There are several errors in Table 1 of the published article. A corrected Table 1 can be seen here.
Table 1. Trial Characteristics.
| Study, Year (Reference) | Participants* | Mean Age, y (SD) | Mean Body Weight or BMI (SD)† | Setting‡ | Design | Feeding Control§ | |
| Lovejoy et al, 2002-HF [27] | 30 T2D (13 M, 17 W) | 53.8 (10.4) | 33.0 (5.5) kg/m2 | OP, USA | C | Met | |
| Lovejoy et al, 2002-LF [27] | 30 T2D (13 M, 17 W) | 53.8 (10.4) | 33.0 (5.5) kg/m2 | OP, USA | C | Met | |
| Wien et al, 2003 [28] | 65 O (28 M, 37 W) | OP, USA | P | Supp | |||
| Almond | 53 (2) | 113 (5) kg | |||||
| Control | 57 (2) | 114 (5) kg | |||||
| Tapsell et al, 2004 [37] | 37 T2D (21 M, 16 W) | OP, AUS | P | Supp | |||
| Walnut | 57.7 (9.0) | 87.6 (12.8) kg | |||||
| Control | 60.5 (8.2) | 81.9 (11.2) kg | |||||
| Tapsell et al, 2009 [36] | 35 T2D (-) | 54 (8.7) | OP, AUS | P | Supp | ||
| Walnut | 94.3 (18.1) kg | ||||||
| Control | 93.9 (14.7) kg | ||||||
| Ma et al, 2010 [35] | 22 T2D (-) | 58.1 (9.2) | 89.0 (15.5) kg | OP, USA | C | Supp | |
| Walnut | |||||||
| Control | |||||||
| Cohen et al, 2011 [30] | 13 T2D (7 M, 6 W) | OP, USA | P | Supp | |||
| Almond | 66 (8.1) | 96.1 (21.8) kg | |||||
| Control | 66 (8.7) | 105.1 (29.6) kg | |||||
| Jenkins et al, 2011 [33] | 79 T2D (52 M, 27 W) | OP, CAN | P | Supp | |||
| Mixed nuts | 63 (9) | 80 (15) kg | |||||
| Control | 61 (10) | 83 (15) kg | |||||
| Li et al, 2011 [34] | 20 T2D (9 M, 11 W) | 58 (8.94) | 26.0 (3.13) kg/m2 | OP, TWN | C | Met | |
| Almond | |||||||
| Control | |||||||
| Darvish Damavandi et al, 2012 [32] | 43 T2D (9 M, 34 W) | OP, IRN | P | Supp | |||
| Cashew | 51 (7.9) | 72.1 (13.1) kg | |||||
| Control | 56 (5.7) | 71.9 (9.7) kg | |||||
| Darvish Damavandi et al, 2013 [38] | 48 T2D (15 M, 33 W) | 55.7 (7.74) | OP, IRN | P | Supp | ||
| Hazelnut | 72.13 (10.27) kg | ||||||
| Control | 71.98 (9.58) kg | ||||||
| Sauder et al, 2013 [29] ††† | 28 T2D (-) | 56.1 (7.67) | 31.2 (6.02) kg/m2 | -, USA | C | Met | |
| Pistachio | |||||||
| Control | |||||||
| Nut Dose, g/d (%E) || | Nut Type¶ | Comparator** | Diet†† | Energy Balance | Follow-Up | MQS ‡‡ | Funding Sources§§ |
| 57-113 (∼18.8) | Almond | High fat diet | 48:15:37 | Neutral | 4 wk | 5 | Agency |
| 57-113 (∼18.8) | Almond | Low fat diet | 60:15:25 | Neutral | 4 wk | 5 | Agency |
| 84 (∼47.7) | Almond | Self-selected complex CHO’s | Negative | 24 wk | 8 | Agency | |
| 32:29:39 | |||||||
| 53:29:18 | |||||||
| 30 (∼9.8) | Walnut | Low fat/modified fat diet | Neutral | 6 month | 6 | Agency | |
| 44:22:32 | |||||||
| 41:23:33 | |||||||
| 30 (∼9.8) | Walnut | Low fat diet | Neutral | 12 month | 7 | Agency | |
| 41:21:34 | |||||||
| 42:24:29 | |||||||
| 56 (∼20.7) | Walnut | Ad libitum diet | Neutral | 8 wk | 5 | N/A | |
| 39:17:45 | |||||||
| 43:19:38 | |||||||
| 28 (∼17.8) |||| | Almond | Cheese sticks | N/A | Neutral | 12 wk | 7 | Agency |
| 50-100 (∼25) | Mixed nuts¶¶ | NCEP Step 2 diet + Muffin | Neutral*** | 12 wk | 8 | Agency | |
| 41:18:41 | |||||||
| 46:19:35 | |||||||
| 56 (20) | Almond | NCEP Step 2 diet | Neutral | 4 wk | 5 | Agency | |
| 47:17:37 | |||||||
| 57:17:27 | |||||||
| 30 (10) | Cashew | Regular diet | Neutral | 8 wk | 3 | N/A | |
| 53:16:33 | |||||||
| 57:16:27 | |||||||
| 29 (10) | Hazelnut | Regular diet | Neutral | 8 wk | 4 | N/A | |
| 55:16:31 | |||||||
| 60:17:25 | |||||||
| ∼71 (20) | Pistachio | Low fat diet | - | 4 wk | - | - | |
| 51:17:33 | |||||||
| 55:18:27 |
