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Published in: Endocrine 2/2019

01-08-2019 | Original Article

The association between metabolic syndrome and peanuts, pine nuts, almonds consumption: The Ansan and Ansung Study

Authors: Ju Young Jung, Sung Keun Park, Chang-Mo Oh, Joong-Myung Choi, Jae-Hong Ryoo, Jihye Kim, Mi Kyung Kim

Published in: Endocrine | Issue 2/2019

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Abstract

Background

Previous studies reported an inverted relationship between nut consumption and the incidence of metabolic syndrome (MetS). The present study investigated the incidental risk for MetS according to peanut, almond, and fine nut consumption in the Korean population.

Methods

In a community-based Korean cohort, 5306 Korean adults were divided into four groups according to their peanut, almond, and fine nut intake (<1/month, 1/month–0.5/week, 0.5–1/week, and ≥1/week, in which one serving = 15 g) and were followed-up for 10 years. A Cox proportional hazard model was used to evaluate the hazard ratios (HRs) with confidence intervals (CI) for MetS in each study group. Age subgroup (≥50 or <50 years) analysis was also conducted.

Results

The age and multivariable-adjusted HRs with 95% CIs for MetS showed a significant inverse dose–response relationship between peanut, almond, and fine nut intake and the incidence of MetS in men and women (multivariable-adjusted HRs [95% CI] in men; 0.91 [0.76–1.09] in 1/month–0.5/week, 1.03 [0.80–1.31] in 0.5–1/week, 0.72 [0.56–0.93] in ≥1/week and in women; 0.81 [0.65–1.003] in 1/month–0.5/week, 0.76 [0.54–1.07] in 0.5–1/week, 0.57 [0.41–0.79] ≥1/week)). Subgroup analysis showed a significant difference in middle-aged men (≥1/week) and old-aged women (≥0.5/week).

