Cross-sectional study2017Open access

Nut Consumption and Cardiovascular Risk Factors: A Cross-Sectional Study in a Mediterranean Population

Relja A, Miljković A, Gelemanović A, Bošković M, Hayward C, Polašek O, Kolčić I

Nutrients · 28 citations

How it was studied

Design
Cross-sectional study (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Not stated

Who paid for it

Funding
Independent funding
Government
Ministarstvo znanosti i obrazovanja
Government
European Commission
Government
Hrvatska Zaklada za Znanost
Government
Medical Research Council
Grants
European Commission (018947); European Commission (313010); Medical Research Council (LSHG-CT-2006-018947); Hrvatska Zaklada za Znanost (216-1080315-0302); Hrvatska Zaklada za Znanost (LSHG-CT-2006018947); European Commission (LSHG-CT-2006-018947)

Based on 4 listed funder(s) and full-text disclosure statement.

Publication

Published
2017-11-28 · Nutrients · vol. 9 · issue 12 · p. 1296
Publisher
Multidisciplinary Digital Publishing Institute
Cited
37 citations · more than 89% of similar papers · 2.4× the field average
References
54 works
Access
Open access (journal) · CC-BY
Research areas
Nuts composition and effects · Oral Health Pathology and Treatment · Botany, Ecology, and Taxonomy Studies
Keywords
Cross-sectional study, Mediterranean diet, Medicine, Environmental health, Population, Consumption (sociology), Internal medicine, Pathology
MeSH
humans, nuts, cardiovascular diseases, diet, odds ratio, risk factors, cross-sectional studies, adult, middle aged, croatia, mediterranean region, female, male, young adult, metabolic syndrome

7 authors

From HR, GB

  • Ajka ReljaUniversity of Split
  • Ana MiljkovićUniversity of Split
  • Andrea GelemanovićUniversity of Split
  • Maria BoškovićUniversity of Zagreb
  • Caroline HaywardInstitute of Genetics and Cancer; University of Edinburgh
  • Ozren PolašekUniversity of Split

Abstract

Nuts are often considered beneficial for health, yet few studies have examined determinants of their intake and the associations between nut consumption and various cardiovascular disease risk factors. The aim of this study was to identify factors associated with nut intake in a Mediterranean population, in Croatia, and to investigate the association of nut intake and various cardiovascular risk factors.

Methods

Subjects from the Island of Vis, Island of Korčula and the City of Split were included in this cross-sectional study (n = 4416 in total; 4011 without known cardiovascular disease). Survey responses, medical records and clinically relevant measurements were utilized. Multivariate ordinal and logistic regression models were used in the analysis, adjusting for known confounding factors.

Results

As low as 5% of all subjects reported daily, and 11% reported weekly, nut consumption. The characteristics associated with more frequent nut intake were female gender (Odds ratio (OR) = 1.39; 95% confidence interval (CI) 1.19-1.62), highest level of education (1.42; 1.15-1.76) and material status (1.58; 1.29-1.93), smoking abstinence (1.21; 1.04-1.42 in never-smokers and 1.22; 1.02-1.46 in ex-smokers), Mediterranean diet adherence (1.87; 1.62-2.15), and absence of central obesity (1.29; 1.09-1.53), absence of diabetes (1.30; 1.02-1.66) and metabolic syndrome (1.17; 1.01-1.36). Subjects who consumed nuts had more favorable waist-to-height (overall p = 0.036) and waist-to-hip ratios (0.033), lesser odds of elevated fibrinogen (p p = 0.026), compared to non-consumers.

Conclusions

It appears that frequent nut consumption is an integral part of a healthy lifestyle and better socioeconomic status. A beneficial association of nut intake with cardiovascular risk factors was confirmed in this study.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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