BMI = body mass index; C = crossover; CHO = carbohydrate; E = energy; HF = high fat; HOMA-IR = homeostasis model assessment of insulin resistance; IP = inpatient; LF = low fat; M = men; Met = metabolic feeding control; MQS = Heyland Methodological Quality Score; N/A = not available; NCEP = National Cholesterol Education Program; O = obese and overweight; OP = outpatient; P = parallel; SD = standard deviation; Supp = supplement feeding control; T2D = type 2 diabetes; W = women; wk = week; y = years
* The number of participants listed for each trial in this column is the number of participants that completed the trial and therefore the number used in our analyses. The baseline characteristics reported by these trials were based on the number of participants listed here with the exception of 3 trials, Tapsell et al.[36], Ma et al.[35], and Darvish Damavandi et al.[38] where the values for mean age and/or mean body weight or BMI were derived from the number of participants present at baseline, a number that was different from the number of participants that completed the trial due to a per-protocol with drop-outs analysis. The number of participants present at baseline for these trials are as follows: Tapsell et al.[36], n = 50; Ma et al.[35], n = 24; Darvish Damavandi et al.[38], n = 50; Sauder et al.[29], n = 30.
Baseline body weight or weight (kg) while receiving the control treatment in cross over trials, and baseline body weight in each treatment group in parallel trials. Baseline BMI values (kg/m2) are only reported when no data on weight were available.
Countries are abbreviated using three letter country codes (ISO 3166-1 alpha-3 codes).
Metabolic feeding control (Met) was the provision of all meals, snacks, and study supplements (tree nuts) consumed during the study under controlled conditions. Supplement feeding control (Supp) was the provision of study supplements only.
|| Doses and % E (energy) preceded by " ∼ " represent values calculated on the basis of average reported energy intake of participants and average reported energy values of tree nuts from the USDA National Nutrient Database [59].
All nut types were provided in whole form with the exception of 2 trials: Lovejoy et al. [27] and Li et al. [34], which incorporated tree nuts into various entrées and snack foods (i.e. muffins, trail mixes, deserts, etc.).
** Comparators refers to 1) reference food(s) energy matched in exchange for tree nuts or 2) isocaloric control diet similar to the intervention diet but without tree nuts.
Planned energy from Carbohydrate:Protein:Fat. Measured energy end values from carbohydrate, protein, and fat are reported only if the study did not state the planned energy of prescribed diets.
Trials with a MQS score ≥ 8 were considered to be of higher quality.
Agency funding is that from government, university, or not-for-profit health agency sources. None of the trialists declared any conflicts of interest with the exception of Jenkins et al.[33] and Darvish Damavandi et al.[32].
|||| In this study participants randomized into the almond group were instructed to consume this dose 5 days/week.
Mixed nuts included almonds, cashews, hazelnuts, macadamia nuts, peanuts, pecans, pistachios, walnuts.
*** 43% of the participants were obese and wished to lose weight; although this was not a weight loss study, they were given advice on portion size and fat intake to help them meet their weight-reduction objective.
Data for this study was limited since the study’s conferences abstract and correspondence with the authors were the only sources of available data.
Reference
- 1. Viguiliouk E, Kendall C W C, Blanco Mejia S, Cozma A I, Ha V, et al. (2014) Effect of Tree Nuts on Glycemic Control in Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Dietary Trials. PLoS ONE 9(7) e103376 doi:10.1371/journal.pone.0103376 [DOI] [PMC free article] [PubMed] [Google Scholar]
