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Frequency of nut consumption and mortality risk in the PREDIMED nutrition intervention trial.

BACKGROUNDProspective studies in non-Mediterranean populations have consistently related increasing nut consumption to lower coronary heart disease mortality. A small protective effect on all-cause and cancer mortality has also been suggested. To examine the association between frequency of nut cons... Full description

Journal Title: BMC medicine July 16, 2013, Vol.11, p.164
Main Author: Guasch-Ferré, Marta
Other Authors: Bulló, Mònica , Martínez-González, Miguel Ángel , Ros, Emilio , Corella, Dolores , Estruch, Ramon , Fitó, Montserrat , Arós, Fernando , Wärnberg, Julia , Fiol, Miquel , Lapetra, José , Vinyoles, Ernest , Lamuela-Raventós, Rosa Maria , Serra-Majem, Lluís , Pintó, Xavier , Ruiz-Gutiérrez, Valentina , Basora, Josep , Salas-Salvadó, Jordi , Guasch-Ferré, Marta
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: E-ISSN: 1741-7015 ; DOI: 1741-7015 ; DOI: doi:10.1186/1741-7015-11-164
Link: http://search.proquest.com/docview/1406177813/?pq-origsite=primo
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title: Frequency of nut consumption and mortality risk in the PREDIMED nutrition intervention trial.
format: Article
creator:
  • Guasch-Ferré, Marta
  • Bulló, Mònica
  • Martínez-González, Miguel Ángel
  • Ros, Emilio
  • Corella, Dolores
  • Estruch, Ramon
  • Fitó, Montserrat
  • Arós, Fernando
  • Wärnberg, Julia
  • Fiol, Miquel
  • Lapetra, José
  • Vinyoles, Ernest
  • Lamuela-Raventós, Rosa Maria
  • Serra-Majem, Lluís
  • Pintó, Xavier
  • Ruiz-Gutiérrez, Valentina
  • Basora, Josep
  • Salas-Salvadó, Jordi
  • Guasch-Ferré, Marta
subjects:
  • Aged–Ethnology
  • Aged, 80 and Over–Mortality
  • Cohort Studies–Prevention & Control
  • Coronary Disease–Ethnology
  • Diet, Mediterranean–Administration & Dosage
  • Feeding Behavior–Ethnology
  • Female–Ethnology
  • Follow-Up Studies–Ethnology
  • Humans–Ethnology
  • Longitudinal Studies–Ethnology
  • Male–Ethnology
  • Middle Aged–Ethnology
  • Nuts–Ethnology
  • Olive Oil–Ethnology
  • Plant Oils–Ethnology
  • Risk Factors–Ethnology
  • Spain–Ethnology
  • Olive Oil
  • Plant Oils
ispartof: BMC medicine, July 16, 2013, Vol.11, p.164
description: BACKGROUNDProspective studies in non-Mediterranean populations have consistently related increasing nut consumption to lower coronary heart disease mortality. A small protective effect on all-cause and cancer mortality has also been suggested. To examine the association between frequency of nut consumption and mortality in individuals at high cardiovascular risk from Spain, a Mediterranean country with a relatively high average nut intake per person. METHODSWe evaluated 7,216 men and women aged 55 to 80 years randomized to 1 of 3 interventions (Mediterranean diets supplemented with nuts or olive oil and control diet) in the PREDIMED ('PREvención con DIeta MEDiterránea') study. Nut consumption was assessed at baseline and mortality was ascertained by medical records and linkage to the National Death Index. Multivariable-adjusted Cox regression and multivariable analyses with generalized estimating equation models were used to assess the association between yearly repeated measurements of nut consumption and mortality. RESULTSDuring a median follow-up of 4.8 years, 323 total deaths, 81 cardiovascular deaths and 130 cancer deaths occurred. Nut consumption was associated with a significantly reduced risk of all-cause mortality (P for trend3 servings/week (32% of the cohort) had a 39% lower mortality risk (hazard ratio (HR) 0.61; 95% CI 0.45 to 0.83). A similar protective effect against cardiovascular and cancer mortality was observed. Participants allocated to the Mediterranean diet with nuts group who consumed nuts>3 servings/week at baseline had the lowest total mortality risk (HR 0.37; 95% CI 0.22 to 0.66). CONCLUSIONSIncreased frequency of nut consumption was associated with a significantly reduced risk of mortality in a Mediterranean population at high cardiovascular risk.Please see related commentary: http://www.biomedcentral.com/1741-7015/11/165. TRIAL REGISTRATIONClinicaltrials.gov. International Standard Randomized Controlled Trial Number (ISRCTN): 35739639. Registration date: 5 October 2005.
