Journal List > J Korean Diabetes > v.14(4) > 1054891

Kim: Diabetes and Nuts

Abstract

Nuts are a highly nutritious food that contains many useful healthy unsaturated fatty acids, vitamins and minerals. It is clear that nuts have a beneficial impact on many cardiovascular risk factors. However, little epidemiological evidence exists regarding the effects of nuts on diabetes risk. Therefore, in order to understand the role of nuts in prevention and management of diabetes, more long-term clinical studies are needed to clarify the possible effects of nuts on diabetes. Nuts have high energy and fat content, and thus have a healthy dietary component. For this reason, regular nut consumption can be recommended to avoid excessive caloric intake above normal requirements.

References

1. Ternus M, McMahon K, Lapsley K, Johnson G. Qualified health claim for nuts and heart disease prevention: development of consumer-friendly language. Nutr Today. 2006; 41:62–6.
2. Sabaté J, Ros E, Salas-Salvadó J. Nuts: nutrition and health outcomes. Preface. Br J Nutr. 2006; 96(Suppl 2):S1–2.
3. Ros E. Nuts and novel biomarkers of cardiovascular disease. Am J Clin Nutr. 2009; 89:1649S–56S.
crossref
4. Estruch R, Martínez-González MA, Corella D, Salas-Salvadó J, Ruiz-Gutiérrez V, Covas MI, Fiol M, Gómez-Gracia E, López-Sabater MC, Vinyoles E, Arós F, Conde M, Lahoz C, Lapetra J, Sáez G, Ros E. PREDIMED Study Investigators. Effects of a Mediterranean-style diet on cardiovascular risk factors: a randomized trial. Ann Intern Med. 2006; 145:1–11.
5. Griel AE, Kris-Etherton PM. Tree nuts and the lipid profile: a review of clinical studies. Br J Nutr. 2006; 96(Suppl 2):S68–78.
crossref
6. Jenkins DJ, Kendall CW, Josse AR, Salvatore S, Brighenti F, Augustin LS, Ellis PR, Vidgen E, Rao AV. Almonds decrease postprandial glycemia, insulinemia, and oxidative damage in healthy individuals. J Nutr. 2006; 136:2987–92.
crossref
7. American Diabetes Association. Nutrition Recommendations and Interventions for Diabetes: a position statement of the American Diabetes Association. Diabetes Care. 2007; 30(Suppl 1):S48–65.
8. Josse AR, Kendall CW, Augustin LS, Ellis PR, Jenkins DJ. Almonds and postprandial glycemia-a doseresponse study. Metabolism. 2007; 56:400–4.
crossref
9. Garg A, Bonanome A, Grundy SM, Zhang ZJ. Unger RH. Comparison of a high-carbohydrate diet with a high-monounsaturated-fat diet in patients with non-insulindependent diabetes mellitus. N Engl J Med. 1988; 319:829–34.
10. Abbey M, Noakes M, Belling GB, Nestel PJ. Partial replacement of saturated fatty acids with almonds or walnuts lowers total plasma cholesterol and low-density-lipoprotein cholesterol. Am J Clin Nutr. 1994; 59:995–9.
crossref
11. Borkman M, Storlien LH, Pan DA, Jenkins AB, Chisholm DJ, Campbell LV. The relation between insulin sensitivity and the fatty-acid composition of skeletal-muscle phospholipids. N Engl J Med. 1993; 328:238–44.
crossref
12. Larsson SC, Wolk A. Magnesium intake and risk of type 2 diabetes: a metaanalysis. J Intern Med. 2007; 262:208–14.
crossref
13. Thomas D, Elliott EJ. Low glycaemic index, or low glycaemic load, diets for diabetes mellitus. Cochrane Database Syst Rev. 2009; (1):CD006296.
crossref
14. Li TY, Brennan AM, Wedick NM, Mantzoros C, Rifai N, Hu FB. Regular consumption of nuts is associated with a lower risk of cardiovascular disease in women with type 2 diabetes. J Nutr. 2009; 139:1333–8.
crossref
15. Tapsell LC, Gillen LJ, Patch CS, Batterham M, Owen A, Baré M, Kennedy M. Including walnuts in a low-fat/modified-fat diet improves HDL cholesterol-to-total cholesterol ratios in patients with type 2 diabetes. Diabetes Care. 2004; 27:2777–83.
crossref
16. Lovejoy JC, Most MM, Lefevre M, Greenway FL, Rood JC. Effect of diets enriched in almonds on insulin action and serum lipids in adults with normal glucose tolerance or type 2 diabetes. Am J Clin Nutr. 2002; 76:1000–6.
crossref
17. Scott LW, Balasubramanyam A, Kimball KT, Aherns AK, Fordis CM Jr, Ballantyne CM. Long-term, randomized clinical trial of two diets in the metabolic syndrome and type 2 diabetes. Diabetes Care. 2003; 26:2481–2.
crossref
18. Jiang R, Manson JE, Stampfer MJ, Liu S, Willett WC, Hu FB. Nut and peanut butter consumption and risk of type 2 diabetes in women. JAMA. 2002; 288:2554–60.
crossref
19. Villegas R, Gao YT, Yang G, Li HL, Elasy TA, Zheng W, Shu XO. Legume and soy food intake and the incidence of type 2 diabetes in the Shanghai Women's Health Study. Am J Clin Nutr. 2008; 87:162–7.
crossref
20. Parker ED, Harnack LJ, Folsom AR. Nut consumption and risk of type 2 diabetes. JAMA. 2003; 290:38–9.
crossref
21. Kochar J, Gaziano JM, Djoussé L. Nut consumption and risk of type II diabetes in the Physicians' Health Study. Eur J Clin Nutr. 2010; 64:75–9.
crossref
22. Ibarrola-Jurado N, Bulló M, Guasch-Ferré M, Ros E, Martínez-González MA, Corella D, Fiol M, Wärnberg J, Estruch R, Román P, Arós F, Vinyoles E, Serra-Majem L, Pintó X, Covas MI, Basora J, Salas-Salvadó J. PREDIMED Study Investigators. Cross-sectional assessment of nut consumption and obesity, metabolic syndrome and other cardiometabolic risk factors: the PREDIMED study. PLoS One. 2013; 8:e57367.
crossref
23. SSabaté J. Nut consumption and body weight. Am J Clin Nutr. 2003; 78(3 Suppl):647S–650S.
24. Mattes RD, Dreher ML. Nuts and healthy body weight maintenance mechanisms. Asia Pac J Clin Nutr. 2010; 19:137–41.
25. King JC, Rechkemmer G, Geiger CJ. Second International Nuts and Health Symposium, 2007: introduction. J Nutr. 2008; 138:1734S–1735S.
crossref
26. Nash SD, Nash DT. Nuts as part of a healthy cardiovascular diet. Curr Atheroscler Rep. 2008; 10:52927. SWien MA, Sabaté JM, Iklé DN, Cole SE, Kandeel FR. Almonds vs complex carbohydrates in a weight reduction program. Int J Obes Relat Metab Disord 2003;27: 1365–72.
crossref
28. Fraser GE, Bennett HW, Jaceldo KB, Sabaté J. Effect on body weight of a free 76 Kilojoule (320 calorie) daily supplement of almonds for six months. J Am Coll Nutr. 2002; 21:275–83.
crossref
29. Sabaté J, Cordero-Macintyre Z, Siapco G, Torabian S, Haddad E. Does regular walnut consumption lead to weight gain? Br J Nutr. 2005; 94:859–64.
crossref
30. Curb JD, Wergowske G, Dobbs JC, Abbott RD, Huang B. Serum lipid effects of a high-monounsaturated fat diet based on macadamia nuts. Arch Intern Med. 2000; 160:1154–8.
crossref
31. Morgan WA, Clayshulte BJ. Pecans lower low-density lipoprotein cholesterol in people with normal lipid levels. J Am Diet Assoc. 2000; 100:312–8.
32. Ministry of Food and Drug Safety. Food And Nutrient daTA SYstem (FANTASY) [Internet]. Cheongwon: Ministry of Food and Drug Safety;2013. [cited 2013 Oct 7]. Available from:. www.foodnara.go.kr/kisna.

