{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:03:37Z","timestamp":1760144617500,"version":"build-2065373602"},"reference-count":63,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T00:00:00Z","timestamp":1714435200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dietetics"],"abstract":"<jats:p>(1) Background: Walnut consumption has been associated with having a positive effect on controlling and\/or reducing the co-morbidities associated with cardiovascular disease (CVD). The effects of consuming walnuts of Portuguese origin on risk factors related to CVD were evaluated by measuring glucose, urea, TC, HDL-C, LDL-C, TG, AST, and ALT levels, anthropometric profiles, and blood pressure. (2) Methods: This trial study involved 24 volunteers, both female (n = 15) and male (n = 9), from Fernando Pessoa University, Porto. It consisted of a daily intake of 25 g of walnut kernels over a period of 45 days. Before and after intake, biochemical parameters, BMI and BP were measured. (3) Results: Despite the intake of nuts revealing a reduction in mean values of most of the parameters assessed, a significant drop was only observed in AST (p = 0.04).There was also a significant reduction in the mean values for Glu (p = 0.01), UR (p = 0.01) and HDL-C (p = 0.02) for women but not for men. (4) Conclusions: The dose and the period of intake were not effective in lowering the lipid profile but may have had a protective effect on liver function. The benefits were greater in women than in men.<\/jats:p>","DOI":"10.3390\/dietetics3020011","type":"journal-article","created":{"date-parts":[[2024,5,2]],"date-time":"2024-05-02T12:06:38Z","timestamp":1714651598000},"page":"129-143","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Evaluation of the Effects of Consumption of Portuguese Walnuts (Juglans regia L.) on the Risk Factors Related to Cardiovascular Diseases"],"prefix":"10.3390","volume":"3","author":[{"given":"Ana","family":"Soares","sequence":"first","affiliation":[{"name":"Faculdade de Ci\u00eancias da Sa\u00fade, Universidade Fernando Pessoa, 4200-150 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3766-2887","authenticated-orcid":false,"given":"C\u00e9u","family":"Costa","sequence":"additional","affiliation":[{"name":"RISE, FP-I3ID, Pra\u00e7a 9 de Abril, 349, 4249-004 Porto, Portugal"},{"name":"Escola Superior da Sa\u00fade, Universidade Fernando Pessoa, 4200-253 Porto, Portugal"},{"name":"Grupo de Patologia Experimental e Terap\u00eautica, Centro de Investiga\u00e7\u00e3o, Instituto Portugu\u00eas de Oncologia do Porto, 4200-072 Porto, Portugal"}]},{"given":"Benvinda","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Unilabs Portugal, Hospital Escola da Funda\u00e7\u00e3o Fernando Pessoa, Av. Fernando Pessoa, 150, 4420-096 Gondomar, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3496-6052","authenticated-orcid":false,"given":"L\u00edgia Rebelo","family":"Gomes","sequence":"additional","affiliation":[{"name":"RISE, FP-I3ID, Pra\u00e7a 9 de Abril, 349, 4249-004 Porto, Portugal"},{"name":"Escola Superior da Sa\u00fade, Universidade Fernando Pessoa, 4200-253 Porto, Portugal"},{"name":"REQUIMTE\/LAQV, Instituto Superior de Engenharia do Porto, Instituto Polit\u00e9cnico do Porto, Rua Dr. Ant\u00f3nio Bernardino de Almeida 431, 4249-015 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0114-5389","authenticated-orcid":false,"given":"Jos\u00e9","family":"Neves","sequence":"additional","affiliation":[{"name":"Faculdade de Ci\u00eancias da Sa\u00fade, Universidade Fernando Pessoa, 4200-150 Porto, Portugal"},{"name":"RISE, FP-I3ID, Pra\u00e7a 9 de Abril, 349, 4249-004 Porto, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2024,4,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1093\/nutrit\/nuz042","article-title":"Nut consumption and incidence of cardiovascular diseases and cardiovascular disease mortality: A meta-analysis of prospective cohort studies","volume":"77","author":"Kendall","year":"2019","journal-title":"Nutr. Rev."},{"key":"ref_2","unstructured":"(2023, September 10). \u00d3bitos por Algumas Causas de Morte (%), Available online: https:\/\/www.pordata.pt\/portugal\/obitos+por+algumas+causas+de+morte+(percentagem)-758."},{"key":"ref_3","unstructured":"OECD (2023, September 21). Portugal: Perfil de Sa\u00fade do Pa\u00eds 2021. Available online: https:\/\/www.oecd-ilibrary.org\/social-issues-migration-health\/portugal-perfil-de-saude-do-pais-2021_766c3111-pt."