School of Public Health
Nutrition

Nut Consumption

Nut consumption and the risk of heart disease in Europe

The overall aim of this project is to study the effect of nut consumption as a potential protective factor for heart disease among Europeans. This will be accomplished using the European Prospective Investigation into Cancer and Nutrition (EPIC Study) data set, which is housed at the International Agency for Research on Cancer (IARC) in Lyon, France. The EPIC study was initiated in 1992 and was designed to investigate the relationship between diet, nutritional status, lifestyle, and incidence of cancer. EPIC is the largest study of diet health ever undertaken, having recruited over half a million (520,000) people from 10 European counties including Germany, Italy, Spain, Greece, France, Denmark, the Netherlands, Sweden, Norway, and the United Kingdom. Detailed information on dietary intake, including nuts and other lifestyle factors, have been obtained by means of a questionnaire. Also, blood samples have been obtained from most of the subjects and have been stored long-term in liquid nitrogen for future analysis.

The specific objectives are:

  1. to determine the effect of frequency and/or amount of nut consumption on risk of coronary heart disease (CHD) on the EPIC cohort;
  2. to determine the effect of frequency and/or amount of nut consumption on risk of CHD on selected European countries; and
  3. to test the potential protective effect of tree nuts (combined) against CHD, independent of peanuts.

An analytic file will be prepared and statistical analysis testing the effect of the frequency of nut consumption and the risk of developing myocardial infarction and/or dying of heart disease will be performed. Given the dietary patterns of the different countries, a wide range of nut intake is expected. This will increase the statistical power and the ability to find a relationship. Country-specific analysis will be performed when available. A pooled analysis will be compiled on the entire data set between the frequency and/or amount of nuts and the risk of developing heart disease.

This research is sponsored by the International Tree Nut Council.

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