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Almond supplementation reduces serum uric acid in coronary artery disease patients: a randomized controlled trial
Humaira Jamshed1, Anwar-Ul-Hassan Gilani2,3, Fateh Ali Tipoo Sultan4
1Department of Biological and Biomedical Sciences, Aga Khan University, Karachi, Pakistan.
Insights
Daily almond consumption significantly lowers serum uric acid (UA) in patients with coronary artery disease (CAD). This dietary intervention may help prevent kidney and vascular damage associated with high UA levels.
Area of Science:
- Cardiology
- Nephrology
- Nutritional Science
Background:
- Elevated serum uric acid (UA) is a marker for renal insufficiency and an independent prognostic indicator for morbidity in coronary artery disease (CAD).
- High UA levels pose significant health risks, necessitating effective management strategies in CAD patients.
Purpose of the Study:
- To investigate the effect of daily almond consumption on serum UA levels in patients diagnosed with CAD.
- To compare the impact of Pakistani almonds (PA) and American almonds (AA) on UA reduction.
Main Methods:
- A randomized controlled clinical trial involving 150 CAD patients, divided into three groups: no-intervention (NI), Pakistani almonds (PA), and American almonds (AA).
- Participants consumed 10g of almonds daily (soaked overnight, eaten before breakfast) for 12 weeks, with follow-ups at weeks 6 and 12.
- Serum UA concentrations, blood pressure, and body weight were monitored throughout the study.
Main Results:
- Almond supplementation significantly reduced serum UA levels (p < 0.05) in both PA and AA groups compared to the NI group.
- At week 6, UA concentrations decreased by 13-16% in the almond groups; by week 12, the reduction ranged from 14-18%.
- Systolic and diastolic blood pressure, as well as body weight, remained stable across all groups.
Conclusions:
- Daily intake of 10g almonds, consumed before breakfast, effectively reduces serum UA in patients with CAD.
- Preventing hyperuricemia through dietary almonds may offer protection against kidney and vascular damage.
- Extrapolating these findings suggests broader health benefits of dietary almonds for the general population.
Objective:
Elevated serum uric acid (UA), a biomarker of renal insufficiency, is also an independent prognostic marker for morbidity in coronary artery disease (CAD) and poses serious health risks. This study reports the effect of almond consumption on UA in CAD patients.
Study Design:
A randomized controlled clinical trial was conducted with three groups: no-intervention (NI), Pakistani almonds (PA) or American almonds (AA). Patients were recruited from the Cardiology Clinics, Aga Khan University Hospital. Two follow-ups were scheduled at week-6 and week-12. 150 patients were randomly divided in three groups (50 per group). NI was not given almonds, whereas the PA and AA were given Pakistani and American almond varieties (10 g/day), respectively; with instruction to soak overnight and eat before breakfast.
Results:
Almonds supplementation significantly reduced (p < 0.05) serum UA among groups, and over time. At week-6, UA concentrations were -13 to -16 % less in PA and AA; at week-12 the concentrations were -14 to -18 % less, compared to NI. Systolic and diastolic blood pressure and body weights of the participants remained fairly constant among all the groups.
Conclusion:
Almonds (10 g/day), eaten before breakfast, reduces serum UA in CAD patients. Prevention of hyperuricemia can confer protection from kidney and vascular damage and if extrapolated for general population, dietary almonds can offer grander health benefit. Trial is registered at Australian New Zealand Clinical trial registry as ACTRN12614000036617.
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