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The relationship between nut consumption and lipid profile among the Iranian adult population; Isfahan Healthy Heart Program

Background/objective: The study was carried out to assess the relationship between nut consumption and lipid profile among Iranian adults. Subject/methods: The study was based on data from the Isfahan Healthy Heart Program across three counties in central Iran in 2007. A cross-sectional survey of 96...

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Published in:European journal of clinical nutrition 2013-04, Vol.67 (4), p.385-389
Main Authors: Askari, G, Yazdekhasti, N, Mohammadifard, N, Sarrafzadegan, N, Bahonar, A, Badiei, M, Sajjadi, F, Taheri, M
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container_issue 4
container_start_page 385
container_title European journal of clinical nutrition
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creator Askari, G
Yazdekhasti, N
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Sarrafzadegan, N
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description Background/objective: The study was carried out to assess the relationship between nut consumption and lipid profile among Iranian adults. Subject/methods: The study was based on data from the Isfahan Healthy Heart Program across three counties in central Iran in 2007. A cross-sectional survey of 9660 randomly selected adults aged ⩾19 years were chosen based on sex, age and settlement distributions in each community. Nutritional behaviors were assessed by validated qualitative 48-item food frequency questionnaires, which covered regular intakes of four types of nuts: walnuts, almonds, pistachios and hazelnuts. Analysis of covariance and logistic regression tests were utilized to determine odds ratio (OR) 95% confidence interval of hyperlipidemia according to nut consumption patterns in unadjusted and three-adjusted models. Results: The results showed a significant link between high nut consumption and lower total cholesterol, triglyceride (TG), low-density lipoprotein cholesterol (LDL-C) levels and apo B/apo A ratio ( P
doi_str_mv 10.1038/ejcn.2013.21
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Subject/methods: The study was based on data from the Isfahan Healthy Heart Program across three counties in central Iran in 2007. A cross-sectional survey of 9660 randomly selected adults aged ⩾19 years were chosen based on sex, age and settlement distributions in each community. Nutritional behaviors were assessed by validated qualitative 48-item food frequency questionnaires, which covered regular intakes of four types of nuts: walnuts, almonds, pistachios and hazelnuts. Analysis of covariance and logistic regression tests were utilized to determine odds ratio (OR) 95% confidence interval of hyperlipidemia according to nut consumption patterns in unadjusted and three-adjusted models. Results: The results showed a significant link between high nut consumption and lower total cholesterol, triglyceride (TG), low-density lipoprotein cholesterol (LDL-C) levels and apo B/apo A ratio ( P &lt;0.05) in female subjects and lower TG, LDL-C and apoB/apoA ratio in male subjects ( P &lt;0.05). The frequency of nut consumption was inversely associated with dyslipidemia, especially for those who had consumed nuts ⩾4 times weekly (0.67 (0.57-0.79)). After adjusting for sex, age and other potential confounders, ORs increased enormously. Except for low apo A and high LDL-C, more frequent nut consumption (4⩽ times per week) had a significant inverse effect on other dyslipidemia risk factors in all four models. Conclusions: We concluded that frequent consumption of nuts, particularly ⩾4 times a week, may result in lower dyslipidemia occurrences and may exert cardioprotective effects.</description><identifier>ISSN: 0954-3007</identifier><identifier>EISSN: 1476-5640</identifier><identifier>DOI: 10.1038/ejcn.2013.21</identifier><identifier>PMID: 23422923</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/45/287 ; 692/699/75/2099 ; 692/700/459/1994 ; 692/700/478/174 ; Adult ; Adults ; Age ; Aged ; Apolipoproteins A - blood ; Apolipoproteins B - blood ; Biological and medical sciences ; Cardiovascular disease ; Cholesterol ; Cholesterol, HDL - blood ; Clinical Nutrition ; Confidence intervals ; Consumption data ; Consumption patterns ; Corylus ; Cross-Sectional Studies ; Diet ; Dyslipidemia ; Epidemiology ; European Continental Ancestry Group ; Feeding Behavior ; Feeding. 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Subject/methods: The study was based on data from the Isfahan Healthy Heart Program across three counties in central Iran in 2007. A cross-sectional survey of 9660 randomly selected adults aged ⩾19 years were chosen based on sex, age and settlement distributions in each community. Nutritional behaviors were assessed by validated qualitative 48-item food frequency questionnaires, which covered regular intakes of four types of nuts: walnuts, almonds, pistachios and hazelnuts. Analysis of covariance and logistic regression tests were utilized to determine odds ratio (OR) 95% confidence interval of hyperlipidemia according to nut consumption patterns in unadjusted and three-adjusted models. Results: The results showed a significant link between high nut consumption and lower total cholesterol, triglyceride (TG), low-density lipoprotein cholesterol (LDL-C) levels and apo B/apo A ratio ( P &lt;0.05) in female subjects and lower TG, LDL-C and apoB/apoA ratio in male subjects ( P &lt;0.05). 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The frequency of nut consumption was inversely associated with dyslipidemia, especially for those who had consumed nuts ⩾4 times weekly (0.67 (0.57-0.79)). After adjusting for sex, age and other potential confounders, ORs increased enormously. Except for low apo A and high LDL-C, more frequent nut consumption (4⩽ times per week) had a significant inverse effect on other dyslipidemia risk factors in all four models. Conclusions: We concluded that frequent consumption of nuts, particularly ⩾4 times a week, may result in lower dyslipidemia occurrences and may exert cardioprotective effects.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>23422923</pmid><doi>10.1038/ejcn.2013.21</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0954-3007
ispartof European journal of clinical nutrition, 2013-04, Vol.67 (4), p.385-389
issn 0954-3007
1476-5640
language eng
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source EZB-FREE-00999 freely available EZB journals
subjects 631/45/287
692/699/75/2099
692/700/459/1994
692/700/478/174
Adult
Adults
Age
Aged
Apolipoproteins A - blood
Apolipoproteins B - blood
Biological and medical sciences
Cardiovascular disease
Cholesterol
Cholesterol, HDL - blood
Clinical Nutrition
Confidence intervals
Consumption data
Consumption patterns
Corylus
Cross-Sectional Studies
Diet
Dyslipidemia
Epidemiology
European Continental Ancestry Group
Feeding Behavior
Feeding. Feeding behavior
Female
Food and nutrition
Food quality
Fundamental and applied biological sciences. Psychology
Hazelnuts
Humans
Hyperlipidemia
Hyperlipidemias - blood
Internal Medicine
Iran
Juglans
Lipids
Lipoproteins, LDL - blood
Logistic Models
Low density lipoprotein
Male
Medical sciences
Medicine
Medicine & Public Health
Metabolic Diseases
Metabolic disorders
Middle Aged
Nutrition Assessment
Nutritional aspects
Nuts
Odds Ratio
original-article
Physiological aspects
Pistachio nuts
Prunus dulcis
Public Health
Risk analysis
Risk Factors
Sex
Socioeconomic Factors
Statistical analysis
Surveys and Questionnaires
Triglycerides
Triglycerides - blood
Vasomotor conditioning
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Walnuts
Young Adult
title The relationship between nut consumption and lipid profile among the Iranian adult population; Isfahan Healthy Heart Program
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