vegan flex days) and anywhere
         | between 16-20 hours of fasting a day. I combat the horrors of
         | factory farming and what's done to these poor animals and gain
         | all the incredible benefits of fasting, all the while still
         | enjoying a normal lifestyle of 2 tasty meals a day. Meat seems
         | like this weird socially acceptable yet dangerous extravagance,
         | a bit like smoking, to me. I'm working my way to cutting out
         | eggs and am glad to be doing so considering all the negative
         | outcomes other studies have revealed about egg consumption.
         | 
         | If you look at all the studies uncritically and average out
         | their findings, then the safe amount of eggs, imho, per week is
         | between zero and two.
         | 
         | The study of the health outcomes of egg consumption, in
         | general, is a bit out there. A 2009 study claimed the opposite,
         | that 7+ eggs a week increased the odds of cardiovascular
         | disease. There's a strong anti-vegetarian pop-culture under-
         | current right now fueled by the alt-right, keto types, and
         | 'masculinity' experts so small single studies like these will
         | get a lot of attention, but I'd wait for someone to try to
         | replicate it, or at least see it as one data point in hundreds
         | of reputable egg studies that mostly seem to contradict
         | themselves. The egg industry is a $10bn industry and
         | politically very well connected. Some of these studies may be
         | influenced by that. Evolution didn't seem to design us to
         | regularly eat the eggs of other animals and we seem poorly
         | adapted to do so.
         | 
         | Fun/depressing fact: There's one caged egg laying hen for every
         | American.
        
           | airstrike wrote:
           | As I mentioned elsewhere, that study doesn't control for
           | preparation methods and associated ingredients (like butter)
           | so it's virtually useless
        
           | thatguy0900 wrote:
           | "There's a strong anti-vegetarian pop-culture under-current
           | right now fueled by the alt-right," the alt right gets a lot
           | of weird generic boogeyman associations but this is the
           | weirdest I've ever seen lol
        
         | symlinkk wrote:
         | It's sad how far behind health science is. Why don't we have
         | devices constantly monitoring us for health problems? Why can't
         | I easily browse through the data that doctors have on me, and
         | transfer it between doctors? Why do I have to prep and cook and
         | measure to get the optimum amount of nutrients for my body, why
         | isn't there a product that offers that for me? These things
         | should be a higher priority as a society than social media apps
         | or video games.
        
         | itronitron wrote:
         | eggs have about ten times the cholesterol as butter or cheese
         | so cooking the eggs in some butter is probably fine.
        
         | the-pigeon wrote:
         | Research has said eggs are good for the last 20 years.
         | 
         | It was believed they were bad due to their high cholesterol and
         | cholesterol was considered bad across the board. But modern
         | research shows it's more complicated than that.
        
           | atweiden wrote:
           | > Research has said eggs are good for the last 20 years.
           | 
           | McGill published a study in 2012 [1] which shows egg yolk
           | consumption is connected in an exponential relationship with
           | carotid plaque area (see: pg 3):
           | 
           | > ... both tobacco smoking and egg yolk consumption
           | accelerate atherosclerosis, in a similar fashion: the
           | increase in plaque area is linear with age, but it is
           | exponential with smoking history and egg consumption. Curve
           | fitting with the cases that had non-zero values for egg yolks
           | and smoking showed that an exponential fit was better than a
           | linear fit.
           | 
           | [1]: http://www.medicine.mcgill.ca/epidemiology/hanley/tmp/Ap
           | plic...
        
           | MPSimmons wrote:
           | The fact that dietary cholesterol has no impact on serum
           | cholesterol should have shot this down immediately, but
           | _shrug_
        
           | endisneigh wrote:
           | I personally think eggs are good for you and eat at least one
           | a day, but there have been studies that have shown results
           | that might lead you to believe otherwise like the following:
           | 
           | https://academic.oup.com/ajcn/article/87/4/964/4633437
           | 
           | ". In addition, consumption of >=7 eggs/wk was associated
           | with a modestly but significantly greater risk of total
           | mortality in this population. In contrast, egg consumption
           | was associated with a greater risk of all-cause mortality in
           | a dose-response fashion among physicians with diabetes (2
           | times the risk of death in people consuming >=7 eggs/wk than
           | in those consuming <1 egg/wk). Furthermore, our data provided
           | suggestive evidence for a greater risk of MI and stroke with
           | egg consumption among male physicians with diabetes. In
           | contrast, baseline hypercholesterolemia status did not
           | influence the relation between egg consumption and CVD or
           | mortality."
           | 
           | The same study admits that the finding was not conclusive
           | though and that there have been other studies that have
           | contradicted their results.
        