Conclusion

The results of the present study suggested that peanut, almond, and fine nut intake (≥15 g/week) may be inversely related to incidence risk of MetS in the Korean general population. Additionally, the association between nut consumption and MetS incidence risk may differ in sex and age subgroups.
Literature
2.
go back to reference P. Ranasinghe, Y. Mathangasinghe, R. Jayawardena, A.P. Hills, A. Misra, Prevalence and trends of metabolic syndrome among adults in the Asia-Pacific region: a systematic review. BMC Public Health 17(1), 101 (2017)CrossRefPubMedPubMedCentral P. Ranasinghe, Y. Mathangasinghe, R. Jayawardena, A.P. Hills, A. Misra, Prevalence and trends of metabolic syndrome among adults in the Asia-Pacific region: a systematic review. BMC Public Health 17(1), 101 (2017)CrossRefPubMedPubMedCentral
3.
go back to reference S. Lim, H. Shin, J.H. Song et al. Increasing prevalence of metabolic syndrome in Korea: the Korean National Health and Nutrition Examination Survey for 1998-2007. Diabetes Care. 34(6), 1323–1328 (2011)CrossRefPubMedPubMedCentral S. Lim, H. Shin, J.H. Song et al. Increasing prevalence of metabolic syndrome in Korea: the Korean National Health and Nutrition Examination Survey for 1998-2007. Diabetes Care. 34(6), 1323–1328 (2011)CrossRefPubMedPubMedCentral
4.
go back to reference S. Akter, A. Nanri, N.M. Pham, K. Kurotani, T. Mizoue, Dietary patterns and metabolic syndrome in a Japanese working population. Nutr. Metab. (Lond.). 10(1), 30 (2013)CrossRefPubMedPubMedCentral S. Akter, A. Nanri, N.M. Pham, K. Kurotani, T. Mizoue, Dietary patterns and metabolic syndrome in a Japanese working population. Nutr. Metab. (Lond.). 10(1), 30 (2013)CrossRefPubMedPubMedCentral
5.
go back to reference A.J. Baxter, T. Coyne, C. McClintock, Dietary patterns and metabolic syndrome—a review of epidemiologic evidence. Asia Pacific J. Clin. Nutr. 15(2), 134–142 (2006) A.J. Baxter, T. Coyne, C. McClintock, Dietary patterns and metabolic syndrome—a review of epidemiologic evidence. Asia Pacific J. Clin. Nutr. 15(2), 134–142 (2006)
6.
go back to reference M.L. Leite, A. Nicolosi, Dietary patterns and metabolic syndrome factors in a non-diabetic Italian population. Public Health Nutr. 12(9), 1494–1503 (2009)CrossRefPubMed M.L. Leite, A. Nicolosi, Dietary patterns and metabolic syndrome factors in a non-diabetic Italian population. Public Health Nutr. 12(9), 1494–1503 (2009)CrossRefPubMed
7.
go back to reference J.H. Choi, H.D. Woo, J.H. Lee, J. Kim, Dietary patterns and risk for metabolic syndrome in Korean women: a cross-sectional study. Medicine (Baltimore). 94(34), e1424 (2015)CrossRefPubMedPubMedCentral J.H. Choi, H.D. Woo, J.H. Lee, J. Kim, Dietary patterns and risk for metabolic syndrome in Korean women: a cross-sectional study. Medicine (Baltimore). 94(34), e1424 (2015)CrossRefPubMedPubMedCentral
8.
go back to reference K. Kim, S.H. Yun, B.Y. Choi, M.K. Kim, Cross-sectional relationship between dietary carbohydrate, glycaemic index, glycaemic load and risk of the metabolic syndrome in a Korean population. Br. J. Nutr. 100(3), 576–584 (2008)CrossRefPubMed K. Kim, S.H. Yun, B.Y. Choi, M.K. Kim, Cross-sectional relationship between dietary carbohydrate, glycaemic index, glycaemic load and risk of the metabolic syndrome in a Korean population. Br. J. Nutr. 100(3), 576–584 (2008)CrossRefPubMed
9.
go back to reference Y. Zhao, L. Wang, H. Xue, H. Wang, Y. Wang, Fast food consumption and its associations with obesity and hypertension among children: results from the baseline data of the Childhood Obesity Study in China Mega-cities. BMC Public Health 17(1), 933 (2017)CrossRefPubMedPubMedCentral Y. Zhao, L. Wang, H. Xue, H. Wang, Y. Wang, Fast food consumption and its associations with obesity and hypertension among children: results from the baseline data of the Childhood Obesity Study in China Mega-cities. BMC Public Health 17(1), 933 (2017)CrossRefPubMedPubMedCentral
10.
