Daily Pecan and Walnut Consumption May Help your heart - two articles

1. But go easy on the pecan pie

By Science News Staff / Source

In a new randomized, controlled trial, participants at risk for cardiovascular disease who ate pecans (Carya illinoinensis) during an eight-week intervention showed significant improvements in total cholesterol, triglycerides and low-density lipoprotein (LDL) cholesterol. 

“Research indicates that tree nuts are cardioprotective, but studies on pecans are limited,” said Professor Jamie Cooper, a researcher in the Department of Nutritional Sciences at the University of Georgia, and colleagues.

“We examined the impact of daily pecan consumption on blood lipids and glycemia in adults at-risk for cardiovascular disease.”

The researchers assigned 52 adults between the ages of 30 and 75 who were at higher risk for cardiovascular disease to one of three groups.

One group consumed 68 grams (about 470 calories) of pecans a day as part of their regular diet; a second group substituted pecans for a similar amount of calories from their habitual diet, and a control group did not consume pecans.

At eight weeks, participants consumed a high-fat meal to determine changes in blood lipids and the amount of glucose in the blood.

There was a significant reduction in fasting total cholesterol, LDL cholesterol, triglycerides, total cholesterol/high-density lipoprotein (HDL) cholesterol ratio, non-HDL cholesterol, and apolipoprotein B in the two pecan groups, with no changes in control.

There was also a reduction in triglycerides among participants who consumed pecans, and a reduction in glucose in the group that substituted pecans.

“The addition of pecans to the diet not only produced a greater and more consistent reduction in total cholesterol and LDL compared to many other lifestyle interventions, but may also be a more sustainable approach for long-term health,” Professor Cooper said.

“Some research shows that even a 1% reduction in LDL is associated with a small reduction of coronary artery disease risk, so these reductions are definitely clinically meaningful.”

The results were published in the Journal of Nutrition.

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Liana L. Guarneiri et al. Pecan-Enriched Diets Alter Cholesterol Profiles and Triglycerides in Adults at Risk for Cardiovascular Disease in a Randomized, Controlled Trial. Journal of Nutrition, published online August 12, 2021; doi: 10.1093/jn/nxab248

2. Eating walnuts daily lowered 'bad' cholesterol and may reduce cardiovascular disease risk

American Heart Association

Eating about ½ cup of walnuts every day for two years modestly lowered levels of low-density lipoprotein (LDL) cholesterol, known as "bad cholesterol," and reduced the number of total LDL particles and small LDL particles in healthy, older adults, according to new research published today in the American Heart Association's flagship journal Circulation.

Healthy older adults who ate a handful of walnuts (about ½ cup) a day for two years modestly lowered their level of low-density lipoprotein or LDL cholesterol levels. Consuming walnuts daily also reduced the number of LDL particles, a predictor of cardiovascular disease risk.

Walnuts are a rich source of omega-3 fatty acids (alpha-linolenic acid), which have been shown to have a beneficial effect on cardiovascular health.

"Prior studies have shown that nuts in general, and walnuts in particular, are associated with lower rates of heart disease and stroke. One of the reasons is that they lower LDL-cholesterol levels, and now we have another reason: they improve the quality of LDL particles," said study co-author Emilio Ros, M.D., Ph.D., director of the Lipid Clinic at the Endocrinology and Nutrition Service of the Hospital Clínic of Barcelona in Spain. 

"LDL particles come in various sizes. Research has shown that small, dense LDL particles are more often associated with atherosclerosis, the plaque or fatty deposits that build up in the arteries. Our study goes beyond LDL cholesterol levels to get a complete picture of all of the lipoproteins and the impact of eating walnuts daily on their potential to improve cardiovascular risk."

In a sub-study of the Walnuts and Healthy Aging study, a large, two-year randomized controlled trial examining whether walnuts contribute to healthy aging, researchers evaluated if regular walnut consumption, regardless of a person's diet or where they live, has beneficial effects on lipoproteins.

This study was conducted from May 2012 to May 2016 and involved 708 participants between the ages of 63 and 79 (68% women) who were healthy, independent-living adults residing in Barcelona, Spain, and Loma Linda, California.

Participants were randomly divided into two groups: active intervention and control. Those allocated to the intervention group added about a half cup of walnuts to their usual daily diet, while participants in the control group abstained from eating any walnuts. 

After two years, participants' cholesterol levels were tested, and the concentration and size of lipoproteins were analyzed by nuclear magnetic resonance spectroscopy. This advanced test enables physicians to more accurately identify lipoprotein features known to relate to the risk of cardiovascular disease.

The two-year study had a 90% retention rate (632 participants completed the study). Complete lipoprotein analyses were available in 628.

Among key findings of all study participants:

• At 2 years, participants in the walnut group had lower LDL cholesterol levels -- by an average of 4.3 mg/dL, and total cholesterol was lowered by an average of 8.5 mg/dL.
• Daily consumption of walnuts reduced the number of total LDL particles by 4.3% and small LDL particles by 6.1%. These changes in LDL particle concentration and composition are associated with a lower risk of cardiovascular disease.
• Intermediate Density Lipoprotein (IDL) cholesterol also decreased. It is known that IDL cholesterol is a precursor to LDL and refers to a density between that of low-density and very-low-density lipoproteins. In the last decade, IDL cholesterol has emerged as a relevant lipid cardiovascular risk factor independent of LDL cholesterol.
• LDL cholesterol changes among the walnut group differed by sex; in men, LDL cholesterol fell by 7.9% and in women by 2.6%.

"While this is not a tremendous decrease in LDL cholesterol, it's important to note that at the start of the study all our participants were quite healthy, free of major non-communicable diseases. However, as expected in an elderly population, close to 50% of participants were being treated for both high blood pressure and hypercholesterolemia. Thanks in part to statin treatment in 32%, the average cholesterol levels of all the people in our study were normal," Ros said. "For individuals with high blood cholesterol levels, the LDL cholesterol reduction after a nut-enriched diet may be much greater."

"Eating a handful of walnuts every day is a simple way to promote cardiovascular health. Many people are worried about unwanted weight gain when they include nuts in their diet," Ros said. "Our study found that the healthy fats in walnuts did not cause participants to gain weight."

The major limitation of this investigation is that both participants and researchers knew who was and was not eating walnuts. However, the study did involve two very different populations with distinct diets. 

"The outcomes were similar in both groups, so we can safely apply the results of this study to other populations," Ros said. More research is also needed to clarify the different LDL results in men and women.

According to the American Heart Association, walnuts are especially high in omega-3 fatty acids, the same heart-healthy fat found in oily fish. A serving size is a small handful or 1.5 ounces of whole nuts or 2 tablespoons of nut butter.

The study was funded by the California Walnut Commission.