Nut intake and 5-year changes in body weight and obesity risk in adults: results from the EPIC-PANACEA study
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Accepted version
Author(s)
Type
Journal Article
Abstract
PURPOSE: There is inconsistent evidence regarding the relationship between higher intake of nuts, being an energy-dense food, and weight gain. We investigated the relationship between nut intake and changes in weight over 5 years. METHODS: This study includes 373,293 men and women, 25-70 years old, recruited between 1992 and 2000 from 10 European countries in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Habitual intake of nuts including peanuts, together defined as nut intake, was estimated from country-specific validated dietary questionnaires. Body weight was measured at recruitment and self-reported 5 years later. The association between nut intake and body weight change was estimated using multilevel mixed linear regression models with center/country as random effect and nut intake and relevant confounders as fixed effects. The relative risk (RR) of becoming overweight or obese after 5 years was investigated using multivariate Poisson regressions stratified according to baseline body mass index (BMI). RESULTS: On average, study participants gained 2.1 kg (SD 5.0 kg) over 5 years. Compared to non-consumers, subjects in the highest quartile of nut intake had less weight gain over 5 years (-0.07 kg; 95% CI -0.12 to -0.02) (P trend = 0.025) and had 5% lower risk of becoming overweight (RR 0.95; 95% CI 0.92-0.98) or obese (RR 0.95; 95% CI 0.90-0.99) (both P trend <0.008). CONCLUSIONS: Higher intake of nuts is associated with reduced weight gain and a lower risk of becoming overweight or obese.
Date Issued
2018-10-01
Date Acceptance
2017-07-15
Citation
European Journal of Nutrition, 2018, 57 (7), pp.2399-2408
ISSN
0044-264X
Publisher
Springer Verlag
Start Page
2399
End Page
2408
Journal / Book Title
European Journal of Nutrition
Volume
57
Issue
7
Copyright Statement
© Springer-Verlag GmbH Germany 2017. The final publication is available at Springer via http://dx.doi.org/10.1007/s00394-017-1513-0
Identifier
PII: 10.1007/s00394-017-1513-0
Subjects
Adults
Energy balance
Europe
Nut intake
Obesity
Weight gain
Publication Status
Published
Date Publish Online
2017-07-21