language: eng
source:
identifier: E-ISSN: 1741-7015 ; DOI: 1741-7015 ; DOI: doi:10.1186/1741-7015-11-164
fulltext: fulltext
issn:
  • 17417015
  • 1741-7015
url: Link


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titleFrequency of nut consumption and mortality risk in the PREDIMED nutrition intervention trial.
creatorGuasch-Ferré, Marta ; Bulló, Mònica ; Martínez-González, Miguel Ángel ; Ros, Emilio ; Corella, Dolores ; Estruch, Ramon ; Fitó, Montserrat ; Arós, Fernando ; Wärnberg, Julia ; Fiol, Miquel ; Lapetra, José ; Vinyoles, Ernest ; Lamuela-Raventós, Rosa Maria ; Serra-Majem, Lluís ; Pintó, Xavier ; Ruiz-Gutiérrez, Valentina ; Basora, Josep ; Salas-Salvadó, Jordi ; Guasch-Ferré, Marta
contributorSerra-Mir, M (correspondence author) ; Pérez-Heras, A (record owner) ; Viñas, C ; Casas, R ; Romero, L S ; Cofán, M ; Valls-Pedret, C ; Sala-Vila, A ; Doménech, M ; Toledo, E ; Sánchez-Tainta, A ; Zazpe, I ; Marques, M ; Goñi, E ; Sanjulian, B ; Marti, A ; Buil-Cosiales, P ; Serrano-Martinez, M ; Diez-Espino, J ; Garcia-Arellano, A ; Basterra-Gortari, F J ; Gonzalez, R ; Molina, C ; Marquez, F ; Babio, N ; Martinez, P ; Ibarrola-Jurado, N ; Balanza, R ; Díaz-López, A ; Juanola-Falgarona, M ; Sorlí, M ; Garcia Roselló, J ; Martin, F ; Tort, R ; Isach, A ; Costa, B ; Cabré, J J ; Fernandez-Ballart, J ; Covas, M I ; Schröder, H ; Tello, S ; de La Torre, R ; Muñoz, M A ; Vila, J ; Salaverría, I ; Castro, S ; Sanz, E ; Ricarte, F ; Rekondo, J ; Benítez-Pont, R ; Bianchi-Alba, M ; Fernández-Crehuet, J ; Gómez-Gracia, E ; García, F J ; Ortega-Calvo, M ; Román, P ; Santos, J M ; Corchado, Y ; Álvarez-Prez, J ; Díez-Benítez, E ; Bautista-Castaño, I ; Sánchez-Villegas, A ; Ortega-Azorin, C ; Asensio-Márquez, E M ; Guillem-Saiz, P ; Gonzalez, J I ; Portoles, O ; Portoles, O ; Portoles, O
ispartofBMC medicine, July 16, 2013, Vol.11, p.164
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subjectAged–Ethnology ; Aged, 80 and Over–Mortality ; Cohort Studies–Prevention & Control ; Coronary Disease–Ethnology ; Diet, Mediterranean–Administration & Dosage ; Feeding Behavior–Ethnology ; Female–Ethnology ; Follow-Up Studies–Ethnology ; Humans–Ethnology ; Longitudinal Studies–Ethnology ; Male–Ethnology ; Middle Aged–Ethnology ; Nuts–Ethnology ; Olive Oil–Ethnology ; Plant Oils–Ethnology ; Risk Factors–Ethnology ; Spain–Ethnology ; Olive Oil ; Plant Oils
descriptionBACKGROUNDProspective studies in non-Mediterranean populations have consistently related increasing nut consumption to lower coronary heart disease mortality. A small protective effect on all-cause and cancer mortality has also been suggested. To examine the association between frequency of nut consumption and mortality in individuals at high cardiovascular risk from Spain, a Mediterranean country with a relatively high average nut intake per person. METHODSWe evaluated 7,216 men and women aged 55 to 80 years randomized to 1 of 3 interventions (Mediterranean diets supplemented with nuts or olive oil and control diet) in the PREDIMED ('PREvención con DIeta MEDiterránea') study. Nut consumption was assessed at baseline and mortality was ascertained by medical records and linkage to the National Death Index. Multivariable-adjusted Cox regression and multivariable analyses with generalized estimating equation models were used to assess the association between yearly repeated measurements of nut consumption and mortality. RESULTSDuring a median follow-up of 4.8 years, 323 total