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Chareonrungrueangchai, K., Wongkawinwoot, K., Anothaisintawee, T., and Reutrakul, S. (2020). Dietary factors and risks of cardiovascular diseases: An umbrella review. Nutrients, 12.","DOI":"10.3390\/nu12041088"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Sun, Q., Ma, J.S., Wang, H., Xu, S.H., Zhao, J.K., Gao, Q., Huang, J.J., and Wang, T. (2019). Associations between dietary patterns and 10-year cardiovascular disease risk score levels among Chinese coal miners-a cross-sectional study. BMC Public Health, 19.","DOI":"10.1186\/s12889-019-8070-9"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"8620","DOI":"10.1038\/s41598-018-26441-1","article-title":"Association of circulating metabolites with healthy diet and risk of cardiovascular disease: Analysis of two cohort studies","volume":"8","author":"Akbaraly","year":"2018","journal-title":"Sci. Rep."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Cium\u0103rnean, L., Milaciu, M.V., Negrean, V., Or\u0103\u0219an, O.H., Vesa, S.C., S\u0103l\u0103gean, O., Ilu\u0163, S., and Vlaicu, S.I. (2022). Cardiovascular risk factors and physical activity for the prevention of cardiovascular diseases in the elderly. Int. J. Environ. Res. Public Health, 1.","DOI":"10.3390\/ijerph19010207"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"547S","DOI":"10.3945\/jn.113.182907","article-title":"Walnuts Decrease Risk of Cardiovascular Disease: A Summary of Efficacy and Biologic Mechanisms","volume":"144","year":"2014","journal-title":"J. Nutr."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1097\/MCO.0000000000000508","article-title":"Beneficial effects of walnut consumption on human health: Role of micronutrients","volume":"21","author":"Ros","year":"2018","journal-title":"Curr. Opin. Clin. Nutr. Metab. Care"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1062S","DOI":"10.1093\/jn\/132.5.1062S","article-title":"The Scientific Evidence for a Beneficial Health Relationship between Walnuts and Coronary Heart Disease","volume":"132","author":"Feldman","year":"2002","journal-title":"J. Nutr."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.ocsci.2023.03.002","article-title":"Chemical composition of walnuts from three regions in China","volume":"8","author":"Liu","year":"2023","journal-title":"Oil Crop Sci."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Ros, E., Singh, A., and O\u2019keefe, J.H. (2021). Nuts: Natural pleiotropic nutraceuticals. Nutrients, 13.","DOI":"10.3390\/nu13093269"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Glenn, A.J., Aune, D., Freisling, H., Mohammadifard, N., Kendall, C.W.C., Salas-Salvad\u00f3, J., Jenkins, D.J.A., Hu, F.B., and Sievenpiper, J.L. (2023). Nuts and Cardiovascular Disease Outcomes: A Review of the Evidence and Future Directions. Nutrients, 15.","DOI":"10.3390\/nu15040911"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1016\/j.clnu.2017.04.011","article-title":"Effect of nut consumption on vascular endothelial function: A systematic review and meta-analysis of randomized controlled trials","volume":"37","author":"Xiao","year":"2018","journal-title":"Clin. Nutr."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.plipres.2018.04.001","article-title":"Phytosterols and their derivatives: Structural diversity, distribution, metabolism, analysis, and health-promoting uses","volume":"70","author":"Moreau","year":"2018","journal-title":"Prog. Lipid Res."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1584","DOI":"10.1080\/10408398.2011.644643","article-title":"Metabolic fate of ellagitannins: Implications for health, and research perspectives for innovative functional foods","volume":"54","author":"Vaillant","year":"2014","journal-title":"Crit. Rev. Food Sci. Nutr."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Garc\u00eda-Conesa, M.T., Chambers, K., Combet, E., Pinto, P., Garcia-Aloy, M., Andr\u00e9s-Lacueva, C., de Pascual-Teresa, S., Mena, P., Konic-Ristic, A., and Hollands, W.J. (2018). Meta-analysis of the effects of foods and derived products containing ellagitannins and anthocyanins on cardiometabolic biomarkers: Analysis of factors influencing variability of the individual responses. Int. J. Mol. Sci., 19.","DOI":"10.3390\/ijms19030694"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1002\/clc.22422","article-title":"Tocopherols in the prevention and treatment of atherosclerosis and related cardiovascular disease","volume":"38","author":"Mathur","year":"2015","journal-title":"Clin. Cardiol."