go back to reference Z. Bahadoran, P. Mirmiran, F. Hosseini-Esfahani, F. Azizi, Fast food consumption and the risk of metabolic syndrome after 3-years of follow-up: Tehran Lipid and Glucose Study. Eur. J. Clin. Nutr. 67(12), 1303–1309 (2013)CrossRefPubMed Z. Bahadoran, P. Mirmiran, F. Hosseini-Esfahani, F. Azizi, Fast food consumption and the risk of metabolic syndrome after 3-years of follow-up: Tehran Lipid and Glucose Study. Eur. J. Clin. Nutr. 67(12), 1303–1309 (2013)CrossRefPubMed
11.
go back to reference R.D. Mendonça, A.C. Lopes, A.M. Pimenta, A. Gea, M.A. Martinez-Gonzalez, M. Bes-Rastrollo, Ultra-processed food consumption and the incidence of hypertension in a Mediterranean cohort: The Seguimiento Universidad de Navarra Project. Am. J. Hypertens. 30(4), 358–366 (2017)PubMed R.D. Mendonça, A.C. Lopes, A.M. Pimenta, A. Gea, M.A. Martinez-Gonzalez, M. Bes-Rastrollo, Ultra-processed food consumption and the incidence of hypertension in a Mediterranean cohort: The Seguimiento Universidad de Navarra Project. Am. J. Hypertens. 30(4), 358–366 (2017)PubMed
12.
go back to reference J.Y. Shin, J.Y. Kim, H.T. Kang, K.H. Han, J.Y. Shim, Effect of fruits and vegetables on metabolic syndrome: a systematic review and meta-analysis of randomized controlled trials. Int J. Food Sci. Nutr. 66(4), 416–425 (2015)CrossRefPubMed J.Y. Shin, J.Y. Kim, H.T. Kang, K.H. Han, J.Y. Shim, Effect of fruits and vegetables on metabolic syndrome: a systematic review and meta-analysis of randomized controlled trials. Int J. Food Sci. Nutr. 66(4), 416–425 (2015)CrossRefPubMed
13.
go back to reference S.A. Hong, M.K. Kim, Relationship between fruit and vegetable intake and the risk of metabolic syndrome and its disorders in Korean women according to menopausal status. Asia Pac. J. Clin. Nutr. 26(3), 514–523 (2017)PubMed S.A. Hong, M.K. Kim, Relationship between fruit and vegetable intake and the risk of metabolic syndrome and its disorders in Korean women according to menopausal status. Asia Pac. J. Clin. Nutr. 26(3), 514–523 (2017)PubMed
14.
go back to reference N. Babio, M. Bulló, J. Salas-Salvadó, Mediterranean diet and metabolic syndrome: the evidence. Public Health Nutr. 12(9A), 1607–1617 (2009)CrossRefPubMed N. Babio, M. Bulló, J. Salas-Salvadó, Mediterranean diet and metabolic syndrome: the evidence. Public Health Nutr. 12(9A), 1607–1617 (2009)CrossRefPubMed
15.
go back to reference S. Hosseinpour-Niazi, S. Hosseini, P. Mirmiran, F. Azizi. Prospective study of nut consumption and incidence of metabolic syndrome: Tehran Lipid and Glucose Study. Nutrients 9(10), 23–29 (2017) S. Hosseinpour-Niazi, S. Hosseini, P. Mirmiran, F. Azizi. Prospective study of nut consumption and incidence of metabolic syndrome: Tehran Lipid and Glucose Study. Nutrients 9(10), 23–29 (2017)
16.
go back to reference C.E. O'Neil, D.R. Keast, T.A. Nicklas, V.L. Fulgoni III, Nut consumption is associated with decreased health risk factors for cardiovascular disease and metabolic syndrome in U.S. adults: NHANES 1999-2004. J. Am. Coll. Nutr. 30(6), 502–510 (2011)CrossRefPubMed C.E. O'Neil, D.R. Keast, T.A. Nicklas, V.L. Fulgoni III, Nut consumption is associated with decreased health risk factors for cardiovascular disease and metabolic syndrome in U.S. adults: NHANES 1999-2004. J. Am. Coll. Nutr. 30(6), 502–510 (2011)CrossRefPubMed
17.
go back to reference R. Hassannejad, N. Mohammadifard, I. Kazemi, M. Mansourian, M. Sadeghi, H. Roohafza, N. Sarrafzadegan, Long-term nuts intake and metabolic syndrome: a 13-year longitudinal population-based study. Clin Nutr. pii: S0261–5614(18)1246–1252 (2018) R. Hassannejad, N. Mohammadifard, I. Kazemi, M. Mansourian, M. Sadeghi, H. Roohafza, N. Sarrafzadegan, Long-term nuts intake and metabolic syndrome: a 13-year longitudinal population-based study. Clin Nutr. pii: S0261–5614(18)1246–1252 (2018)
18.
go back to reference S. Blanco Mejia, C.W. Kendall, E. Viguiliouk, L.S. Augustin, V. Ha, A.I. Cozma, A. Mirrahimi, A. Maroleanu, L. Chiavaroli, L.A. Leiter, R.J. de Souza, D.J. Jenkins, J.L. Sievenpiper, Effect of tree nuts on metabolic syndrome criteria: a systematic review and meta-analysis of randomised controlled trials. BMJ Open. 4(7), e004660 (2014)CrossRefPubMedPubMedCentral S. Blanco Mejia, C.W. Kendall, E. Viguiliouk, L.S. Augustin, V. Ha, A.I. Cozma, A. Mirrahimi, A. Maroleanu, L. Chiavaroli, L.A. Leiter, R.J. de Souza, D.J. Jenkins, J.L. Sievenpiper, Effect of tree nuts on metabolic syndrome criteria: a systematic review and meta-analysis of randomised controlled trials. BMJ Open. 4(7), e004660 (2014)CrossRefPubMedPubMedCentral
