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Nut and Peanut Butter Consumption and Mortality in the National Institutes of Health-AARP Diet and Health Study.
Nutrients. 2019 Jul 02; 11(7)N

Abstract

Although previous studies have shown inverse associations between nut consumption and mortality, the associations between nut consumption and less common causes of mortality have not been investigated. Additionally, about 50% of peanut consumption in the US is through peanut butter but the association between peanut butter consumption and mortality has not been thoroughly evaluated. The National Institutes of Health-AARP (NIH-AARP) Diet and Health Study recruited 566,398 individuals aged 50-71 at baseline in 1995-1996. A food-frequency questionnaire was used to evaluate nut and peanut butter consumption. Cox proportional hazard models were used to estimate hazard ratios and 95% confidence intervals for mortality using the non-consumers as reference groups and three categories of consumption. After excluding subjects with chronic diseases at baseline, there were 64,464 deaths with a median follow-up time of 15.5 years. We observed a significant inverse association between nut consumption and overall mortality (HR C4 vs C1 = 0.78, 95% CI = 0.76, 0.81, p ≤ 0.001). Nut consumption was significantly associated with reduced risk of cancer, cardiovascular, respiratory, infectious, renal and liver disease mortality but not with diabetes or Alzheimer's disease mortality. We observed no significant associations between peanut butter consumption and all-cause (HR C4 vs C1 = 1.00, 95% CI = 0.98, 1.04, p = 0.001) and cause-specific mortality. In a middle-aged US population, nut intake was inversely associated with all-cause mortality and certain types of cause-specific mortality. However, peanut butter consumption was not associated with differential mortality.

Authors+Show Affiliations

Metabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, MD 20850, USA. The College of New Jersey, Ewing, NJ 08628, USA.Metabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, MD 20850, USA.Metabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, MD 20850, USA. Digestive Oncology Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, 14117-13135 Tehran, Iran.Metabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, MD 20850, USA.Metabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, MD 20850, USA.Metabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, MD 20850, USA. hashemian3@gmail.com. Digestive Oncology Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, 14117-13135 Tehran, Iran. hashemian3@gmail.com.

Pub Type(s)

Journal Article
Multicenter Study
Observational Study

Language

eng

PubMed ID

31269682

Citation

Amba, Vineeth, et al. "Nut and Peanut Butter Consumption and Mortality in the National Institutes of Health-AARP Diet and Health Study." Nutrients, vol. 11, no. 7, 2019.
Amba V, Murphy G, Etemadi A, et al. Nut and Peanut Butter Consumption and Mortality in the National Institutes of Health-AARP Diet and Health Study. Nutrients. 2019;11(7).
Amba, V., Murphy, G., Etemadi, A., Wang, S., Abnet, C. C., & Hashemian, M. (2019). Nut and Peanut Butter Consumption and Mortality in the National Institutes of Health-AARP Diet and Health Study. Nutrients, 11(7). https://doi.org/10.3390/nu11071508
Amba V, et al. Nut and Peanut Butter Consumption and Mortality in the National Institutes of Health-AARP Diet and Health Study. Nutrients. 2019 Jul 2;11(7) PubMed PMID: 31269682.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nut and Peanut Butter Consumption and Mortality in the National Institutes of Health-AARP Diet and Health Study. AU - Amba,Vineeth, AU - Murphy,Gwen, AU - Etemadi,Arash, AU - Wang,ShaoMing, AU - Abnet,Christian C, AU - Hashemian,Maryam, Y1 - 2019/07/02/ PY - 2019/04/19/received PY - 2019/06/27/revised PY - 2019/06/28/accepted PY - 2019/7/5/entrez PY - 2019/7/5/pubmed PY - 2020/1/7/medline KW - NIH-AARP Diet and Health Study KW - cancer KW - cardiovascular disease KW - chronic liver disease KW - mortality KW - nut KW - peanut butter KW - respiratory disease JF - Nutrients JO - Nutrients VL - 11 IS - 7 N2 - Although previous studies have shown inverse associations between nut consumption and mortality, the associations between nut consumption and less common causes of mortality have not been investigated. Additionally, about 50% of peanut consumption in the US is through peanut butter but the association between peanut butter consumption and mortality has not been thoroughly evaluated. The National Institutes of Health-AARP (NIH-AARP) Diet and Health Study recruited 566,398 individuals aged 50-71 at baseline in 1995-1996. A food-frequency questionnaire was used to evaluate nut and peanut butter consumption. Cox proportional hazard models were used to estimate hazard ratios and 95% confidence intervals for mortality using the non-consumers as reference groups and three categories of consumption. After excluding subjects with chronic diseases at baseline, there were 64,464 deaths with a median follow-up time of 15.5 years. We observed a significant inverse association between nut consumption and overall mortality (HR C4 vs C1 = 0.78, 95% CI = 0.76, 0.81, p ≤ 0.001). Nut consumption was significantly associated with reduced risk of cancer, cardiovascular, respiratory, infectious, renal and liver disease mortality but not with diabetes or Alzheimer's disease mortality. We observed no significant associations between peanut butter consumption and all-cause (HR C4 vs C1 = 1.00, 95% CI = 0.98, 1.04, p = 0.001) and cause-specific mortality. In a middle-aged US population, nut intake was inversely associated with all-cause mortality and certain types of cause-specific mortality. However, peanut butter consumption was not associated with differential mortality. SN - 2072-6643 UR - https://www.unboundmedicine.com/medline/citation/31269682/Nut_and_Peanut_Butter_Consumption_and_Mortality_in_the_National_Institutes_of_Health_AARP_Diet_and_Health_Study_ L2 - http://www.mdpi.com/resolver?pii=nu11071508 DB - PRIME DP - Unbound Medicine ER -