Meta AnalysisID 333

核桃摄入与健康:2017年至今发表的队列研究和随机对照试验的系统评价

CRD42021225340

• What is the association between walnut consumption and public health outcomes of relevance in higher/middle income countries (specifically all cause mortality, type 2 diabetes, CVD, metabolic syndrome, obesity, cancer,

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Meta Analysis Id
333
Evidence Id
8891
Core Evidence Id
8891
Source Meta Analysis Id
313
Herb2 Meta Analysis Id
HBMA000313
Crd Id
CRD42021225340
Title
Walnut consumption and health - a systematic review of cohort studies and randomised controlled trials published from 2017-present
Review Question
• What is the association between walnut consumption and public health outcomes of relevance in higher/middle income countries (specifically all cause mortality, type 2 diabetes, CVD, metabolic syndrome, obesity, cancer, neurological and mental health disorders, musculoskeletal disorders, gastrointestinal disorders and maternal disorders)? • What is the effect of walnut consumption on risk of all cause mortality, type 2 diabetes, CVD, metabolic syndrome, obesity, cancer, neurological and mental health disorders, musculoskeletal disorders, gastrointestinal disorders and maternal disorders?
Study Type Included
We will include cohort studies and randomised controlled trials (placebo-controlled and crossover) with the amount and frequency of walnuts clearly defined. Cross-sectional, animal, in vitro and ex vivo studies will be excluded.
Condition Being Studied
The main public health outcomes of relevance in higher/middle income countries (assessed by contribution to deaths and DALYs identified by the GBD study and the WHO) that may be affected or prevented by diet. Specifically: all cause mortality, type 2 diabetes, CVD, metabolic syndrome, obesity, cancer, neurological and mental health disorders, musculoskeletal disorders, gastrointestinal disorders and maternal disorders.
Participant
Studies carried out in humans will be included, specifically adults and children both from within the general population and those with existing health conditions (e.g. type 2 diabetes, CVD).
Animal
Human Disease Modelled
Intervention
Studies of at least 3 weeks duration, specifically examining the consumption of walnuts (whole walnuts or pieces or 100% walnut butter), where the effect of walnut consumption can be isolated from other food sources or interventions such as physical activity programmes, will be included. Studies providing walnuts as part of a nut mixture will be excluded. Studies considering/providing only walnut components (e.g. walnut oil, walnut extracts, walnut husk) will be excluded.
Comparator Control
No walnut consumption (any comparator, excluding drugs) or lower walnut consumption.
Main Outcome
Cohort studies: hard endpoints and intermediary measures including: • all cause mortality, • diabetes (type 2), • CVD, • metabolic syndrome, • obesity, • cancer, • neurological and mental health disorders, • musculoskeletal disorders, • gastrointestinal disorders, • maternal disorders Randomised controlled trials: risk markers including: • markers of ageing e.g. telomere length, physical function • insulin sensitivity e.g. HOMA-IR • blood lipids e.g. TC, TAG, HDL, LDL • blood pressure • vascular function e.g. FMD • inflammatory markers e.g. CRP, • oxidative stress e.g. oxidised LDL • haemostatic markers e.g. von Willebrand factor (vWF) • body weight and composition e.g. BMI • cancer markers e.g. changes in gene expression • markers of cognitive function and mental health e.g. cognitive tests • markers of bone and muscle health e.g. bone mineral density • markers of gut health e.g. gut microbial diversity • markers of maternal health e.g. gestational diabetes Studies that do not include any of the main or additional outcomes will be excluded. Listed outcomes are not required to be the primary outcome in order for a study to be included. Measures of effect The effect measures reported for the outcomes of interest in the included studies will be documented.
Outcome Measure
Additional Outcome
Adverse events. Measures of effect Not applicable.
Study Method
Epidemiologic, Intervention, Narrative synthesis, Systematic review
Keyword
Cohort Studies; Humans; Juglans; Nuts; Physiological Phenomena; Publications
Contact
Stacey Lockyer [email protected]
Organisational Affiliation
British Nutrition Foundation nutrition.org.uk
Funding Source
The California Walnut Commission
Other Selection Criteria
Final Publication
Lockyer S, de la Hunty AE, Steenson S, Spiro A, Stanner SA. Walnut consumption and health outcomes with public health relevance—a systematic review of cohort studies and randomized controlled trials published from 2017 to present. Nutrition Reviews. 2023 Jan;81(1):26-54. https://academic.oup.com/nutritionreviews/article/81/1/26/6651942
Same Topic Review
Published Protocol
Review Type
Language
English
Country
England
Review Stage
Review Completed published
First Submission Date
2020-12-11
Registration Date
2021-01-08
Anticipated Start Date
2020-12-09
Anticipated Completion Date
2022-04-01
Title Cn
核桃摄入与健康:2017年至今发表的队列研究和随机对照试验的系统评价
Title En
Walnut consumption and health - a systematic review of cohort studies and randomised controlled trials published from 2017-present
Bilingual Status
complete