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Effects of energy restriction with and without almonds on weight and cardiometabolic risk factors

Published online by Cambridge University Press:  22 March 2023

S. Carter
Affiliation:
Allied Health & Human Performance, Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Adelaide, SA 5072, Australia
A.M. Hill
Affiliation:
Clinical & Health Sciences, Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Adelaide, SA 5072, Australia
L.C. Mead
Affiliation:
Allied Health & Human Performance, Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Adelaide, SA 5072, Australia
H.Y. Wong
Affiliation:
Allied Health & Human Performance, Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Adelaide, SA 5072, Australia
J.D. Buckley
Affiliation:
Allied Health & Human Performance, Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Adelaide, SA 5072, Australia
C. Yandell
Affiliation:
Allied Health & Human Performance, Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Adelaide, SA 5072, Australia
S.-Y. Tan
Affiliation:
School of Exercise and Nutrition Sciences, Institute for Physical Activity and Nutrition (IPAN), Deakin University, Geelong, Vic. 3220, Australia
G.B. Rogers
Affiliation:
College of Medicine and Public Health, Flinders University, Bedford Park, SA 5042, Australia Microbiome Research, South Australian Health and Medical Research Institute, Adelaide, SA 5001 Australia
A.M. Coates
Affiliation:
Allied Health & Human Performance, Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Adelaide, SA 5072, Australia
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Abstract

Type
Abstract
Copyright
Copyright © The Authors 2023

Despite evidence of an inverse association between nut consumption and body mass index,(Reference Nishi, Viguiliouk and Blanco Mejia1) the role of nuts in weight loss and weight maintenance is limited. In a parallel study design, it was evaluated whether the inclusion of 15% of energy from almonds [almond-enriched diet (AED)] compared to carbohydrate-rich snacks in an otherwise nut-free energy-restricted diet [nut-free control diet (NFD)] would improve weight loss during 3 months of dietary energy restriction (−30%E, phase 1) and limit weight regain during 6 months of weight maintenance (phase 2).(Reference Carter, Hill and Yandell2) Outcomes were measured at baseline and the end of each phase. One hundred and forty adults (aged 25–65 years) with overweight or obesity (body mass index [BMI]: 27.5–34.9 kg/m2) were recruited and randomly allocated to the AED (n = 68) or the NFD (n = 72). There was a significant reduction in weight during phase 1 (p < 0.001) of −6.9 ± 0.5 kg in the AED and −7.0 ± 0.5 kg in the NFD, with no difference between groups (p = 0.858). There was a small amount of additional weight loss in both groups during phase 2 (−1.2 ± 0.4 kg, p = 0.009), but again with no significant difference between the groups (p = 0.756). There was a significant reduction in fat mass (−7.3 ± 0.4 kg, p < 0.001) and a small but significant reduction in lean mass (−0.9 ± 0.1 kg, p < 0.001), resulting in a significant increase in percent lean mass over the duration of the study (4.8 ± 0.3%, p < 0.001). HbA1c increased (0.1 ± 0.04%, p = 0.020) and fasting insulin decreased (−9.3 ± 3.8 pmol/L, p = 0.049) in phase 1 only for both groups and there was a reduction in fasting glucose at end of phase 2 (−0.2 ± 0.07 mmol/L, p = 0.002). Blood pressure fell over the duration of the study for both groups (−4.9 ± 0.8 mm/Hg systolic and −5.0 ± 0.5 mm/Hg diastolic, p < 0.001). Total cholesterol, LDL-C, VLDL-C and triglycerides significantly decreased over time for both groups (−0.3 ± 0.07 mmol/L, −0.2 ± 0.06 mmol/L, −0.1 ± 0.03 mmol/L, −0.3 ± 0.06 mmol/L, respectively, all p < 0.001) and HDL-C significantly increased for both groups (0.065 ± 0.02 mmol/L, p = 0.011). No group x time interactions were observed for any outcome measures. These findings provide further evidence that an almond-enriched energy-restricted diet can promote weight loss and weight maintenance comparable to a nut-free energy-restricted diet and that both diets support cardiometabolic health.

References

Nishi, SK, Viguiliouk, E, Blanco Mejia, S, et al. (2021) Obes Rev 22 (11), e13330.CrossRefGoogle Scholar
Carter, S, Hill, AM, Yandell, C, et al. (2020) BMJ Open 10, e036542.CrossRefGoogle Scholar