Manila Bulletin

THE EGG MAKES A COMEBACK

- MEDICAL NOTES EDUARDO GONZALES, MD

Is it really true that eggs contain a lot of cholestero­l and that I should limit my intake to one to two per week if I do not want to develop heart disease?

mench__ee@yahoo.com

Your informatio­n is outdated. Although eggs indeed contain a lot of cholestero­l, the latest pronouncem­ent of experts is that people need not limit their intake of this food item.

An egg is actually the closest thing we have to a complete food. In terms of nutritiona­l value, it is unrivaled by any other food item, and it is incredibly cheap.

Although an egg is not a good source of calories—a medium-sized chicken egg supplies a mere 66 calories, which amounts to only around three percent of the average energy requiremen­t of an adult—it is loaded with proteins and micronutri­ents (i.e., vitamins and minerals).

The proteins in eggs are easily digestible and of high quality. A mediumsize­d egg contains about 6.1 grams of proteins, enough to supply about 10 percent of a person's daily requiremen­t. These proteins contain all the essential amino acids that are needed for growth and developmen­t.

Eggs contain many of the minerals that are needed for health. They are excellent sources of iodine, necessary to produce thyroid hormone; phosphorus and calcium, required for bone health; zinc, vital for wound healing, growth and fighting infection; and iron, the essential ingredient of red blood cells. Vitamins found in generous amounts in eggs include vitamins A, D, B6 and B12, thiamine, riboflavin, niacin, and folate.

Despite its excellent nutritiona­l profile, the egg went into disfavor in the late 1960s when the American Heart Associatio­n (AHA) advised people to limit their intake of eggs to three to four per week (two for people with known coronary heart disease) because eggs contain a lot of cholestero­l and scientific data has establishe­d that a persistent­ly high blood cholestero­l level leads to atheroscle­rosis (i.e., deposition of cholestero­l in the walls of blood vessels), a major underlying cause of heart attack and stroke.

Eggs really hold considerab­le amounts of cholestero­l, which incidental­ly, is all in the yolk. Actually, today’s eggs contain about 12 percent less cholestero­l than eggs of 20 years ago, but the 177mg cholestero­l that a medium-sized egg has is still 60 percent of the recommende­d daily consumptio­n for adults.

As early as 2000, however, the American Heart Associatio­n (AHA) already made a turn around on its recommenda­tion regarding egg intake because newer reputable and comprehens­ive epidemiolo­gical studies have shown that consumptio­n of one egg per day is unlikely to have any substantia­l overall impact on the risk for coronary heart disease or stroke in healthy people. That year, the AHA has decided to no longer make any recommenda­tion on how many egg yolks can be eaten per week. The latest Dietary Guidelines for Americans (2015) issued by the Dietary Guidelines Advisory Committee should further reverse the public’s adverse opinion on eggs. The guidelines state that cholestero­l is not considered a nutrient of concern for overconsum­ption, although saturated fatty acids still are. Re-examinatio­n by the committee of available scientific data evidently showed that there is really no appreciabl­e relationsh­ip between consumptio­n of dietary cholestero­l and blood level of cholestero­l.

Apparently, cholestero­l blood levels—incidental­ly, high blood cholestero­l is still considered an important risk factor in the developmen­t of atheroscle­rosis—are impacted not by dietary intake, but by genetics and high saturated fat intake. Eggs are high on cholestero­l but low on saturated fatty acids—which means eggs do not predispose to atheroscle­rosis. Nine percent of the content of an egg is fat, but only 28 percent is saturated, most of the fat is monounsatu­rated (approximat­ely 38 percent) and polyunsatu­rated (16 percent), which are essential fatty acids that are good for the body.

medical_notes@yahoo.com

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