deaths, 81 cardiovascular deaths and 130 cancer deaths occurred. Nut consumption was associated with a significantly reduced risk of all-cause mortality (P for trend3 servings/week (32% of the cohort) had a 39% lower mortality risk (hazard ratio (HR) 0.61; 95% CI 0.45 to 0.83). A similar protective effect against cardiovascular and cancer mortality was observed. Participants allocated to the Mediterranean diet with nuts group who consumed nuts>3 servings/week at baseline had the lowest total mortality risk (HR 0.37; 95% CI 0.22 to 0.66). CONCLUSIONSIncreased frequency of nut consumption was associated with a significantly reduced risk of mortality in a Mediterranean population at high cardiovascular risk.Please see related commentary: http://www.biomedcentral.com/1741-7015/11/165. TRIAL REGISTRATIONClinicaltrials.gov. International Standard Randomized Controlled Trial Number (ISRCTN): 35739639. Registration date: 5 October 2005.
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0Guasch-Ferré, Marta
1Bulló, Mònica
2Martínez-González, Miguel Ángel
3Ros, Emilio
4Corella, Dolores
5Estruch, Ramon
6Fitó, Montserrat
7Arós, Fernando
8Wärnberg, Julia
9Fiol, Miquel
10Lapetra, José
11Vinyoles, Ernest
12Lamuela-Raventós, Rosa Maria
13Serra-Majem, Lluís
14Pintó, Xavier
15Ruiz-Gutiérrez, Valentina
16Basora, Josep
17Salas-Salvadó, Jordi
titleFrequency of nut consumption and mortality risk in the PREDIMED nutrition intervention trial.
descriptionBACKGROUNDProspective studies in non-Mediterranean populations have consistently related increasing nut consumption to lower coronary heart disease mortality. A small protective effect on all-cause and cancer mortality has also been suggested. To examine the association between frequency of nut consumption and mortality in individuals at high cardiovascular risk from Spain, a Mediterranean country with a relatively high average nut intake per person. METHODSWe evaluated 7,216 men and women aged 55 to 80 years randomized to 1 of 3 interventions (Mediterranean diets supplemented with nuts or olive oil and control diet) in the PREDIMED ('PREvención con DIeta MEDiterránea') study. Nut consumption was assessed at baseline and mortality was ascertained by medical records and linkage to the National Death Index. Multivariable-adjusted Cox regression and multivariable analyses with generalized estimating equation models were used to assess the association between yearly repeated measurements of nut consumption and mortality. RESULTSDuring a median follow-up of 4.8 years, 323 total deaths, 81 cardiovascular deaths and 130 cancer deaths occurred. Nut consumption was associated with a significantly reduced risk of all-cause mortality (P for trend3 servings/week (32% of the cohort) had a 39% lower mortality risk (hazard ratio (HR) 0.61; 95% CI 0.45 to 0.83). A similar protective effect against cardiovascular and cancer mortality was observed. Participants allocated to the Mediterranean diet with nuts group who consumed nuts>3 servings/week at baseline had the lowest total mortality risk (HR 0.37; 95% CI 0.22 to 0.66). CONCLUSIONSIncreased frequency of nut consumption was associated with a significantly reduced risk of mortality in a Mediterranean population at high cardiovascular risk.Please see related commentary: http://www.biomedcentral.com/1741-7015/11/165. TRIAL REGISTRATIONClinicaltrials.gov. International Standard Randomized Controlled Trial Number (ISRCTN): 35739639. Registration date: 5 October 2005.
