Walnut Consumption and Diabetes Risk

NCT ID: NCT03224533

Last Updated: 2017-07-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

34121 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-06-01

Study Completion Date

2017-05-30

Brief Summary

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Multiple NHANES surveys were combined and weighted to evaluate relationships between walnut consumption and type 2 diabetes mellitus using various independent measures of diabetes status and risk. After risks were ascertained, interactions with gender were analyzed.

Detailed Description

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Background. Dietary interventions and cohort studies of tree nuts lowering glucose levels for diabetes suggest a possible effect with walnuts. Objective. To examine the associations between walnut consumption and diabetes risk through data from the National Health and Nutrition Examination Survey (NHANES). Methods. NHANES survey data for 1999 through 2014 was pooled for adults with 24 hour recall dietary data. Risk of diabetes was based on self-report, medication use, fasting plasma glucose levels, and hemoglobin A1c (HbA1c) levels. Individuals were characterized as reporting consumption of walnuts, mixed 'nuts', or no nuts.

Conditions

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Diabetes Mellitus

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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No Nuts

All other foods that did not include walnuts or other nuts were classified as "no nuts" (NN).

Diabetes Outcome

Intervention Type DIAGNOSTIC_TEST

based on self report definition, fasting plasma glucose, and hemoglobin A1c

Other Nuts

Foods codes describing nuts that are not walnuts (i.e. cashew nuts, pistachios, etc.) or nut-containing foods that do not commonly contain walnuts (e.g. granola) were classified as "other nuts" (ON).

Diabetes Outcome

Intervention Type DIAGNOSTIC_TEST

based on self report definition, fasting plasma glucose, and hemoglobin A1c

Walnuts with other nuts

food codes describing nut mixes and foods that commonly include walnuts were classified as "walnuts with other nuts" (WwON)

Diabetes Outcome

Intervention Type DIAGNOSTIC_TEST

based on self report definition, fasting plasma glucose, and hemoglobin A1c

Walnuts with high certainty

Foods consisting entirely or mostly of walnuts were classified as "walnuts with high certainty" (WwHC)

Diabetes Outcome

Intervention Type DIAGNOSTIC_TEST

based on self report definition, fasting plasma glucose, and hemoglobin A1c

Interventions

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Diabetes Outcome

based on self report definition, fasting plasma glucose, and hemoglobin A1c

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* NHANES data from 1999-2014 with food recalls and dietary food intake

Exclusion Criteria

* not having data on either day of the 24-hour food intake
* individuals who consumed peanuts, but not other nuts on the day of recall, were excluded from the analysis
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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California Walnut Commission

OTHER

Sponsor Role collaborator

University of California, Los Angeles

OTHER

Sponsor Role lead

Responsible Party

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Lenore Arab, PhD

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Lenore Arab, MSc, PhD

Role: PRINCIPAL_INVESTIGATOR

David Geffen School of Medicine

Locations

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University of California Los Angeles

Los Angeles, California, United States

Site Status

Countries

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United States

References

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Brennan AM, Sweeney LL, Liu X, Mantzoros CS. Walnut consumption increases satiation but has no effect on insulin resistance or the metabolic profile over a 4-day period. Obesity (Silver Spring). 2010 Jun;18(6):1176-82. doi: 10.1038/oby.2009.409. Epub 2009 Nov 12.

Reference Type BACKGROUND
PMID: 19910942 (View on PubMed)

Kalgaonkar S, Almario RU, Gurusinghe D, Garamendi EM, Buchan W, Kim K, Karakas SE. Differential effects of walnuts vs almonds on improving metabolic and endocrine parameters in PCOS. Eur J Clin Nutr. 2011 Mar;65(3):386-93. doi: 10.1038/ejcn.2010.266. Epub 2010 Dec 15.

Reference Type BACKGROUND
PMID: 21157477 (View on PubMed)

Katz DL, Davidhi A, Ma Y, Kavak Y, Bifulco L, Njike VY. Effects of walnuts on endothelial function in overweight adults with visceral obesity: a randomized, controlled, crossover trial. J Am Coll Nutr. 2012 Dec;31(6):415-23. doi: 10.1080/07315724.2012.10720468.

Reference Type BACKGROUND
PMID: 23756586 (View on PubMed)

Ma Y, Njike VY, Millet J, Dutta S, Doughty K, Treu JA, Katz DL. Effects of walnut consumption on endothelial function in type 2 diabetic subjects: a randomized controlled crossover trial. Diabetes Care. 2010 Feb;33(2):227-32. doi: 10.2337/dc09-1156. Epub 2009 Oct 30.