19.
go back to reference J. Sabaté, K. Oda, E. Ros, Nut consumption and blood lipid levels: a pooled analysis of 25 intervention trials. Arch. Intern Med. 170(9), 821–827 (2010)CrossRefPubMed J. Sabaté, K. Oda, E. Ros, Nut consumption and blood lipid levels: a pooled analysis of 25 intervention trials. Arch. Intern Med. 170(9), 821–827 (2010)CrossRefPubMed
20.
go back to reference D.J.A. Jenkins, C.W.C. Kendall, B. Lamarche, M.S. Banach, K. Srichaikul, E. Vidgen, S. Mitchell, T. Parker, S. Nishi, B. Bashyam, R.J. de Souza, C. Ireland, S.C. Pichika, J. Beyene, J.L. Sievenpiper, R.G. Josse, Nuts as a replacement for carbohydrates in the diabetic diet: a reanalysis of a randomised controlled trial. Diabetologia 61(8), 1734–1747 (2018). https://doi.org/10.1007/s00125-018-4628-9 CrossRefPubMedPubMedCentral D.J.A. Jenkins, C.W.C. Kendall, B. Lamarche, M.S. Banach, K. Srichaikul, E. Vidgen, S. Mitchell, T. Parker, S. Nishi, B. Bashyam, R.J. de Souza, C. Ireland, S.C. Pichika, J. Beyene, J.L. Sievenpiper, R.G. Josse, Nuts as a replacement for carbohydrates in the diabetic diet: a reanalysis of a randomised controlled trial. Diabetologia 61(8), 1734–1747 (2018). https://​doi.​org/​10.​1007/​s00125-018-4628-9 CrossRefPubMedPubMedCentral
21.
go back to reference N. Yazdekhasti, N. Mohammadifard, N. Sarrafzadegan, D. Mozaffarian, M. Nazem, M. Taheri, The relationship between nut consumption and blood pressure in an Iranian adult population: Isfahan Healthy Heart Program. Nutr. Metab. Cardiovasc. Dis. 23(10), 929–936 (2013)CrossRefPubMed N. Yazdekhasti, N. Mohammadifard, N. Sarrafzadegan, D. Mozaffarian, M. Nazem, M. Taheri, The relationship between nut consumption and blood pressure in an Iranian adult population: Isfahan Healthy Heart Program. Nutr. Metab. Cardiovasc. Dis. 23(10), 929–936 (2013)CrossRefPubMed
22.
go back to reference P. García-Lorda, I. Megias Rangil, J. Salas-Salvadó, Nut consumption, body weight and insulin resistance. Eur. J. Clin. Nutr. 57(Suppl 1), S8–S11 (2003)CrossRefPubMed P. García-Lorda, I. Megias Rangil, J. Salas-Salvadó, Nut consumption, body weight and insulin resistance. Eur. J. Clin. Nutr. 57(Suppl 1), S8–S11 (2003)CrossRefPubMed
23.
go back to reference I. Baik, M. Lee, N.R. Jun, J.Y. Lee, C. Shin, A healthy dietary pattern consisting of a variety of food choices is inversely associated with the development of metabolic syndrome. Nutr. Res. Pract. 7(3), 233–241 (2013)CrossRefPubMedPubMedCentral I. Baik, M. Lee, N.R. Jun, J.Y. Lee, C. Shin, A healthy dietary pattern consisting of a variety of food choices is inversely associated with the development of metabolic syndrome. Nutr. Res. Pract. 7(3), 233–241 (2013)CrossRefPubMedPubMedCentral
24.
go back to reference J. Aranceta, C. Pérez Rodrigo, A. Naska, V.R. Vadillo, A. Trichopoulou, Nut consumption in Spain and other countries. Br. J. Nutr. 96(Suppl 2), S3–S11 (2006)CrossRefPubMed J. Aranceta, C. Pérez Rodrigo, A. Naska, V.R. Vadillo, A. Trichopoulou, Nut consumption in Spain and other countries. Br. J. Nutr. 96(Suppl 2), S3–S11 (2006)CrossRefPubMed
25.
go back to reference H.S. Park, C.Y. Park, S.W. Oh, H.J. Yoo, Prevalence of obesity and metabolic syndrome in Korean adults. Obes. Rev. 9, 104–107 (2008)CrossRefPubMed H.S. Park, C.Y. Park, S.W. Oh, H.J. Yoo, Prevalence of obesity and metabolic syndrome in Korean adults. Obes. Rev. 9, 104–107 (2008)CrossRefPubMed
26.
go back to reference J.Y. Jung, C.M. Oh, J.H. Ryoo, J.M. Choi, Y.J. Choi, W.T. Ham, S.K. Park, The influence of prehypertension, hypertension, and glycated hemoglobin on the development of type 2 diabetes mellitus in prediabetes: the Korean Genome and Epidemiology Study (KoGES). Endocrine 59, 593–601 (2018)CrossRefPubMed J.Y. Jung, C.M. Oh, J.H. Ryoo, J.M. Choi, Y.J. Choi, W.T. Ham, S.K. Park, The influence of prehypertension, hypertension, and glycated hemoglobin on the development of type 2 diabetes mellitus in prediabetes: the Korean Genome and Epidemiology Study (KoGES). Endocrine 59, 593–601 (2018)CrossRefPubMed