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1Aged, 80 and Over–Mortality
2Cohort Studies–Prevention & Control
3Coronary Disease–Ethnology
4Diet, Mediterranean–Administration & Dosage
5Feeding Behavior–Ethnology
6Female–Ethnology
7Follow-Up Studies–Ethnology
8Humans–Ethnology
9Longitudinal Studies–Ethnology
10Male–Ethnology
11Middle Aged–Ethnology
12Nuts–Ethnology
13Olive Oil–Ethnology
14Plant Oils–Ethnology
15Risk Factors–Ethnology
16Spain–Ethnology
17Olive Oil
18Plant Oils
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1Pérez-Heras, A
2Viñas, C
3Casas, R
4Romero, L S
5Cofán, M
6Valls-Pedret, C
7Sala-Vila, A
8Doménech, M
9Toledo, E
10Sánchez-Tainta, A
11Zazpe, I
12Marques, M
13Goñi, E
14Sanjulian, B
15Marti, A
16Buil-Cosiales, P
17Serrano-Martinez, M
18Diez-Espino, J
19Garcia-Arellano, A
20Basterra-Gortari, F J
21Gonzalez, R
22Molina, C
23Marquez, F
24Babio, N
25Martinez, P
26Ibarrola-Jurado, N
27Balanza, R
28Díaz-López, A
29Juanola-Falgarona, M
30Sorlí, M
31Garcia Roselló, J
32Martin, F
33Tort, R
34Isach, A
35Costa, B
36Cabré, J J
37Fernandez-Ballart, J
38Covas, M I
39Schröder, H
40Tello, S
41de La Torre, R
42Muñoz, M A
43Vila, J
44Salaverría, I
45Castro, S
46Sanz, E
47Ricarte, F
48Rekondo, J
49Benítez-Pont, R
50Bianchi-Alba, M
51Fernández-Crehuet, J
52Gómez-Gracia, E
53García, F J
54Ortega-Calvo, M
55Román, P
56Santos, J M
57Corchado, Y
58Álvarez-Prez, J
59Díez-Benítez, E
60Bautista-Castaño, I
61Sánchez-Villegas, A
62Ortega-Azorin, C
63Asensio-Márquez, E M
64Guillem-Saiz, P
65Gonzalez, J I
66Portoles, O
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titleFrequency of nut consumption and mortality risk in the PREDIMED nutrition intervention trial.
authorGuasch-Ferré, Marta ; Bulló, Mònica ; Martínez-González, Miguel Ángel ; Ros, Emilio ; Corella, Dolores ; Estruch, Ramon ; Fitó, Montserrat ; Arós, Fernando ; Wärnberg, Julia ; Fiol, Miquel ; Lapetra, José ; Vinyoles, Ernest ; Lamuela-Raventós, Rosa Maria ; Serra-Majem, Lluís ; Pintó, Xavier ; Ruiz-Gutiérrez, Valentina ; Basora, Josep ; Salas-Salvadó, Jordi ; Guasch-Ferré, Marta
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1Aged, 80 and Over–Mortality
2Cohort Studies–Prevention & Control
3Coronary Disease–Ethnology
4Diet, Mediterranean–Administration & Dosage
5Feeding Behavior–Ethnology
6Female–Ethnology
7Follow-Up Studies–Ethnology
8Humans–Ethnology
9Longitudinal Studies–Ethnology
10Male–Ethnology
11Middle Aged–Ethnology
12Nuts–Ethnology
13Olive Oil–Ethnology
14Plant Oils–Ethnology
15Risk Factors–Ethnology
16Spain–Ethnology
17Olive Oil
18Plant Oils
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0Guasch-Ferré, Marta
1Bulló, Mònica
2Martínez-González, Miguel Ángel
3Ros, Emilio
4Corella, Dolores
5Estruch, Ramon
6Fitó, Montserrat
7Arós, Fernando
8Wärnberg, Julia
9Fiol, Miquel
10Lapetra, José
11Vinyoles, Ernest
12Lamuela-Raventós, Rosa Maria
13Serra-Majem, Lluís
14Pintó, Xavier
15Ruiz-Gutiérrez, Valentina
16Basora, Josep
17Salas-Salvadó, Jordi
18Serra-Mir, M
19Pérez-Heras, A
20Viñas, C
21Casas, R
22Romero, L S
23Cofán, M
24Valls-Pedret, C
25Sala-Vila, A
26Doménech, M
27Toledo, E
28Sánchez-Tainta, A
29Zazpe, I
30Marques, M
31Goñi, E
32Sanjulian, B
33Marti, A
34Buil-Cosiales, P
35Serrano-Martinez, M
36Diez-Espino, J
37Garcia-Arellano, A
38Basterra-Gortari, F J
39Gonzalez, R
40Molina, C
41Marquez, F
42Babio, N
43Martinez, P
44Ibarrola-Jurado, N
45Balanza, R
46Díaz-López, A
47Juanola-Falgarona, M
48Sorlí, M
49Garcia Roselló, J
50Martin, F
51Tort, R
52Isach, A
53Costa, B
54Cabré, J J
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56Covas, M I