Reference Type BACKGROUND
PMID: 19880586 (View on PubMed)

Mukuddem-Petersen J, Stonehouse Oosthuizen W, Jerling JC, Hanekom SM, White Z. Effects of a high walnut and high cashew nut diet on selected markers of the metabolic syndrome: a controlled feeding trial. Br J Nutr. 2007 Jun;97(6):1144-53. doi: 10.1017/S0007114507682944. Epub 2007 Mar 7.

Reference Type BACKGROUND
PMID: 17381974 (View on PubMed)

Tapsell LC, Batterham MJ, Teuss G, Tan SY, Dalton S, Quick CJ, Gillen LJ, Charlton KE. Long-term effects of increased dietary polyunsaturated fat from walnuts on metabolic parameters in type II diabetes. Eur J Clin Nutr. 2009 Aug;63(8):1008-15. doi: 10.1038/ejcn.2009.19. Epub 2009 Apr 8.

Reference Type BACKGROUND
PMID: 19352378 (View on PubMed)

Tapsell LC, Gillen LJ, Patch CS, Batterham M, Owen A, Bare 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 Dec;27(12):2777-83. doi: 10.2337/diacare.27.12.2777.

Reference Type BACKGROUND
PMID: 15562184 (View on PubMed)

Wu L, Piotrowski K, Rau T, Waldmann E, Broedl UC, Demmelmair H, Koletzko B, Stark RG, Nagel JM, Mantzoros CS, Parhofer KG. Walnut-enriched diet reduces fasting non-HDL-cholesterol and apolipoprotein B in healthy Caucasian subjects: a randomized controlled cross-over clinical trial. Metabolism. 2014 Mar;63(3):382-91. doi: 10.1016/j.metabol.2013.11.005. Epub 2013 Nov 12.

Reference Type BACKGROUND
PMID: 24360749 (View on PubMed)

Moravej H, Salehi A, Razavi Z, Moein MR, Etemadfard H, Karami F, Ghahremani F. Chemical Composition and the Effect of Walnut Hydrosol on Glycemic Control of Patients With Type 1 Diabetes. Int J Endocrinol Metab. 2016 Jan 30;14(1):e34726. doi: 10.5812/ijem.34726. eCollection 2016 Jan.

Reference Type BACKGROUND
PMID: 27335580 (View on PubMed)

Bullard KM, Ali MK, Imperatore G, Geiss LS, Saydah SH, Albu JB, Cowie CC, Sohler N, Albright A, Gregg EW. Receipt of Glucose Testing and Performance of Two US Diabetes Screening Guidelines, 2007-2012. PLoS One. 2015 Apr 30;10(4):e0125249. doi: 10.1371/journal.pone.0125249. eCollection 2015.

Reference Type BACKGROUND
PMID: 25928306 (View on PubMed)

Guo K, Zhou Z, Jiang Y, Li W, Li Y. Meta-analysis of prospective studies on the effects of nut consumption on hypertension and type 2 diabetes mellitus. J Diabetes. 2015 Mar;7(2):202-12. doi: 10.1111/1753-0407.12173. Epub 2014 Jul 29.

Reference Type BACKGROUND
PMID: 24893671 (View on PubMed)

Luo C, Zhang Y, Ding Y, Shan Z, Chen S, Yu M, Hu FB, Liu L. Nut consumption and risk of type 2 diabetes, cardiovascular disease, and all-cause mortality: a systematic review and meta-analysis. Am J Clin Nutr. 2014 Jul;100(1):256-69. doi: 10.3945/ajcn.113.076109. Epub 2014 May 21.

Reference Type BACKGROUND
PMID: 24847854 (View on PubMed)

Zhou D, Yu H, He F, Reilly KH, Zhang J, Li S, Zhang T, Wang B, Ding Y, Xi B. Nut consumption in relation to cardiovascular disease risk and type 2 diabetes: a systematic review and meta-analysis of prospective studies. Am J Clin Nutr. 2014 Jul;100(1):270-7. doi: 10.3945/ajcn.113.079152. Epub 2014 May 7.

Reference Type BACKGROUND
PMID: 24808491 (View on PubMed)

Pan A, Sun Q, Manson JE, Willett WC, Hu FB. Walnut consumption is associated with lower risk of type 2 diabetes in women. J Nutr. 2013 Apr;143(4):512-8. doi: 10.3945/jn.112.172171. Epub 2013 Feb 20.

Reference Type BACKGROUND
PMID: 23427333 (View on PubMed)

Guo F, Moellering DR, Garvey WT. Use of HbA1c for diagnoses of diabetes and prediabetes: comparison with diagnoses based on fasting and 2-hr glucose values and effects of gender, race, and age. Metab Syndr Relat Disord. 2014 Jun;12(5):258-68. doi: 10.1089/met.2013.0128. Epub 2014 Feb 10.

Reference Type BACKGROUND
PMID: 24512556 (View on PubMed)

Other Identifiers

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WALNUT6DIABETES

Identifier Type: -

Identifier Source: org_study_id

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