27.
go back to reference Y. Ahn, J.E. Lee, H.Y. Paik, H.K. Lee, I. Jo, K. Kim, Development of a semi-quantitative food frequency questionnaire based on dietary data from the Korea National Health and Nutrition Examination Survey. Nutr. Sci. 6, 173–184 (2003) Y. Ahn, J.E. Lee, H.Y. Paik, H.K. Lee, I. Jo, K. Kim, Development of a semi-quantitative food frequency questionnaire based on dietary data from the Korea National Health and Nutrition Examination Survey. Nutr. Sci. 6, 173–184 (2003)
28.
go back to reference W. Willett, Nutritional Epidemiology, 3rd edn. (Oxford University Press, New York, 2013) W. Willett, Nutritional Epidemiology, 3rd edn. (Oxford University Press, New York, 2013)
29.
go back to reference Korean National Academy of Agricultural Science. Food Composition Table, 7th edn. (Rural Development Administration, Suwon, 2007) (in Korean) Korean National Academy of Agricultural Science. Food Composition Table, 7th edn. (Rural Development Administration, Suwon, 2007) (in Korean)
30.
go back to reference Y. Ahn, E. Kwon, J. Shim, M. Park, Y. Joo, K. Kimm et al. Validation and reproducibility of food frequency questionnaire for Korean genome epidemiologic study. Eur. J. Clin. Nutr. 61, 1435–1441 (2007)CrossRefPubMed Y. Ahn, E. Kwon, J. Shim, M. Park, Y. Joo, K. Kimm et al. Validation and reproducibility of food frequency questionnaire for Korean genome epidemiologic study. Eur. J. Clin. Nutr. 61, 1435–1441 (2007)CrossRefPubMed
31.
go back to reference N. Ibarrola-Jurado, M. Bulló, M. Guasch-Ferré, E. Ros, M.A. Martínez-González, D. Corella, M. Fiol, J. Wärnberg, R. Estruch, P. Román, F. Arós, E. Vinyoles, L. Serra-Majem, X. Pintó, M.I. Covas, J. Basora, J. Salas-Salvadó; PREDIMED Study Investigators, Cross-sectional assessment of nut consumption and obesity, metabolic syndrome and other cardiometabolic risk factors: the PREDIMED study. PLoS ONE 8(2), e57367 (2013)CrossRefPubMedPubMedCentral N. Ibarrola-Jurado, M. Bulló, M. Guasch-Ferré, E. Ros, M.A. Martínez-González, D. Corella, M. Fiol, J. Wärnberg, R. Estruch, P. Román, F. Arós, E. Vinyoles, L. Serra-Majem, X. Pintó, M.I. Covas, J. Basora, J. Salas-Salvadó; PREDIMED Study Investigators, Cross-sectional assessment of nut consumption and obesity, metabolic syndrome and other cardiometabolic risk factors: the PREDIMED study. PLoS ONE 8(2), e57367 (2013)CrossRefPubMedPubMedCentral
32.
go back to reference H. Li, X. Li, S. Yuan, Y. Jin, J. Lu, Nut consumption and risk of metabolic syndrome and overweight/obesity: a meta-analysis of prospective cohort studies and randomized trials. Nutr. Metab. (Lond.) 15, 46 (2018)CrossRef H. Li, X. Li, S. Yuan, Y. Jin, J. Lu, Nut consumption and risk of metabolic syndrome and overweight/obesity: a meta-analysis of prospective cohort studies and randomized trials. Nutr. Metab. (Lond.) 15, 46 (2018)CrossRef
33.
go back to reference S.H. Park, K.S. Lee, H.Y. Park, Dietary carbohydrate intake is associated with cardiovascular disease risk in Korean: analysis of the third Korea National Health and Nutrition Examination Survey (KNHANES III). Int J. Cardiol. 139(3), 234–240 (2010)CrossRefPubMed S.H. Park, K.S. Lee, H.Y. Park, Dietary carbohydrate intake is associated with cardiovascular disease risk in Korean: analysis of the third Korea National Health and Nutrition Examination Survey (KNHANES III). Int J. Cardiol. 139(3), 234–240 (2010)CrossRefPubMed
34.
35.
go back to reference M.C. Carr, The emergence of the metabolic syndrome with menopause. J. Clin. Endocrinol. Metab. 88(6), 2404–2411 (2003)CrossRefPubMed M.C. Carr, The emergence of the metabolic syndrome with menopause. J. Clin. Endocrinol. Metab. 88(6), 2404–2411 (2003)CrossRefPubMed
Metadata
Title
The association between metabolic syndrome and peanuts, pine nuts, almonds consumption: The Ansan and Ansung Study
Authors
Ju Young Jung
Sung Keun Park
Chang-Mo Oh
Joong-Myung Choi
Jae-Hong Ryoo
Jihye Kim
Mi Kyung Kim
Publication date
01-08-2019
Publisher
Springer US
Published in
Endocrine / Issue 2/2019
Print ISSN: 1355-008X
Electronic ISSN: 1559-0100
DOI
https://doi.org/10.1007/s12020-019-01980-3

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