Study2021Industry fundedOpen access

Funded in part by Novo Nordisk, Novo Nordisk Fonden, Novo Nordisk Foundation

Nut Consumption Is Associated with Lower Risk of Metabolic Syndrome and Its Components in Type 1 Diabetes

Ahola AJ, Forsblom CM, Harjutsalo V, Groop PH

Nutrients · 14 citations

Review labels

Author industry tiesIndustry 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
Cross-sectional study (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Food diaries or recalls

Who paid for it

Funding
Industry funded
Nonprofit
Wilhelm och Else Stockmanns Stiftelse
Nonprofit
Folkhälsanin Tutkimussäätiö
Government
Academy of Finland
Company
Novo Nordisk
Nonprofit
Päivikki ja Sakari Sohlbergin Säätiö
Nonprofit
Signe ja Ane Gyllenbergin Säätiö
Nonprofit
Samfundet Folkhälsan
Company
Novo Nordisk Fonden
Nonprofit
Folkhälsan Research Foundation
Nonprofit
Liv och Hälsa Society
Nonprofit
Wilhelm and Else Stockmann Foundation
Nonprofit
Signe and Ane Gyllenberg Foundation
Company
Novo Nordisk Foundation
Nonprofit
Päivikki and Sakari Sohlberg Foundation
University or hospital
Helsinki University Hospital Research Funds
Authors
At least one author declares a financial tie to industry
Grants
Päivikki ja Sakari Sohlbergin Säätiö (TYH2018207); Folkhälsanin Tutkimussäätiö (OC0013659); Novo Nordisk Fonden (NNF14OC0013659); Novo Nordisk Fonden (316664); Novo Nordisk Fonden (#NNFOC0013659); Päivikki ja Sakari Sohlbergin Säätiö (OC0013659); Signe ja Ane Gyllenbergin Säätiö (316664); Wilhelm och Else Stockmanns Stiftelse (OC0013659); Folkhälsanin Tutkimussäätiö (316664); Novo Nordisk Fonden (OC0013659); Academy of Finland (316664); Wilhelm och Else Stockmanns Stiftelse (316664); Folkhälsanin Tutkimussäätiö (TYH2018207); Päivikki ja Sakari Sohlbergin Säätiö (316664); Signe ja Ane Gyllenbergin Säätiö (TYH2018207); Novo Nordisk Fonden (TYH2018207); Wilhelm och Else Stockmanns Stiftelse (TYH2018207); Signe ja Ane Gyllenbergin Säätiö (OC0013659)

Based on 15 listed funder(s) and full-text disclosure statement.

Publication

Published
2021-10-30 · Nutrients · vol. 13 · issue 11 · p. 3909
Publisher
Multidisciplinary Digital Publishing Institute
Cited
15 citations · more than 71% of similar papers · 0.9× the field average
References
40 works
Access
Open access (journal) · CC-BY
Research areas
Nuts composition and effects · Antioxidant Activity and Oxidative Stress · Tea Polyphenols and Effects
Keywords
Medicine, Metabolic syndrome, Overweight, Type 2 diabetes, Waist, Nut, Obesity, Diabetes mellitus, Triglyceride, Internal medicine, Body mass index, Cholesterol, Endocrinology, Blood pressure
MeSH
humans, nuts, diabetes mellitus, type 1, obesity, diet, risk factors, blood pressure, adult, middle aged, diet records, female, male, overweight, cholesterol, hdl, waist circumference, metabolic syndrome, glycemic control

4 authors

From FI, AU

  • Aila J. AholaUniversity of Helsinki; Helsinki University Hospital; Folkhälsans Forskningscentrum
  • Carol M. ForsblomUniversity of Helsinki; Helsinki University Hospital; Folkhälsans Forskningscentrum
  • Valma HarjutsaloUniversity of Helsinki; Helsinki University Hospital; Finnish Institute for Health and Welfare; Folkhälsans Forskningscentrum
  • Per‐Henrik GroopUniversity of Helsinki; Helsinki University Hospital; Folkhälsans Forskningscentrum; Monash University

Abstract

Although nut consumption has been associated with several health benefits, it has not been investigated in individuals with type 1 diabetes. Therefore, our aim was to assess nut consumption and its association with metabolic syndrome in adult individuals with type 1 diabetes taking part in the Finnish Diabetic Nephropathy Study. The nut intake of the 1058 participants was assessed from 3-day food records that were completed twice, and the number of weekly servings, assuming a serving size of 28.4 g, was calculated. Metabolic syndrome was defined as the presence of ≥3 of the cardiovascular risk factors: central obesity, high blood pressure (≥130/85 mmHg or use of antihypertensive medication), high triglyceride concentration (≥1.70 mmol/L or use of lipid-lowering medication), low HDL-cholesterol concentration (2. HbA1c > 59 mmol/mol (>7.5%) was used as a criterion for suboptimal glycaemic control. Of the 1058 (mean age 46 years, 41.6% men) participants, 689 (54.1%) reported no nut intake. In the remaining sample, the median weekly nut intake was 40.8 g. In the adjusted models, higher nut intake, as the continuous number of weekly servings and the comparison of those with 1c, and BMI. Nut consumption as a continuous variable was negatively associated with the presence of metabolic syndrome, its blood pressure, triglyceride, and HDL-cholesterol components, and suboptimal glycaemic control. Consumption of ≥2 weekly servings was associated with lower odds of suboptimal glycaemic control (by 51.5%), overweight/obesity (by 33.4%), and metabolic syndrome (by 51.8%) and meeting the waist (by 37.3%), blood pressure (by 44.5%), triglyceride (by 37.7%), and HDL-cholesterol (by 36.2%) components of the metabolic syndrome. In conclusion, a weekly nut intake of ≥2 servings was beneficially associated with all the components of the metabolic syndrome in type 1 diabetes. The causality of this association will need to be investigated.

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

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