Study2019Industry fundedOpen access

Funded in part by California Walnut Commission, The Peanut Institution

Changes in nut consumption influence long-term weight change in US men and women

Liu X, Li Y, Guasch-Ferré M, Willett WC, Drouin-Chartier JP, Bhupathiraju SN, Tobias DK

BMJ nutrition, prevention & health · 17 citations

Review labels

Industry fundedNo stated lifestyle adjustment

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Cohort study (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Not stated

Who paid for it

Funding
Industry funded
Industry group
California Walnut Commission
Government
National Institutes of Health
Government
National Cancer Institute
Government
National Institute of Diabetes and Digestive and Kidney Diseases
Government
NCI NIH HHS
Government
NIDDK NIH HHS
Industry group
The Peanut Institution
Grants
National Institute of Diabetes and Digestive and Kidney Diseases (K01 DK107804); National Cancer Institute (UM1 CA186107); National Cancer Institute (UM1-CA-167552); National Cancer Institute (UM1 CA176726); National Institutes of Health (UM1 CA 176726); National Institutes of Health (UM1 CA167552); National Institutes of Health (CA176726); National Institutes of Health (UM1‐CA‐186107); National Institutes of Health (CA-167552); National Institutes of Health (CA186107); National Institutes of Health (UM1 CA186107, UM1 CA176726)

Based on 7 listed funder(s).

Publication

Published
2019-09-23 · BMJ Nutr Prev Health · vol. 2 · issue 2 · pp. 90–99
Publisher
BMJ
Cited
28 citations · more than 85% of similar papers · 2.1× the field average
References
40 works
Access
Open access (journal) · CC-BY-NC
Research areas
Nuts composition and effects · Peanut Plant Research Studies · Botany, Ecology, and Taxonomy Studies
Keywords
Nut, Medicine, Obesity, Body mass index, Demography, Weight gain, Weight change, Prospective cohort study, Consumption (sociology), Confidence interval, Multivariate analysis, Cohort study, Longitudinal study, Weight loss, Cohort, Gerontology, Animal science, Body weight, Internal medicine

7 authors

From US

  • Xiaoran LiuHarvard University
  • Yanping LiHarvard University
  • Marta Liu Guasch-FerréBrigham and Women's Hospital; Harvard University
  • Walter Churchill WillettBrigham and Women's Hospital; Harvard University
  • Jean‐Philippe Drouin‐ChartierHarvard University
  • Shilpa N BhupathirajuBrigham and Women's Hospital; Harvard University

Abstract

Background

Nut consumption has increased in the US but little evidence exists on the association between changes in nut consumption and weight change. We aimed to evaluate the association between changes in total consumption of nuts and intakes of different nuts (including peanuts) and long-term weight change, in three independent cohort studies.

Methods and findings

Data collected in three prospective, longitudinal cohorts among health professionals in the US were analysed. We included 27 521 men (Health Professionals Follow-up Study, 1986 to 2010), 61 680 women (Nurses' Health Study, 1986 to 2010), and 55 684 younger women (Nurses' Health Study II, 1991 to 2011) who were free of chronic disease at baseline in the analyses. We investigated the association between changes in nut consumption over 4-year intervals and concurrent weight change over 20-24 years of follow-up using multivariate linear models with an unstructured correlation matrix to account for within-individual repeated measures. 21 322 individuals attained a body mass index classification of obesity (BMI ≥30 kg/m2) at the end of follow-up.Average weight gain across the three cohorts was 0.32 kg each year. Increases in nut consumption, per 0.5 servings/day (14 g), was significantly associated with less weight gain per 4-year interval (p<0.01 for all): -0.19 kg (95% CI -0.21 to -0.17) for total consumption of nuts, -0.37 kg (95% CI -0.45 to -0.30) for walnuts, -0.36 kg (95% CI -0.40 to -0.31) for other tree nuts, and -0.15 kg (95% CI -0.19 to -0.11) for peanuts.Increasing intakes of nuts, walnuts, and other tree nuts by 0.5 servings/day was associated with a lower risk of obesity. The multivariable adjusted RR for total nuts, walnuts, and other tree nuts was 0.97 (95% CI 0.96 to 0.99, p=0.0036), 0.85 (95% CI 0.81 to 0.89, p=0.0002), and 0.89 (95% CI 0.87 to 0.91, p<0.0001), respectively. Increasing nut consumption was also associated with a lower risk of gaining ≥2 kg or ≥5 kg (RR 0.89-0.98, p<0.01 for all).In substitution analyses, substituting 0.5 servings/day of nuts for red meat, processed meat, French fries, desserts, or potato, chips (crisps) was associated with less weight gain (p<0.05 for all).Our cohorts were largely composed of Caucasian health professionals with relatively higher socioeconomic status; thus the results may not be generalisable to other populations.

Conclusion

Increasing daily consumption of nuts is associated with less long-term weight gain and a lower risk of obesity in adults. Replacing 0.5 servings/day of less healthful foods with nuts may be a simple strategy to help prevent gradual long-term weight gain and obesity.

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

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