Table 1.
Nutritional profile of commonly consumed nuts (per 100 g)
  Walnut Almond Pine nut Peanut Macadamia nut Walnut
Total energy (kcal) 654 575 673 585 718 567
Protein (g) 15.2 21.2 13.7 23.7 7.8 21.0
Carbohydrates (g) 13.7 21.7 13.1 21.5 13.4 29.4
Lipid (g) 65.2 49.4 68.4 49.7 76.1 44.8
– SFA (g) 6.1 3.7 4.9 6.9 N/A 5.5
– MUFA (g) 8.9 30.9 18.8 24.6 N/A 23.7
– PUFA (g) 47.2 12.1 34.1 15.7 N/A 13.5
Dietary fiber (g) 6.7 12.2 3.7 8.0 8.0 9.9
Minerals (mg)
– Calcium 98 264 16 54 70 107
– Phosphate 346 484 575 358 198 469
– Potassium 441 705 597 658 363 1007
– Magnesium 158 268 251 176 118 109
Vitamins (㎍)
– Vitamin E 0.7 26.2 9.3 7.8 0.6 2.4

Adapted from Food And Nutrient daTA SYstem (FANTASY) [32]. SFA, saturated fatty acids; MUFA, monounsaturated fatty acids; PUFA, polyunsaturated fatty acids.

TOOLS
Similar articles