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73Román, P
74Santos, J M
75Corchado, Y
76Álvarez-Prez, J
77Díez-Benítez, E
78Bautista-Castaño, I
79Sánchez-Villegas, A
80Ortega-Azorin, C
81Asensio-Márquez, E M
82Guillem-Saiz, P
83Gonzalez, J I
84Portoles, O
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12Lamuela-Raventós, Rosa Maria
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25Martinez, P
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27Balanza, R
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29Juanola-Falgarona, M
30Sorlí, M
31Garcia Roselló, J
32Martin, F
33Tort, R
34Isach, A
35Costa, B
36Cabré, J J
37Fernandez-Ballart, J
38Covas, M I
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40Tello, S
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44Salaverría, I
45Castro, S
46Sanz, E
47Ricarte, F
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50Bianchi-Alba, M
51Fernández-Crehuet, J
52Gómez-Gracia, E
53García, F J
54Ortega-Calvo, M
55Román, P
56Santos, J M
57Corchado, Y
58Álvarez-Prez, J
59Díez-Benítez, E
60Bautista-Castaño, I
61Sánchez-Villegas, A
62Ortega-Azorin, C
63Asensio-Márquez, E M
64Guillem-Saiz, P
65Gonzalez, J I
66Portoles, O
atitleFrequency of nut consumption and mortality risk in the PREDIMED nutrition intervention trial.
jtitleBMC medicine
risdate20130716
volume11
spage164
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pages164
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abstractBACKGROUNDProspective studies in non-Mediterranean populations have consistently related increasing nut consumption to lower coronary heart disease mortality. A small protective effect on all-cause and cancer mortality has also been suggested. To examine the association between frequency of nut consumption and mortality in individuals at high cardiovascular risk from Spain, a Mediterranean country with a relatively high average nut intake per person. METHODSWe evaluated 7,216 men and women aged 55 to 80 years randomized to 1 of 3 interventions (Mediterranean diets supplemented with nuts or olive oil and control diet) in the PREDIMED ('PREvención con DIeta MEDiterránea') study. Nut consumption was assessed at baseline and mortality was ascertained by medical records and linkage to the National Death Index. Multivariable-adjusted Cox regression and multivariable analyses with generalized estimating equation models were used to assess the association between yearly repeated measurements of nut consumption and mortality. RESULTSDuring a median follow-up of 4.8 years, 323 total deaths, 81 cardiovascular deaths and 130 cancer deaths occurred. Nut consumption was associated with a significantly reduced risk of all-cause mortality (P for trend3 servings/week (32% of the cohort) had a 39% lower mortality risk (hazard ratio (HR) 0.61; 95% CI 0.45 to 0.83). A similar protective effect against cardiovascular and cancer mortality was observed. Participants allocated to the Mediterranean diet with nuts group who consumed nuts>3 servings/week at baseline had the lowest total mortality risk (HR 0.37; 95% CI 0.22 to 0.66). CONCLUSIONSIncreased frequency of nut consumption was associated with a significantly reduced risk of mortality in a Mediterranean population at high cardiovascular risk.Please see related commentary: http://www.biomedcentral.com/1741-7015/11/165. TRIAL REGISTRATIONClinicaltrials.gov. International Standard Randomized Controlled Trial Number (ISRCTN): 35739639. Registration date: 5 October 2005.
doi10.1186/1741-7015-11-164
urlhttp://search.proquest.com/docview/1406177813/
issue1
date2013-07-16