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Effect of pistachio nut consumption on endothelial function and arterial stiffness

Kasliwal RR, Bansal M, Mehrotra R, Yeptho KP, Trehan N

Nutrition (Burbank, Los Angeles County, Calif.) · 50 citas

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Alimentación controladaFinanciación no declarada

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Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento
Consumo medido con
Comida provista por los investigadores

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2014-11-07 · Nutrition · vol. 31 · número 5 · págs. 678–685
Editorial
Elsevier BV
Citado
86 citas · más que el 95% de estudios similares · 5.0× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
42 trabajos
Acceso
De pago
Áreas de investigación
Nuts composition and effects · Cardiovascular Health and Disease Prevention · Nutritional Studies and Diet
Palabras clave
pistachio nuts, endothelial function, arterial stiffness, pulse wave velocity, flow-mediated dilation, dyslipidemia, lifestyle modification, HDL cholesterol, LDL cholesterol, fasting blood glucose, vascular health, nut consumption, brachial artery, oxidative stress, lipid profile, glycemic control
MeSH
brachial artery, carotid arteries, femoral artery, endothelium, vascular, humans, pistacia, cholesterol, blood glucose, lipoproteins, hdl, lipoproteins, ldl, blood flow velocity, treatment outcome, fasting, life style, vasodilation, adult, middle aged, female, male, ankle brachial index, vascular stiffness, pulse wave analysis

5 autores

  • Ravi Ratan Kasliwal🇮🇳Medanta The Medicity; Medanta The Medicity
  • Manish Bansal🇮🇳 · autor de correspondenciaMedanta The Medicity; Medanta The Medicity
  • Rahul Mehrotra🇮🇳Medanta The Medicity; Medanta The Medicity
  • Kajal Yeptho🇮🇳Medanta The Medicity; Medanta The Medicity
  • Naresh K. Trehan🇮🇳Medanta The Medicity; Medanta The Medicity

Resumen

El texto original del estudio, en el idioma en que se publicó.

Objectives

Previous studies have demonstrated beneficial effects of regular consumption of pistachio nuts on glycemic, lipid, and oxidative stress parameters. The aim of this study was to determine its effect on vascular health, which has not been adequately studied so far.

Methods

In this open label, randomized parallel-group study, 60 adults with mild dyslipidemia were randomized to lifestyle modification (LSM) alone or LSM with consumption of 80 g (in-shell) pistachios (equivalent to 40 g or 1.5 oz shelled pistachios) daily for 3 mo. Biochemical parameters, brachial artery flow-mediated vasodilation (BAFMD), and carotid-femoral and brachial-ankle pulse wave velocity (cfPWV and baPWV, respectively) were measured before and after the intervention.

Results

At 3 mo, there was no change in any of the clinical or biochemical parameters in the LSM group. However, the patients in the pistachio group had a significant increase in high-density lipoprotein cholesterol (HDL-C; 35.7 ± 8.8 mg/dL versus 37.8 ± 10.1 mg/dL; P = 0.04) and a reduction in low-density lipoprotein cholesterol (137.2 ± 32.6 mg/dL versus 127.6 ± 34.0 mg/dL; P = 0.02), total cholesterol (TC)-to-HDL-C ratio (5.8 ± 1.3 mg/dL versus 5.3 ± 1.1 mg/dL; P = 0.001), and fasting blood sugar (88.8 ± 7.1 mg/dL versus 86.6 ± 6.3 mg/dL; P = 0.05). Additionally, whereas LSM alone was associated with no improvement in BAFMD or PWV, individuals in the pistachio group had significant reduction in left baPWV (1261.7 ± 187.5 cm/sec versus 1192.4 ± 152.5 cm/sec; P = 0.02) and statistically nonsignificant improvement in most other parameters, including BAFMD. As a result, at 3 mo the patients in the pistachio group had lower cfPWV (770.9 ± 96.5 cm/sec versus 846.4 ± 162.0 cm/sec; P = 0.08), lower left baPWV (1192.4 ± 152.5 cm/sec versus 1326.3 ± 253.7 cm/sec; P = 0.05), and lower average baPWV (1208.2 ± 118.4 cm/sec versus 1295.8 ± 194.1 cm/sec; P = 0.08) compared with the LSM group. Two-way analysis of variance revealed significant treatment effect of pistachio consumption on cfPWV, left baPWV, average baPWV, and BAFMD (P = 0.037, 0.01, 0.07, and 0.046, respectively).

Conclusions

The present study demonstrates that regular consumption of pistachio nuts not only improves glycemic and lipid parameters, but also results in improvements in vascular stiffness and endothelial function. Importantly, these improvements were seen in apparently healthy individuals and with a diet (including pistachios) and exercise regimen that every adult individual is expected to follow.

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