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Gon\u00e7alves, B., Pinto, T., Aires, A., Morais, M.C., Bacelar, E., Anjos, R., Ferreira-Cardoso, J., Oliveira, I., Vilela, A., and Cosme, F. (2023). Composition of nuts and their potential health benefits\u2014An overview. Foods, 23.","DOI":"10.3390\/foods12050942"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1042","DOI":"10.1056\/NEJM199804093381507","article-title":"Homocysteine and atherothrombosis","volume":"338","author":"Welch","year":"1998","journal-title":"N. Engl. J. Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1093\/ajcn.81.2.341","article-title":"Origins and evolution of the Western diet: Health implications for the 21st century","volume":"81","author":"Cordain","year":"2005","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_22","unstructured":"(2023, December 21). Available online: https:\/\/eatforum.org\/content\/uploads\/2019\/07\/EAT-Lancet_Commission_Summary_Report.pdf."},{"key":"ref_23","unstructured":"GBD 2017 Die Collaborators (2019). Health effects of dietary risks in 195 countries, 1990\u20132017: A systematic analysis for the Global Burden of Disease Study 2017. Lancet, 393, 1958\u20131972."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/j.nutres.2008.01.004","article-title":"Brazil nut ingestion increased plasma selenium but had minimal effects on lipids, apolipoproteins, and high-density lipoprotein function in human subjects","volume":"28","author":"Strunz","year":"2008","journal-title":"Nutr. Res."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1016\/j.nut.2013.10.005","article-title":"Brazilian nut consumption by healthy volunteers improves inflammatory parameters","volume":"30","author":"Colpo","year":"2014","journal-title":"Nutrition"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"653185","DOI":"10.1155\/2013\/653185","article-title":"A single consumption of high amounts of the Brazil nuts improves lipid profile of healthy volunteers","volume":"2013","author":"Colpo","year":"2013","journal-title":"J. Nutr. Metab."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Norton, K.I. (2019). Kinanthropometry and Exercise Physiology, Routledge.","DOI":"10.4324\/9781315385662"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1097\/NT.0000000000000092","article-title":"Body Mass Index: Obesity, BMI, and Health: A Critical Review","volume":"50","author":"Nuttall","year":"2015","journal-title":"Nutr. Today"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"3021","DOI":"10.1093\/eurheartj\/ehy339","article-title":"2018 ESC\/ESH Guidelines for the management of arterial hypertension","volume":"39","author":"Williams","year":"2018","journal-title":"Eur. Heart J."},{"key":"ref_30","unstructured":"IBM Corp. (2020). Released 2020. IBM SPSS Statistics for Windows, Version 27.0, IBM Corp."},{"key":"ref_31","unstructured":"(2023, December 21). Available online: https:\/\/www.acss.min-saude.pt\/wp-content\/uploads\/2018\/09\/Tabela_Final.pdf."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"2103","DOI":"10.1016\/j.fct.2008.02.002","article-title":"Bioactive properties and chemical composition of six walnut (Juglans regia L.) cultivars","volume":"46","author":"Pereira","year":"2008","journal-title":"Food Chem. Toxicol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1176","DOI":"10.1038\/oby.2009.409","article-title":"Walnut consumption increases satiation but has no effect on insulin resistance or the metabolic profile over a 4-day period","volume":"18","author":"Brennan","year":"2010","journal-title":"Obesity"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1016\/j.kint.2017.08.033","article-title":"Higher blood urea nitrogen is associated with increased risk of incident diabetes mellitus","volume":"93","author":"Xie","year":"2018","journal-title":"Kidney Int."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"9881","DOI":"10.1038\/s41598-023-35653-z","article-title":"A closer association between blood urea nitrogen and the probability of diabetic retinopathy in patients with shorter type 2 diabetes duration","volume":"13","author":"Zhong","year":"2023","journal-title":"Sci. Rep."