             | airstrike wrote:
             | They never controlled for preparation method or associated
             | ingredients (read: butter) so it's basically useless data
        
               | endisneigh wrote:
               | I completely agree - that's exactly my point. A lot of
               | these studies are not done with the necessary level of
               | rigor needed to draw a definitive conclusion. So we're
               | left with a bunch of half baked "contradictory" studies
               | in many cases.
        
               | pmiller2 wrote:
               | How exactly would you conduct a nutrition study to the
               | "necessary level of rigor needed to draw a definitive
               | conclusion?" The most interesting studies are the ones
               | that follow people long term, and you can't exactly force
               | people to eat according to a specific diet for a period
               | of years.
        
             | derekp7 wrote:
             | The one thing that is hard to control for in the studies is
             | if people who crave eggs (and therefore consume more of
             | them) also crave other things that are bad for them. Or if
             | the genetic makeup can cause an increased craving for
             | specific food types (for example genetics influences
             | whether cilantro enhances food or tastes like dish soap).
        
         | snarf21 wrote:
         | This is what you get when "nutrition" is run by the USDA, whose
         | job it is to grow and sell food. This belongs in HHS so there
         | is no conflict of interests. Most of these "studies" are funded
         | by groups with ulterior motives. And then we have billions in
         | lobbying and subsidies to reconcile. It is such a shame. We
         | know what we should do but remain bullied.
        
           | subungual wrote:
           | This study is a meta-analysis, so it works off of published
           | research and does no original experiments of its own. By its
           | nature, it incorporates systemic bias of earlier published
           | studies. Often times, this kind of analysis leads to opposing
           | biases being diluted or canceling out, but given widespread
           | industry funding of this topic in particular, I'm not super
           | optimistic about impartiality here.
        
           | post_below wrote:
           | Not sure why your post is getting downvoted, the evidence for
           | it's accuracy isn't in question that I know of.
           | 
           | Real question: Does anyone think that food industry money
           | doesn't influence policy and recommendations? If so can you
           | provide some sort of supporting evidence for this view?
        
             | derekp7 wrote:
             | Not an answer, but another question. Back when eggs were
             | demonized and grains were promoted, was there more lobbying
             | flowing from grain farmers vs. egg farmers? Also including
             | that chickens are fed grains, and therefore every egg sold
             | represents profit to the grain seller?
        
               | post_below wrote:
               | When it comes to the precise details, I imagine there
               | aren't many people who know for sure how the convoluted
               | machinations of money and policy played out on a
               | particular issue. It's the nature of the game to keep it
               | as opaque as possible.
               | 
               | If we find out, it's usually many years down the road and
               | it's rarely as direct as "grain outbid eggs". There are
               | behemoth consumer food manufacturers involved,
               | pharmaceutical companies too (statin drugs are a cash
               | cow). Lots of industries profit or lose based on public
               | health decisions and perceptions.
               | 
               | Every once in a while it's pretty direct though, maybe
               | the most well publicized example in recent years:
               | https://www.npr.org/sections/thetwo-
               | way/2016/09/13/493739074...
        
         | mantenpanther wrote:
         | Maybe the study mentioned here points to a contradiction to the
         | last part of that quote? ;-)
        
         | Bukhmanizer wrote:
         | I don't think the problem is that nutrition science is in its
         | infancy, it's more that modern science incentivizes pumping out
         | flashy results cheaply, and as fast as possible.
        
           | subungual wrote:
           | Nutrition research is incredibly difficult to conduct, too.
           | It often relies on participant reporting and is immensely
           | complicated in terms of identifying and weeding out potential
           | confounders. With how little we know about things that could
           | play significant roles (e.g. gut microbiome), doing good
           | science on this is super difficult.
        
           | [deleted]
        
       | steve76 wrote:
       | Preventative medicine is really tough. People die, and it goes
       | through a progression, like pneumonia first, then the heart, then
       | some cancer, then the kidneys. If your homeless, odds are that
       | happens in your 30s. If your a monk, it happens in your 90s. It
       | would be better to stop trauma. Car wrecks, falls, violence. Much
       | more preventable.
       | 
       | Before changing venial and innocent human behavior, a lot easier
       | to advance medicine:
       | 
       | Genetic blood thinners and statins. Dissolves blockages or
       | improve circulation to damaged organs.
       | 
       | Therapeutic imaging, radiation therapy for cardio disease. Get it
       | good enough where it's practically a tanning bed.
       | 
       | Non-invasive surgery, like catheter bypasses or valve
       | replacements.
       | 
       | Better pacemakers. That professor at the University of Chicago
       | did some great things with turbulence. Release one of those rings
       | full of medicine to a diseased artery, controlled with a
       | pacemaker or IV.
       | 
       | All more easier than stopping people from snacking at night.
        
