title: The effect of almonds on anthropometric measurements and lipid profile in overweight and obese females in a weight reduction program: A randomized controlled clinical trial.
abstract: BACKGROUND
  Due to the wholesome benefits of nuts increased consumption of them has been recommended. However, because of nut's high energy density, the role of them in the treatment of overweight and obesity is vague. This current clinical trial study aims to investigate the effects of a balanced hypocaloric almond-enriched diet (AED) (almond group) in comparison to a balanced hypocaloric nut-free diet (NFD) (nut-free group) on body weight and cardiovascular disease risk factors in women with body mass index (BMI) >25 for 3-month.
  
  
  METHODS
  A total of 108 overweight and obese women were assigned in our 3-month randomized controlled trial. The subjects were randomly divided into two groups regarding a balanced hypocaloric diet with or without almond. The planned reduced calorie diets for both groups were identical except for the almond group who consumed 50 g of almonds daily. Anthropometric and laboratory measurements of the participants who completed the study were made prior to and at the end of the study.
  
  
  RESULTS
  A total of 100 subjects completed the study. Weight, BMI, waist circumference, waist to hip circumference ratio, total cholesterol, and triglyceride, total: High density lipoprotein-cholesterol (HDL-C), fasting blood sugar and diastolic blood pressure decreased significantly in the almond group compared to the nut-free group (P > 0.001). Greater reduction in low density lipoprotein-cholesterol (P > 0.002) and systolic blood pressure (P > 0.001) and greater increase in HDL-C (P = 0.001) were found in the nut-free group.
  
  
  CONCLUSIONS
  The balanced hypocaloric AED in comparison to the balanced hypocaloric NFD led to a greater weight-loss and overall better improvements in studied cardiovascular disease risk factors.
authors.affiliation: Department of Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Zohreh
authors.initials: Z
authors.lastname: Abazarfard
authors.affiliation: Department of Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Mousa
authors.initials: M
authors.lastname: Salehi
authors.affiliation: Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Sareh
authors.initials: S
authors.lastname: Keshavarzi
keywords: Almond; blood glucose; caloric restriction; lipids; nuts; obesity; overweight; weight reduction program; weight-loss
references.citation: Nutr Rev. 2001 Apr;59(4):103-11
references.pmid: 11368503
references.citation: Int J Obes Relat Metab Disord. 2003 Nov;27(11):1365-72
references.pmid: 14574348
references.citation: J Am Coll Nutr. 2010 Jun;29(3):189-97
references.pmid: 20833991
references.citation: Endocrinology. 2001 Mar;142(3):1148-55
references.pmid: 11181530
references.citation: Br J Nutr. 2010 Oct;104(7):1065-73
references.pmid: 20500929
references.citation: J Am Coll Nutr. 2003 Jun;22(3):195-200
references.pmid: 12805245
references.citation: Br J Nutr. 2007 Sep;98(3):651-6
references.pmid: 17445351
references.citation: JAMA. 2005 Jul 20;294(3):326-33
references.pmid: 16030277
references.citation: Eur J Clin Nutr. 1995 Sep;49(9):675-90
references.pmid: 7498104
references.citation: J Nutr. 2008 Sep;138(9):1741S-1745S
references.pmid: 18716179
references.citation: Int J Obes Relat Metab Disord. 2001 Oct;25(10):1503-11
references.pmid: 11673773
references.citation: JAMA. 2002 Nov 27;288(20):2554-60
references.pmid: 12444862
references.citation: N Engl J Med. 2011 Jun 23;364(25):2392-404
references.pmid: 21696306
references.citation: Am J Clin Nutr. 2003 Sep;78(3 Suppl):647S-650S
references.pmid: 12936960
references.citation: Br J Nutr. 2004 Sep;92(3):533-40
references.pmid: 15469659
references.citation: Am J Clin Nutr. 2005 Dec;82(6):1185-94
references.pmid: 16332650
references.citation: Circulation. 2002 Jul 16;106(3):388-91
references.pmid: 12119259
references.citation: Arch Intern Med. 2010 May 10;170(9):821-7
references.pmid: 20458092
references.citation: Lancet. 2000 Feb 26;355(9205):675-87
references.pmid: 10703799
references.citation: Am J Clin Nutr. 2003 Jun;77(6):1379-84
references.pmid: 12791613
references.citation: Br J Nutr. 2006 Nov;96 Suppl 2:S79-86
references.pmid: 17125537
references.citation: JAMA. 2006 Apr 5;295(13):1549-55
references.pmid: 16595758
references.citation: Nutr Metab Cardiovasc Dis. 2011 Jun;21 Suppl 1:S40-5
references.pmid: 21216574
references.citation: Am J Clin Nutr. 2012 Aug;96(2):249-54
references.pmid: 22743313
references.citation: Asia Pac J Clin Nutr. 2007;16(4):588-97
references.pmid: 18042516
references.citation: Int J Obes Relat Metab Disord. 2002 Aug;26(8):1129-37
references.pmid: 12119580
references.citation: Am J Clin Nutr. 2004 Sep;80(3):604-13
references.pmid: 15321799
references.citation: J Am Coll Nutr. 2010 Jun;29(3):198-203
references.pmid: 20833992
references.citation: Br J Nutr. 2006 Nov;96 Suppl 2:S68-78
references.pmid: 17125536
references.citation: Clin Nutr. 2009 Feb;28(1):10-4
references.pmid: 18834651
references.citation: Circulation. 2002 Sep 10;106(11):1327-32
references.pmid: 12221048
references.citation: Nature. 2000 Apr 6;404(6778):635-43
references.pmid: 10766250