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Viguiliouk, E., Kendall, C.W., Blanco Mejia, S., Cozma, A.I., H\u00e1, V., Mirrahimi, A., Jayalath, V.H., Augustin, L.S., Chiavaroli, L., and Leiter, L.A. (2014). Effect of tree nuts on glycemic control in diabetes: A systematic review and meta-analysis of randomized controlled dietary trials. PLoS ONE, 9.","DOI":"10.1371\/journal.pone.0103376"},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Alkhatib, A., Tsang, C., Tiss, A., Bahorun, T., Arefanian, H., Barake, R., Khadir, A., and Tuomilehto, J. (2017). Functional Foods and Lifestyle Approaches for Diabetes Prevention and Management. Nutrients, 9.","DOI":"10.3390\/nu9121310"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"e3031","DOI":"10.1002\/dmrr.3031","article-title":"Association between walnut consumption and diabetes risk in NHANES","volume":"34","author":"Arab","year":"2018","journal-title":"Diabetes Metab. Res. Rev."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Kim, Y., Keogh, J.B., and Clifton, P.M. (2017). Benefits of Nut Consumption on Insulin Resistance and Cardiovascular Risk Factors: Multiple Potential Mechanisms of Actions. Nutrients, 9.","DOI":"10.3390\/nu9111271"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1093\/ajcn\/nqy236","article-title":"The effect of nuts on markers of glycemic control: A systematic review and meta-Analysis of randomized controlled trials","volume":"109","author":"Tindall","year":"2019","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_41","first-page":"243","article-title":"Effects of nuts on postprandial glycemia, satiety and hunger sensations in healthy individuals","volume":"10","author":"Zibella","year":"2017","journal-title":"Med. J. Nutr. Metab."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"e000115","DOI":"10.1136\/bmjdrc-2015-000115","article-title":"Walnut ingestion in adults at risk for diabetes: Effects on body composition, diet quality, and cardiac risk measures","volume":"3","author":"Njike","year":"2015","journal-title":"BMJ Open Diabetes Res. Care"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1590\/fst.29720","article-title":"Effect of walnut (Juglans regia) consumption on hyperlipidemic adults","volume":"41","author":"Ashraf","year":"2021","journal-title":"Food Sci. Technol."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1093\/ajcn\/nqy091","article-title":"Effects of walnut consumption on blood lipids and other cardiovascular risk factors: An updated meta-analysis and systematic review of controlled trials","volume":"108","author":"Li","year":"2018","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Alshahrani, S.M., Mashat, R.M., Almutairi, D., Mathkour, A., Alqahtani, S.S., Alasmari, A., Alzahrani, A.H., Ayed, R., Asiri, M.Y., and Elsherif, A. (2022). The Effect of Walnut Intake on Lipids: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Nutrients, 14.","DOI":"10.3390\/nu14214460"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1056\/NEJM199303043280902","article-title":"Effects of walnuts on serum lipid levels and blood pressure in normal men","volume":"328","author":"Fraser","year":"1993","journal-title":"N. Engl. J. Med."},{"key":"ref_47","unstructured":"(2024, April 15). Abordagem Terap\u00eautica das Dislipidemias no Adulto, Available online: https:\/\/normas.dgs.min-saude.pt\/wp-content\/uploads\/2019\/09\/abordagem-terapeutica-das-dislipidemias-no-adulto.pdf."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"56","DOI":"10.3945\/ajcn.2009.27457","article-title":"Effects of walnut consumption on blood lipids and other cardiovascular risk factors: A meta-analysis and systematic review","volume":"90","author":"Banel","year":"2009","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/1178638820926521","article-title":"Effect of Tree Nuts Consumption on Serum Lipid Profile in Hyperlipidemic Individuals: A Systematic Review","volume":"13","author":"Altamimi","year":"2020","journal-title":"Nutr. Metab. Insights"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1007\/s10519-013-9593-y","article-title":"The genetic architecture of liver enzyme levels: GGT, ALT and AST","volume":"43","author":"Lubke","year":"2013","journal-title":"Behav. Genet."