       | foxyv wrote:
       | Hey look, another dietary study. It also fits my own
       | preconceptions about safety of animal protein and fats.
       | 
       | This is a little better quality than the usual junk we see for
       | these articles. But still, it's mostly just data juggling from a
       | public database. They have done a little to try and avoid cherry
       | picking and established a process with third party investigators
       | which is nice.
       | 
       | Personally I would rate this as "Worth further study."
       | Interesting, but definitely not a firm conclusion.
        
       | hsuduebc2 wrote:
       | This conclusion was literally opposite of what I was expecting.
       | Wow.
        
       | Etheryte wrote:
       | It is a common trope that eggs are bad for cardiovascular health
       | because they're high in cholesterol, despite this being shown to
       | be false a number of times over.
       | 
       | A good question is thus how to turn around an urban myth once
       | it's already become commonplace?
        
         | tootie wrote:
         | It's been known for a long time that consumption of cholesterol
         | doesn't directly raise blood cholesterol. The dangers of high
         | cholesterol were first raised to the public consciousness in
         | the 90s which is around when the "eggs may be bad for you" hit
         | it's peak. It wasn't until years later that the causes of high
         | cholesterol were better understood and the advice was refined.
         | That's around the time that trans fat became the real villain
         | and that advice has mostly stood up to scrutiny for a while
         | now.
        
         | cgh wrote:
         | Serve as an example? I eat four eggs a day.
        
           | airstrike wrote:
           | I eat at least two a day, virtually everyday...
           | 
           | ...prepared with zero oil or butter on a ceramic non-stick
           | pan.
           | 
           | My cholesterol levels are great. My wife eats the same diet
           | (except she doesn't order dinner at work like I do) and her
           | cholesterol levels are _ridiculously_ good.
        
             | ncmncm wrote:
             | It turns out that there is absolutely nothing wrong with
             | saturated fat, never was. Fat is necessary in human diet.
             | 
             | Cholesterol levels don't tell you much unless you have
             | heart disease.
        
           | soledades wrote:
           | Same, good egg to you my friend.
        
         | undersuit wrote:
         | Maybe explain to people what Cholesterol is, it delivers
         | essential materials to cells. That's the hypothesis for why you
         | find high cholesterol in the blood of those with heart or
         | coronary disease, those cells are damaged and need resupply.
        
       | JPKab wrote:
       | "Conclusions: Our analysis suggests that higher consumption of
       | eggs (more than 1 egg/day) was not associated with increased risk
       | of cardiovascular disease, but was associated with a significant
       | reduction in risk of coronary artery disease."
       | 
       | When I was a kid, for a few years, I had a stepmom who was
       | relatively high educated, and was very quick to pivot to the
       | healthy diet of the 90s: grains for breakfast, pasta for dinner.
       | When I would spend the night out, and come home and talk about
       | how much I loved the breakfast at my friend's house (eggs and
       | bacon) she would call them "ignorant rednecks" and talk about how
       | "some people are just too dumb to listen to science or doctors."
       | 
       | My "redneck" friends has a much healthier diet than I did. We
       | know this now. Yet people still blindly trust the US public
       | health authorities. I'm not a moron, so I don't inherently
       | mistrust their statements either. I just think a healthy
       | skepticism is warranted with US public health messaging and the
       | science that they fund. Entire careers in academia were flushed
       | down the toilet because a brave few tried to point out how
       | incredibly flawed the "dietary cholesterol causes heart disease"
       | narrative.
       | 
       | Think about this: the leading scientists and the scientific
       | community in the 1990s strongly believed that both eggs and
       | avocados strongly increased the risk of heart disease. Avocados.
       | Bad for your health.......... Looking at our collective love of
       | avocados today, it should be a highly publicized rebuke of how
       | awful the FDA's food pyramid campaign was.
        
         | vidanay wrote:
         | When I was in Scouting in the mid 80's, we had an adult leader
         | who would only let us bring one egg per person on weekend
         | camping trips. He was maniacal about how bad eggs are for you.
         | Imaging two dozen 13 year old boys running though the woods and
         | all they had to eat was one scrambled egg and half pound of
         | burnt bacon each.
        
         | giarc wrote:
         | It's ironic that now that a study comes out that supports your
         | view, you accept it, but when the big studies said something
         | opposite people were just "blindly trust the US public health
         | authorities".
        
           | something98 wrote:
           | I've got news for you. There never were any (well done) big
           | studies that said the opposite. However, there were health
           | authorities that repeated really bad "science" because it
           | supported their preconceived notions.
        
           | undefined1 wrote:
           | this is a meta-analysis, not a singular study.
        
