Vilela Darlene Larissa de Souza, Silva Alessandra da, Pelissari Kravchychyn Ana Claudia, Bressan Josefina, Hermsdorff Helen Hermana Miranda
Laboratory of Clinical Analysis and Genomics, Department of Nutrition and Health, Universidade Federal de Viçosa (UFV), Viçosa 36570-900, MG, Brazil.
Laboratory of Energy Metabolism and Body Composition, Department of Nutrition and Health, Universidade Federal de Viçosa (UFV), Viçosa 36570-900, MG, Brazil.
Foods. 2024 Sep 23;13(18):3008. doi: 10.3390/foods13183008.
Obesity is a multifactorial disease that is difficult to control worldwide. Although nuts are recognized health foods, the application of food in obesity management is unclear. We systematically reviewed the literature and performed a meta-analysis to evaluate if nut consumption favors people on energy restriction (ER) dietary interventions. Four databases were used to search for eligible articles in May 2024. This review was conducted according to the PRISMA guide, and the bias risk of papers was evaluated. For the meta-analysis, we extracted the endpoint values of the group's variables and estimated the effect sizes by the random-effects model. Sixteen and ten articles were included in the systematic review and meta-analysis, respectively. Almonds were evaluated in the majority of studies ( = 6). The consumption of nuts (28 to 84 g/d, 4 to 72 months) included in ER (-250 to 1000 kcal/d) did not differently affect anthropometry (weight loss, BMI, waist and hip circumferences), body composition (fat mass, fat-free mass, or lean mass), markers of glucose (glycemia and insulinemia), lipid metabolism (total cholesterol, HDL-c, LDL-c, LDL-c/HDL-c, or triglycerides), and systolic and diastolic blood pressure. In most analyses, stratifying studies by type of nut or intervention time did not present different results in the meta-analysis. As there are few studies, in addition to great methodological variability, more high-quality trials are needed to confirm these results. The PROSPERO registration number is CRD42023444878.
肥胖是一种多因素疾病,在全球范围内难以控制。尽管坚果是公认的健康食品,但食品在肥胖管理中的应用尚不清楚。我们系统地回顾了文献并进行了荟萃分析,以评估食用坚果是否有利于接受能量限制(ER)饮食干预的人群。2024年5月,我们使用四个数据库搜索符合条件的文章。本综述根据PRISMA指南进行,并评估了论文的偏倚风险。对于荟萃分析,我们提取了各组变量的终点值,并通过随机效应模型估计效应量。系统评价和荟萃分析分别纳入了16篇和10篇文章。大多数研究(n = 6)评估了杏仁。在ER(-250至1000千卡/天)中纳入的坚果食用量(28至84克/天,4至72个月)对人体测量指标(体重减轻、BMI、腰围和臀围)、身体成分(脂肪量、去脂体重或瘦体重)、葡萄糖标志物(血糖和胰岛素血症)、脂质代谢(总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、低密度脂蛋白胆固醇/高密度脂蛋白胆固醇或甘油三酯)以及收缩压和舒张压没有不同影响。在大多数分析中,按坚果类型或干预时间对研究进行分层,在荟萃分析中没有呈现不同的结果。由于研究较少,除了方法学差异很大外,还需要更多高质量的试验来证实这些结果。PROSPERO注册号为CRD42023444878。