Meta-analysis2025Industry funded

Funded in part by International Nut and Dried Fruit Council

Effect of nut consumption on blood lipids: An updated systematic review and meta-analysis of randomized controlled trials

Nishi SK, Paz-Graniel I, Ni J, Valle-Hita C, Khoury N, Garcia-Gavilán JF, Babio N, Salas-Salvadó J

Nutrition, metabolism, and cardiovascular diseases : NMCD · 9 citations

Review labels

Industry funded

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
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Not stated

Who paid for it

Funding
Industry funded
Government
Ministerio de Ciencia, Innovación y Universidades
Government
European Food Safety Authority
Government
European Commission
Government
Generalitat de Catalunya
Government
Ministerio de Educación, Cultura y Deporte
Industry group
International Nut and Dried Fruit Council
Government
Bundesministerium des Innern, für Bau und Heimat
Government
Canadian Institutes of Health Research
Government
Agència de Gestió d'Ajuts Universitaris i de Recerca
Government
Instituto de Salud Carlos III
Government
Agència de Gestió d'Ajuts Universitaris i de Recerca
Government
Government of Catalonia
Grants
Generalitat de Catalunya (2022 FI‐B100108); European Food Safety Authority (178\u2013182); Canadian Institutes of Health Research (171207_1); Agència de Gestió d'Ajuts Universitaris i de Recerca (2021FI_B 00145); European Food Safety Authority (13,15,16,183); Bundesministerium des Innern, für Bau und Heimat (29.9 kg/m2); Ministerio de Ciencia, Innovación y Universidades (FPU 20/00385)

Based on 12 listed funder(s).

Publication

Published
2024-10-17 · Nutr Metab Cardiovasc Dis · vol. 35 · issue 5 · p. 103771
Publisher
Elsevier BV
Cited
11 citations · more than 75% of similar papers · 1.2× the field average
References
185 works
Access
Open access (hybrid journal) · CC-BY-NC-ND
Research areas
Nuts composition and effects · Botany, Ecology, and Taxonomy Studies · Peanut Plant Research Studies
Keywords
Nut, Meta-analysis, Randomized controlled trial, Consumption (sociology), Medicine, Internal medicine, Engineering, Philosophy
MeSH
humans, nuts, lipids, nutritive value, adult, aged, middle aged, female, male, dyslipidemias, randomized controlled trials as topic, biomarkers, diet, healthy

8 authors

From ES

  • Stephanie K. NishiInstitut de Recerca Biomèdica Catalunya Sud
  • Indira Paz‐GranielInstitut de Recerca Biomèdica Catalunya Sud
  • Jiaqi NiInstitut de Recerca Biomèdica Catalunya Sud
  • Cristina Valle‐HitaInstitut de Recerca Biomèdica Catalunya Sud
  • Nadine KhouryInstitut de Recerca Biomèdica Catalunya Sud
  • Jesús Francisco García-GavilánInstitut de Recerca Biomèdica Catalunya Sud

Abstract

Aims

Nuts are nutrient-dense foods touted for their health-promoting effects, especially regarding cardiovascular health, yet inconsistencies in the literature remain in relation to their effect on blood lipids. Hence, a systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted to determine the effect of nut intake on blood lipids.

Data synthesis

MEDLINE-PubMed and Cochrane databases were searched. 113 unique trials met eligibility criteria (n = 8060 adults with various health status) assessing the effect of a median daily dose of 45.5 g/d of nuts compared to a non-nut control on blood lipid outcomes met inclusion criteria. Overall, nut consumption resulted in moderate reductions in total cholesterol (mean difference, -0.14 mmol/L [95 % confidence interval, -0.18 to -0.10 mmol/L]) and LDL-C (-0.12 mmol/L [-0.14 to -0.09 mmol/L]), with small reductions in triglycerides (-0.05 mmol/L [-0.07 to -0.03 mmol/L]), TC:HDL-C (-0.11 [-0.16 to -0.06]), LDL-C:HDL-C (-0.19 [-0.24 to -0.12]), and apolipoprotein B (-0.04 g/L [-0.06 to -0.02 g/L]). There was no significant impact on HDL-cholesterol or other assessed measures. Certainty of evidence was high for apolipoprotein A, and generally moderate/low for all other outcomes. Sensitivity analysis did not change the evidence on the main outcomes. Significant effect modifications in subgroup analysis were shown for most of the lipid parameters assessed. None of these subgroup effects altered the evidence of heterogeneity for any primary outcome.

Conclusions

Current evidence provides a good indication that consuming nuts may advantageously affect blood lipids in adults with a mix of health status.

Prospero registration

PROSPERO identifier, CRD42022358688.

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

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