           | JPKab wrote:
           | You are making assumptions that I wasn't skeptical of this
           | study. I am. This study has pretty strong data behind it, and
           | a much more rigorous methodology than studies which were
           | literally foundational to Ansel Keys' lipid hypothesis that
           | are borderline fraudulent in how the data was manipulated.
           | 
           | The study which had the strongest impact on my opinions with
           | dietary fat consumption was the longitudinal Framingham Heart
           | Study. It's far, far more rigorous (and expensive) than
           | virtually any of the studies being crapped out by the publish
           | or perish grant-chasers. The absolute vitriol and emotional,
           | irrational responses to the contradictions raised by
           | Framingham really taught me lessons about the fashion-driven,
           | corrupt nature of certain communities in academia.
        
         | phendrenad2 wrote:
         | Yes, I think that the problem is, we as a society believe that
         | all science is created equal. Obviously dietary science is
         | lagging way behind, say, particle physics. But we blindly
         | accept everything every field of study has reached a 51%
         | consensus on.
        
         | chickenpotpie wrote:
         | I agree with a lot of what you're saying but I'm going to
         | nitpick and say a breakfast of bacon and eggs is not healthier
         | than a breakfast of grains depending on what those grains are.
         | White bread vs bacon, debatable. But oatmeal/quinoa is
         | obviously healthier than bacon. I don't think there are any
         | government agencies pushing the idea that bacon is part of a
         | healthy diet
        
           | zionic wrote:
           | I really don't think you can say definitely that oatmeal is a
           | better breakfast for a growing child than bacon. Oatmeal is
           | tons of empty carbs that will be burned fast, cause an acute
           | insulin response, and ultimately provide less critical
           | protein to a growing child.
        
             | orev wrote:
             | > Oatmeal is tons of empty carbs that will be burned fast
             | 
             | This is completely false. Oatmeal is one of the few grains
             | where this is not true (unless you're eating it in a highly
             | processed form like flour). It is very slow to digest, does
             | not cause an insulin spike, and actually removes
             | cholesterol from the body. As far as grains go, it's pretty
             | much the best one out there. There's a reason oatmeal is
             | the primary carb used by gym rats.
             | 
             | The only time it's a problem is if you're eating it out of
             | an instant packet, but that's really about all the added
             | sugar, not the oatmeal grain.
        
               | EForEndeavour wrote:
               | > It is very slow to digest, does not cause an insulin
               | spike
               | 
               | Where do these statements come from? What counts as
               | "slow" or "fast" digestion? Oats, being rich in
               | carbohydrates, definitely affect insulin. As one example,
               | this 2019 paper clearly shows that overnight oats elicit
               | glycemic and insulin responses, so it's patently false to
               | claim that oatmeal "does not cause an insulin spike":
               | https://www.nature.com/articles/s41430-018-0329-1#Fig2
               | 
               | > There's a reason oatmeal is the primary carb used by
               | gym rats.
               | 
               | Gym rats say and do a lot of things without scientific
               | merit. That's why the term "broscience" exists.
               | 
               | > The only time it's a problem is if you're eating it out
               | of an instant packet, but that's really about all the
               | added sugar, not the oatmeal grain.
               | 
               | It's not just the added sugar. Instant oats _are_ more
               | processed than steel-cut or rolled oats, and they do have
               | a higher glycemic index.
               | 
               | From https://www.diabetes.ca/managing-my-diabetes/tools
               | ---resourc...:
               | 
               | > In general, the more highly processed a food is, or the
               | quicker a food is digested, the higher the GI. For
               | example, instant oats have a higher GI than steel cut
               | oats.
               | 
               | From https://www.health.harvard.edu/diseases-and-
               | conditions/glyce...:
               | 
               | Glycemic load (glucose = 100):
               | 
               | Porridge, rolled oats = 55 +- 2
               | 
               | Instant oat porridge 79 +- 3
        
             | chickenpotpie wrote:
             | I don't think the above poster can say that bacon is better
             | than grains considering they're full of saturated fat,
             | sodium, and nitrates. Oatmeal is also not "empty carbs" it
             | has a lot of fiber, protein, and nutrients
        
               | aaomidi wrote:
               | Sodium is fine. Nitrates no idea. Saturated fats we can't
               | decide on if they're good or evil.
               | 
               | Non saturated fats are newer to our diet as a species
               | too. Just to keep that in mind.
        
               | anusername wrote:
               | Sadly, the truth is that saturated fat causally increase
               | LDL cholesterol[1] which causally increases the risk for
               | heart disease[2].
               | 
               | [1] Meta analysis of tens of RCTs https://www.who.int/nut
               | rition/publications/nutrientrequireme...
               | 
               | [2] There are plenty of Mendelian Randomization (MR)
               | studies, studies on the effects of statins, etc.
        
