Yes. Nuts are on the ‘must eat’ food list if you want to reduce the risk of developing heart disease.

Studies show eating a daily handful of nuts (about 30g) can significantly reduce the risk of developing heart disease – by up to around 40% [1, 2]. Even people who only eat nuts once a week have less heart disease than those who never eat nuts [3].

The association between nuts and a reduced risk of heart disease was established decades ago, with the publication of four large population studies [3-6]. Since then, the evidence has continued to strengthen in this area [2, 7, 8, 9]. 

Did you know? In a 2021 review of their dietary guidance, the American Heart Association emphasised that dietary protein should come mostly from plant foods – with nuts and legumes, in particular, recognised as heart-healthy options [10].

There are several ways that nuts are believed to reduce the risk of heart disease:

  • Fatty acids: Nuts contain mainly poly- and monounsaturated fats, which have been shown to help reduce total and LDL cholesterol. And omega-3s, which are found in some nuts, have been linked to a lower risk of heart disease.
  • Phytosterols: Nuts naturally contain plant sterols, which help lower blood cholesterol by reducing the amount that the body absorbs.
  • Amino acids: Of all plant protein sources, nuts are the highest in arginine. This amino acid helps blood vessels remain flexible (or ‘elastic’) and less prone to blood clots.
  • Phytochemicals: Nuts contain many ‘phyto’ or plant chemicals, including vitamins and minerals, which act as antioxidants – helping to keep the heart and blood vessels healthy.
  • Fibre: All nuts contain fibre (5-15g fibre/100g, depending on the nut type), which helps to stop cholesterol being absorbed from the small intestine.

References

  1. Kelly, J.H., Jr. and J. Sabate, Nuts and coronary heart disease: an epidemiological perspective. Br J Nutr, 2006. 96 Suppl 2: p. S61-7.
  2. Aune, D., et al., Nut consumption and risk of cardiovascular disease, total cancer, all-cause and cause-specific mortality: a systematic review and dose-response meta-analysis of prospective studies. BMC Med, 2016. 14(1): p. 207.
  3. Fraser, G.E., et al., A possible protective effect of nut consumption on risk of coronary heart disease. The Adventist Health Study. Arch Intern Med, 1992. 152(7): p. 1416-24.
  4. Ellsworth, J.L., L.H. Kushi, and A.R. Folsom, Frequent nut intake and risk of death from coronary heart disease and all causes in postmenopausal women: the Iowa Women's Health Study. Nutr Metab Cardiovasc Dis, 2001. 11(6): p. 372-7.
  5. Hu, F.B., et al., Frequent nut consumption and risk of coronary heart disease in women: prospective cohort study. BMJ, 1998. 317(7169): p. 1341-5.
  6. Albert, C.M., et al., Nut consumption and decreased risk of sudden cardiac death in the Physicians' Health Study. Arch Intern Med, 2002. 162(12): p. 1382-7.
  7. Neale, E., D. Nolan-Clark, and L. Tapsell, The effect of nut consumption on heart health: a systematic literature review. 2015. Nuts for Life, unpublished.
  8. Neale, E., et al., The effect of nut consumption on heart health: an updated systematic review of the literature. 2018. Nuts for Life, unpublished.
  9. Houston, L., et al. ‘The relationship between nuts and risk of cardiovascular disease. A systematic review of a diet-disease relationship prepared for Nuts for Life’. Unpublished.
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