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"1704","DOI":"10.1053\/j.gastro.2016.01.025","article-title":"Inflammation in Alcoholic and Nonalcoholic Fatty Liver Disease: Friend or Foe?","volume":"150","author":"Gao","year":"2016","journal-title":"Gastroenterology"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1111\/j.1478-3231.2006.01304.x","article-title":"The AST\/ALT ratio as an indicator of cirrhosis in patients with PBC","volume":"26","author":"Nyblom","year":"2006","journal-title":"Liver Int."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"3507","DOI":"10.1093\/jn\/nxab253","article-title":"Intake of Nuts and Seeds Is Associated with a Lower Prevalence of Nonalcoholic Fatty Liver Disease in US Adults: Findings from 2005\u20132018 NHANES","volume":"151","author":"Cardoso","year":"2021","journal-title":"J. Nutr."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.cld.2013.09.009","article-title":"The role of diet and nutritional intervention for the management of patients with NAFLD","volume":"18","author":"Barrera","year":"2014","journal-title":"Clin. Liver Dis."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1186\/1743-7075-11-52","article-title":"Pharmacological potential of tocotrienols: A review","volume":"11","author":"Ahsan","year":"2014","journal-title":"Nutr. Metab."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"9094","DOI":"10.1021\/acs.jafc.0c06690","article-title":"Walnut-Enriched Diet Elevated \u03b1-Linolenic Acid, Phytoprostanes, and Phytofurans in Rat Liver and Heart Tissues and Modulated Anti-inflammatory Lipid Mediators in the Liver","volume":"69","author":"Leung","year":"2021","journal-title":"J. Agric. Food Chem."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.intimp.2014.07.005","article-title":"Ellagic acid protects Lipopolysaccharide\/d-galactosamine-induced acute hepatic injury in mice","volume":"22","author":"Gu","year":"2014","journal-title":"Int. Immunopharmacol."},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"Semmler, G., Bachmayer, S., Wernly, S., Wernly, B., Niederseer, D., Huber-Sch\u00f6nauer, U., Stickel, F., Aigner, E., and Datz, C. (2020). Nut consumption and the prevalence and severity of non-alcoholic fatty liver disease. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0244514"},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Liu, R., Hao, Y.-T., Zhu, N., Liu, X.-R., Mao, R.-X., Kang, J.-W., Hou, C., Zhang, T., and Li, Y. (2023). Walnut (Juglans regia L.) Oligopeptides Alleviate Alcohol-Induced Acute Liver Injury through the Inhibition of Inflammation and Oxidative Stress in Rats. Nutrients, 15.","DOI":"10.3390\/nu15092210"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"966","DOI":"10.3945\/ajcn.114.091595","article-title":"The effect of tree nut, peanut, and soy nut consumption on blood pressure: A systematic review and meta-analysis of randomized controlled clinical trials","volume":"10","author":"Mohammadifard","year":"2015","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1161\/HYPERTENSIONAHA.118.12766","article-title":"Effect of a walnut diet on office and 24-hour ambulatory blood pressure in elderly individuals: Findings from the WAHA randomized trial","volume":"73","author":"Roth","year":"2019","journal-title":"Hypertension"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"793672","DOI":"10.3389\/fmed.2021.793672","article-title":"Protective Effects of Appropriate Amount of Nuts Intake on Childhood Blood Pressure Level: A Cross-Sectional Study","volume":"18","author":"Feng","year":"2022","journal-title":"Front. Med."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"102387","DOI":"10.1016\/j.ctim.2020.102387","article-title":"The effects of cashew nut intake on lipid profile and blood pressure: A systematic review and meta-analysis of randomized controlled trials","volume":"50","author":"Jalali","year":"2020","journal-title":"Complement. Ther. Med."}],"container-title":["Dietetics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2674-0311\/3\/2\/11\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:36:46Z","timestamp":1760107006000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2674-0311\/3\/2\/11"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,30]]},"references-count":63,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,6]]}},"alternative-id":["dietetics3020011"],"URL":"https:\/\/doi.org\/10.3390\/dietetics3020011","relation":{},"ISSN":["2674-0311"],"issn-type":[{"type":"electronic","value":"2674-0311"}],"subject":[],"published":{"date-parts":[[2024,4,30]]}}}