               | reducesuffering wrote:
               | Nitrates and Nitrites are the leading culprit for red
               | meat causing cancer. There is bacon that is cured without
               | them. It's just that they are added to most bacon and
               | almost all processed red meats.
        
               | djrogers wrote:
               | > There is bacon that is cured without them.
               | 
               | No, there really isn't. What we have is bacon producers
               | using a loophole to use 'natural' nitrates from things
               | like celery for curing. They're the exact same molecule
               | and perform the same function, but because they used
               | processed celery juice instead of pure sodium nitrite,
               | they get to claim they're nitrate free.
               | 
               | They aren't.
        
             | 3np wrote:
             | Quaker instants, sure, but whole grain with no added sugar?
             | I beg to differ.
             | 
             | Oats are among the lowest/slowest carb grains we have.
             | 
             | Egg on the and no one on this side of keto absolutism
             | should argue that it's nutritionally unbalanced.
        
         | suifbwish wrote:
         | Keep in mind this study might not be about egg consumption but
         | rather the overall risk of disease in those who happen to eat
         | more eggs than other people. A lot of people who eat several
         | eggs a day are also going to the gym to try to build muscle
         | mass.
        
         | 52-6F-62 wrote:
         | Sidenote: I wish I could find good, or even _any_ , low-fat
         | options these days. They all seemed to have been left in the
         | 90's. I had to even quit the seed-filled breads I loved because
         | of my troubled pancreas (non-diabetic). I miss whole eggs so
         | much...
         | 
         | Also sidenote: this is the picture regarding cardiovascular
         | health, but with extremely high-fat foods and diets being the
         | mode right now I'll bet we see a bit of an uptick on chronic
         | pancreatitis cases in time. Moderation, as always, is the best
         | course for most... "everything in moderation, especially
         | moderation"
        
           | jay_kyburz wrote:
           | Does you pancreas actually hurt when you eat an egg, or did
           | your doctor just tell you to stop eating them?
        
         | 1-6 wrote:
         | I'm also on the fence about how salt is 'unhealthy'. Read the
         | book The Salt Fix by Dr. James DiNicolantonio
        
           | JoeAltmaier wrote:
           | Yeah the human body is exquisitely designed to maintain a
           | salt balance. Sweat, urine, even tears control excretion of
           | excess. Unless your body is compromised, eat all the salt you
           | want.
        
         | rriepe wrote:
         | The food pyramid is an enduring icon of institutional
         | incompetence.
         | 
         | What they should have done instead is mandate the use of the
         | term "lipids" instead of "fat" on nutrition labels. Vocabulary
         | could do so much to solve our problems. We are a nation of fat
         | people who think that eating fat makes you fat. Then we also
         | think that eating cholesterol gives us high cholesterol.
         | 
         | We use a different word for a cow when it's on our dinner plate
         | but we can't do the same for fat? I guess this idea doesn't
         | give the graphic designer anything to do.
        
         | rmason wrote:
         | Saw a movie back in I think the seventies that involved a time
         | traveler coming back to present day America. He's happily
         | eating what was regarded at the time as a very unhealthy diet
         | and is horrified at all the people eating what we all thought
         | was the healthy choice. It was a comedic punchline throughout
         | the movie.
         | 
         | I dropped eating eggs for thirty years because we were all lied
         | to by the experts. But as a result it brings me sheer joy to
         | eat eggs for breakfast every single day - at my doctors
         | recommendation ;<).
         | 
         | What the experts should have warned us about was our sugar
         | intake. I have reduced mine, it's not that difficult, and only
         | wish I had known to do so decades ago.
        
           | eternalny1 wrote:
           | > Saw a movie back in I think the seventies that involved a
           | time traveler coming back to present day America. He's
           | happily eating what was regarded at the time as a very
           | unhealthy diet and is horrified at all the people eating what
           | we all thought was the healthy choice. It was a comedic
           | punchline throughout the movie.
           | 
           | You are probably talking about Woody Allen's "Sleeper".
           | 
           | https://en.wikipedia.org/wiki/Sleeper_(1973_film)
        
         | zionic wrote:
         | Slightly tangential, but your mom might have reduced your
         | height. I recall reading a study a few years ago that found a
         | strong correlation between high protein for breakfast and the
         | length of the femur.
        
         | shireboy wrote:
         | Not to get too political, but now do masks/HCQ/covid. It's just
         | tricky. In the end, many "scientists"- and _especially_ science
         | reporters are too confident, and many "armchair scientists" are
         | as well. We should all try to do the best we can to follow the
         | science, keep a healthy dose of skepticism, and be kind and
         | understanding of people who may land on different opinions than
         | us. Imagine if your stepmom had said "I've seen differing
         | studies on this topic, and just come down on the side that
         | bacon and eggs are bad" as opposed to "everybody who disagrees
         | with me is an ignorant redneck". Will leave it to the reader to
         | apply that to today's topic du jur.
        
