Skip to main content

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

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.

This is a preview of subscription content, access via your institution.

References

  1. M.G. Saklayen, The global epidemic of the metabolic syndrome. Curr. Hypertens. Rep. 20(2), 12 (2018)

    Article  PubMed  PubMed Central  Google Scholar 

  2. 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)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. 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)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. 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)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. 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)

    Google Scholar 

  6. 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)

    Article  PubMed  Google Scholar 

  7. 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)

    Article  PubMed  PubMed Central  Google Scholar 

  8. 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)

    Article  CAS  PubMed  Google Scholar 

  9. 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)

    Article  PubMed  PubMed Central  Google Scholar 

  10. 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)

    Article  CAS  PubMed  Google Scholar 

  11. 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  Google Scholar 

  12. 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)

    Article  CAS  PubMed  Google Scholar 

  13. 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)

    CAS  PubMed  Google Scholar 

  14. N. Babio, M. Bulló, J. Salas-Salvadó, Mediterranean diet and metabolic syndrome: the evidence. Public Health Nutr. 12(9A), 1607–1617 (2009)

    Article  PubMed  Google Scholar 

  15. 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. 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)

    Article  CAS  PubMed  Google Scholar 

  17. 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. 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)

    Article  PubMed  PubMed Central  Google Scholar 

  19. 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)

    Article  PubMed  Google Scholar 

  20. 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

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. 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)

    Article  CAS  PubMed  Google Scholar 

  22. 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)

    Article  CAS  PubMed  Google Scholar 

  23. 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)

    Article  PubMed  PubMed Central  Google Scholar 

  24. 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)

    Article  CAS  PubMed  Google Scholar 

  25. 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)

    Article  CAS  PubMed  Google Scholar 

  26. 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)

    Article  CAS  PubMed  Google Scholar 

  27. 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)

    Google Scholar 

  28. W. Willett, Nutritional Epidemiology, 3rd edn. (Oxford University Press, New York, 2013)

  29. Korean National Academy of Agricultural Science. Food Composition Table, 7th edn. (Rural Development Administration, Suwon, 2007) (in Korean)

  30. 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)

    Article  CAS  PubMed  Google Scholar 

  31. 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)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. 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)

    Article  Google Scholar 

  33. 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)

    Article  PubMed  Google Scholar 

  34. Z. Yu, V.S. Malik, N. Keum et al. Associations between nut consumption and inflammatory biomarkers. Am. J. Clin. Nutr. 104(3), 722–728 (2016)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. M.C. Carr, The emergence of the metabolic syndrome with menopause. J. Clin. Endocrinol. Metab. 88(6), 2404–2411 (2003)

    Article  CAS  PubMed  Google Scholar 

  36. Z. Jouyandeh, F. Nayebzadeh, M. Qorbani, M. Asadi, Metabolic syndrome and menopause. J. Diabetes Metab. Disord. 12(1), 1 (2013)

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

Data in this study were from the Korean Genome and Epidemiology Study (KoGES; 4851-302), National Research Institute of Health, Centers for Disease Control and Prevention, Ministry for Health and Welfare, Republic of Korea.

Author contributions

JYJ coordinated the study, analyzed the data, and wrote the manuscript as a first author. C-MO played role in analyzing data and verifying the results. SKP, J-MC, and J-HR participated in reviewing manuscript. JK took a part in analyzing nutrient data and participated in reviewing manuscript. MKK is the guarantor of this work and, as such, had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mi Kyung Kim.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study. Ethical approval.

Additional information

Publisher’s note: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Jung, J.Y., Park, S.K., Oh, CM. et al. The association between metabolic syndrome and peanuts, pine nuts, almonds consumption: The Ansan and Ansung Study. Endocrine 65, 270–277 (2019). https://doi.org/10.1007/s12020-019-01980-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12020-019-01980-3

Keywords

  • Metabolic syndrome
  • Peanut
  • Almond
  • Fine nut