           | pmiller2 wrote:
           | No, the "food pyramid" is different. It's an absolute lie
           | based on no research whatsoever. See
           | https://www.scientificamerican.com/article/rebuilding-the-
           | fo...
        
         | silicon2401 wrote:
         | Anecdotal, but I have to root for eggs whenever I get the
         | chance. I've eaten at least 3 eggs a day every single day for
         | almost a decade, before which I didn't stick to a number and
         | would often eat 6-8 eggs a day. My doctor recently told my
         | cholesterol was perfect. Maybe I'm an exception or maybe I have
         | the right genes for eggs, no idea. But they're definitely not
         | an automatic health disaster like many people think they are.
        
           | onnnon wrote:
           | When you eat foods with cholesterol, it has little effect on
           | your cholesterol levels because your cells make it by
           | themselves, and the body will only absorb cholesterol if your
           | levels are low. If you have good cholesterol levels, you can
           | eat many eggs and your cholesterol wont go up. High
           | cholesterol is caused from eating too many sugars and
           | starches which causes an insulin spike that tells the cells
           | to make more cholesterol even when they don't need it.
        
         | saghm wrote:
         | I expected to see this linked here already, but I don't see it,
         | so here it is https://youtu.be/5Ua-WVg1SsA
        
         | eej71 wrote:
         | This College Humor skit captures the evolving advice.
         | 
         | https://www.youtube.com/watch?v=5Ua-WVg1SsA
        
         | hdhsjjjxj wrote:
         | When I was in middle school they had the food guide pyramid
         | which recommended 13 servings of grain, such as cereal, a day.
         | It was just obviously absurd. I would lol thinking of someone
         | trying to eat 13 bowls of cereal
        
           | Jtsummers wrote:
           | That would be 13 cups (unit of measure) of cereal a day,
           | probably 4-6 bowls depending on how generous you are when
           | pouring it into a bowl. Or 13 slices of bread (which is most
           | of a loaf). That doesn't seem at all like a reasonably
           | recommended number. Trying to find real charts, it looks like
           | by 1992 they were recommending a range of 6-11 servings of
           | grains (rice, cereals, pasta, breads). Which is at least a
           | more reasonable number if you swing towards the low end.
        
         | thelean12 wrote:
         | This view is really bad.
         | 
         | The only logical thing to do is to follow current scientific
         | consensus the best we can. Adjust ourselves as those views
         | adjust.
         | 
         | Anything else is just pure ego saying that you know better than
         | experts. Random examples where you were "right" or the
         | scientific consensus was "wrong" are irrelevant.
         | 
         | Edit: I'm just saying that the scientific method is the best
         | tool we have for this kind of stuff, even with the bias and
         | flaws of the studies. It's miles and miles better than
         | Facebook-esque anecdotes about rednecks eating bacon.
        
           | ve55 wrote:
           | The mistake is when one assumes that the things they read on
           | media outlets and on TV are anywhere close to a 'scientific
           | consensus' in an area such as nutrition.
        
             | thelean12 wrote:
             | Since I'm getting downvoted to oblivion I feel compelled to
             | respond: I never said to assume that.
        
               | ve55 wrote:
               | Correct, I didn't intend it as a critique of you
               | specifically, but rather something that I see a lot of
               | others do, so I apologize for the overly-direct wording
               | (edited it to make this more clear).
        
           | SkyMarshal wrote:
           | Scientific studies aren't gospel. They can be affected by the
           | sensibilities of grant agencies, funding from industry,
           | flawed experiment design, and p-hacking, among others.
           | 
           | Peter Norvig's essay on experiment design comes to mind:
           | 
           | http://norvig.com/experiment-design.html
        
             | rriepe wrote:
             | > Scientific studies aren't gospel.
             | 
             | I've found this depends on the person.
        
               | dennis_jeeves wrote:
               | >> Scientific studies aren't gospel.
               | 
               | >I've found this depends on the person.
               | 
               | Good point. It is indeed gospel for some people :)
               | 
               | Infact in the new era of Covid, we now have common people
               | parrot the opinion of medical 'experts' verbatim as
               | though it were gospel
        
             | thelean12 wrote:
             | Of course. So what?
             | 
             | The current alternative to scientific studies (with their
             | varying degrees of bias and flaws) are Facebook-esque
             | anecdotes about rednecks eating bacon that apparently are
             | so compelling that they get upvoted to the top of HN.
        
           | corn_dog wrote:
           | First figure out if there is any kind of scientific
           | consensus, and how solid it is.
        
           | [deleted]
        
           | MrPatan wrote:
           | Ah, there's the problem. The scientific method is great, but
           | it doesn't apply itself. It's scientists that are the
           | problem. Scientists are only human.
           | 
           | Let's do an experiment. Or better, let's do a
           | Gedankenexperiment so we sound more like experts:
           | 
           | Look around your (virtual) workplace. See that well-spoken
           | idiot who you know is wrong about everything, but who somehow
           | gets the attention and the money to run whatever projects
           | they want? That's the expert.
           | 
           | You are not the expert, even though you know more stuff,
           | because nobody asks you. And when you insisted they were
           | wrong, they got rid of you.
           | 
           | The same thing happens everywhere, in academia, science,
           | government, medicine... everywhere. We are only human.
           | 
           | But not to worry! It's all right. Thanks to the scientific
           | method science actually advances, even if it's one funeral at
           | a time. Just be careful who you trust.
        
             | thelean12 wrote:
             | Your anti-science vibe is terrifying.
             | 
             | Be very careful about how you word stuff like this, even if
             | at the end of the day it's just healthy skepticism. It's
             | the same vibe that gives power to conspiracy theories.
        
               | rhesa wrote:
               | Their comment didn't sound anti-science to me at all.
               | They're critical of academia and how that functions. SMBC
               | had a comic on this recently that illustrates the
               | difference, the issues, and possible improvements:
               | https://www.smbc-comics.com/comic/science-fictions
        
           | dennis_jeeves wrote:
           | >The only logical thing to do is to follow current scientific
           | consensus the best we can.
           | 
           | Until you figure out that most 'scientists' are morons, and
           | are biased/ignorant/academic. An anecdote from an observant,
           | meticulous, objective layman is far more dependable than the
           | gobbledygook that characterizes most published research.
        
         | cpursley wrote:
         | Follow the money. The FDA is a political organization.
        
           | djrogers wrote:
           | The 'food pyramid' doesn't come from the FDA, it's a USDA
           | (department of agriculture) construct, and was designed from
           | all appearances, to prop up or increase our intake of grains
           | grown by US farmers.
        
       | JoeAltmaier wrote:
       | Woody Alan said in a movie "Think about it! All the things our
       | grandparents said were good for us, are bad for us. Sunshine, red
       | meat, college - all the things they said are good for us, are bad
       | for us!"
        
       | mike503 wrote:
       | What if we took a step back and realized that our bodies are all
       | different and all of these studies likely never have 100% proper
       | control over external variables. Perhaps eating 7 eggs a week is
       | good for you if you also eat A, do B, etc, but otherwise it's
       | bad... too many variables and still (what feels like) a near
       | infinite amount of knowledge lacking of our own bodies.
        
         | niels_bom wrote:
         | This.
         | 
         | The wildy differing research results indicates to me that the
         | science of diet and health is just really hard. You can't
         | easily create control groups for longer running studies. You
         | can't easily control for (epi)genetic factors. There's a tonne
         | of other variables you also need to rule out.
         | 
         | And for individuals it's still unclear whether the results
         | apply to them or not.
         | 
         | Personally I've decided to go middle of the road, listen to my
         | body and factor in more obvious things into my decisions about
         | food, like animal cruelty, antibiotic resistance because of
         | mass livestock keeping and consequences to the environment.
        
       | [deleted]
        
       | bananabiscuit wrote:
       | Why was this study titled in a way that would lead a person to
       | presuming the opposite of what the conclusion actually is?
       | 
       | I get that technically the title does not actually imply there is
       | an "association", but why not name it something that doesn't lead
       | the mind as much in the wrong direction? For example: "Effects of
       | Egg Consumption on the Risk of Cardiovascular Diseases"
        
         | UnFleshedOne wrote:
         | Selection pressure for traits that affect not stopping reading
         | after headlines?
         | 
         | The current climate of public opinion driven exclusively by
         | twitter-sized soundbites won't resolve by itself...
        
         | butterisgood wrote:
         | Nutritionists HATE This trick!
        
           | ggm wrote:
           | Wait... are you telling me the clickbait ads in my feed might
           | be .. public health alerts?
        
             | mypalmike wrote:
             | Yes. I recently found out that Tommy Chong wants me to
             | throw out my CBD oil. Seems important!
        
       | ortusdux wrote:
       | I remember Beyond Egg brand mayonnaise pushing their product as a
       | healthier cholesterol free alternative. In trying to track down
       | those claims just now, I learned that the FDA cracked down on
       | them because mayonnaise is required to contain egg, and that the
       | egg council went after them and ran afoul of the USDA. It really
       | makes me think about who funds these studies and why.
       | 
       | https://www.latimes.com/business/la-fi-egg-board-investigati...
        
       | killion wrote:
       | I would like to see more than the summary. Is there a way to get
       | access?
       | 
       | I'm interested because I was on a low-carb high-fat diet where I
       | ate 3 eggs a day - that was until I got a blood test that showed
       | very high cholesterol. Now I've cut dietary cholesterol and I'm
       | on statins. It's much harder to maintain weight loss this way.
        
         | onnnon wrote:
         | Do you eat sugar?
        
         | ncmncm wrote:
         | Sci-hub is your friend.
         | 
         | https://sci-hub.se/https://doi.org/10.1016/j.amjmed.2020.05....
         | 
         | The journal publishers are always getting Sci-hub's internet
         | access cut off, so you have to search for where they are served
         | from at any moment. Every time they are cut off, they find
         | another way back on, and you have to find them again.
         | 
         | The journal publishers are about as evil as any corporation not
         | actively killing people can be. They take huge "page fees" from
         | scientists to publish papers, huge subscriptions from academic
         | libraries, and don't pay their editors or their reviewers.
         | Their profit margin is 40% and rising.
         | 
         | Probably nothing can be done about them without legislation.
         | * * *
         | 
         | On your other remarks: Dietary cholesterol has absolutely
         | nothing to do with heart disease. Your liver makes the
         | cholesterol your body needs. No one has ever been able to
         | demonstrate any benefit to statins for people who have not had
         | a heart attack, despite trying _really hard_ for 30+ years.
         | 
         | But statins interfere with your liver producing the cholesterol
         | your body needs. Statins have bad side effects that they don't
         | like to talk about, particularly muscle damage.
         | 
         | The best things you could do is eliminate sugar, and increase
         | exercise. Saturated fat is good for you, and helps reduce
         | appetite. Sugar and gluten are appetite stimulants.
        
       | onnteohuonteuh wrote:
       | I'm going to try to articulate the arguments of the "veggie"
       | doctors.
       | 
       | 1) Industry funding colors scientific results. I believe people
       | on HN understand this.
       | 
       | 2) There are marketing agencies in the US which exist to market
       | the products of animal agriculture. These agencies fund a
       | significant amount of research into their products.
       | 
       | 3) The human body has an upper limit on the amount of dietary
       | cholesterol it can absorb daily. Two eggs will accomplish this
       | for most people.
       | 
       | 4) Given (3), it is relatively simple to design a scientific
       | study which demonstrates that consuming n+1 eggs daily is no more
       | harmful than consuming n eggs daily.
       | 
       | Please see the video series by Dr Greger[1] and the old
       | newsletter by Dr McDougall[2].
       | 
       | On a personal note, I followed the veggie doctors advice for a
       | number of years, by eating a strict vegetarian diet nearly free
       | of sugar. My body weight dropped by more than 100 pounds, to a
       | healthy (not overweight) range. My cholesterol dropped to around
       | 92. After a few years, I was persistently, ravenously, insatiably
       | hungry. The only thing that helped was returning to consuming
       | animal products. Without intending to devolve into the middle-of-
       | the-road fallacy, you may wish to heed the advice of Harvard
       | Medical[3].
       | 
       | [1] https://nutritionfacts.org/?s=eggs
       | 
       | [2] https://www.drmcdougall.com/misc/2016nl/jan/eggindustry.htm
       | 
       | [3] https://www.health.harvard.edu/blog/digesting-the-latest-
       | res...
        
         | Jtsummers wrote:
         | And my cholesterol dropped by 90+ points by losing 40 lbs and
         | adopting a chicken, egg, rice, green vegetable, nuts, cheese,
         | whole milk, and fruit centric diet. Most of those foods were
         | better with regard to satiating me and led to me consuming
         | fewer calories overall.
         | 
         | Weight loss is a significant contributor to improving
         | cholesterol levels in cases of non-hereditary high cholesterol.
         | When moving from obese to normal weight (in your case) or
         | borderline obese/very overweight to normal weight (in my case)
         | it's hard to separate that from the impact of the diet on
         | cholesterol levels.
        
       | ogre_codes wrote:
       | We have 6 chickens cranking out 5-6 eggs a day so this is a huge
       | relief. Eggs are a significant portion of my daily protein. Since
       | our chickens free range and eat plenty of greens they are pretty
       | high in Omega 3 fatty acids.
       | 
       | I've known that the old school idea that cholesterol in eggs made
       | them unhealthy was mostly bunk, but good to hear it confirmed.
       | 
       | Now I just need to figure out a way to find a good source of
       | nitrate free bacon.
        
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       (page generated 2021-02-04 23:01 UTC)