Pulses and lipaemia, short-and long-term effect: potential in the prevention of cardiovascular disease
Open accessAbstract
Cardiovascular disease (CVD) is the leading cause of death in most developed countries. Most CVD deaths are preventable through life-style measures such as diet, exercise and avoidance of cigarette smoking. Decreased intake of saturated fat and cholesterol and increased intake of cholesterol-reducing foods, such as pulses, deserve a high priority for activities designed to prevent CVD. Epidemiological and observational studies indicate that habitual intakes of large amounts of dietary fibre or of vegetables are associated with significantly lower rates of CVD. Studies over four decades document the hypocholesterolaemic effect of pulses and soyabeans. We performed a meta-analysis of eleven clinical trials that examined the effects of pulses (not including soyabeans) on serum lipoproteins. Intake of non-soya pulses was associated with these changes: fasting serum cholesterol, -7.2 %, 95 % CI -5.8, -8.6 %; LDL-cholesterol, -6.2 %, 95 % CI -2.8, -9.5 %; HDL-cholesterol, +2.6 %, 95 % CI +6.3, -1.0 %; triacylglycerols, -16.6 %, 95 % CI -11.8 %, -21.5 %; and body weight, -0.9 %, 95 % CI +2.2 %, -4.1 %. The hypocholesterolaemic effects of pulses appear related, in estimated order of importance, to these factors: soluble dietary fibre, vegetable protein, oligosaccharides, isoflavones, phospholipids and fatty acids, saponins and other factors. Intake of pulses may also reduce risk for CVD by favourable effects on blood pressure, glycaemia and risk for diabetes, and risk for obesity. Overall, the available evidence indicates that regular consumption of pulses may have important protective effects on risk for CVD.
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In observational studies and RCTs, legume consumption improves CVD risk factors (waist circumference, cholesterol, BP, CRP, glucose) and is protective against T2DM.
“In observational studies and RCTs consumption of legumes improves CVD risk factors, such as waist circumference, cholesterol, BP, C-reactive protein, glucose; and is protective against T2DM (224–231).”
From Food Consumption and its Impact on Cardiovascular Disease: Importance of Solutions Focused on the Globalized Food System (2015) · cites this paper as [229]
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Afshin, A., Micha, R., Khatibzadeh, S., & Mozaffarian, D. (2014) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.113.076901 · Cited by 509 · see citing works
Anand, S. S., Hawkes, C., de Souza, R. J., Mente, A., Dehghan, M., Nugent, R., Zulyniak, M. A., Weis, T., Bernstein, A. M., Krauss, R. M., et al. (2015) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2015.07.050 · Cited by 507 · see citing works
Bazzano, L. A., Thompson, A. M., Tees, M. T., Nguyen, C. H., & Winham, D. M. (2011) · Nutrition, Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2009.08.012 · Cited by 300 · see citing works
Kim, S. J., de Souza, R. J., Choo, V. L., Ha, V., Cozma, A. I., Chiavaroli, L., Mirrahimi, A., Blanco Mejia, S., Di Buono, M., Bernstein, A. M., et al. (2016) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.115.124677 · Cited by 213 · see citing works
Ha, V., Sievenpiper, J. L., de Souza, R. J., Jayalath, V. H., Mirrahimi, A., Agarwal, A., Chiavaroli, L., Mejia, S. B., Sacks, F. M., Di Buono, M., et al. (2014) · Canadian Medical Association Journal · doi:10.1503/cmaj.131727 · Cited by 194 · see citing works
Red meat, diseases, and healthy alternatives: A critical review
Ekmekcioglu, C., Wallner, P., Kundi, M., Weisz, U., Haas, W., & Hutter, H.-P. (2018) · Critical Reviews in Food Science and Nutrition · doi:10.1080/10408398.2016.1158148 · Cited by 173 · see citing works
Overview of the market and consumption of puises in Europe
Schneider, A. V. C. (2002) · British Journal Of Nutrition · doi:10.1079/bjn2002713 · Cited by 159 · see citing works
Kazemi, M., McBreairty, L. E., Chizen, D. R., Pierson, R. A., Chilibeck, P. D., & Zello, G. A. (2018) · Nutrients · doi:10.3390/nu10101387 · Cited by 118 · see citing works
Abete, I., Parra, D., & Martinez, J. A. (2009) · Journal of Medicinal Food · doi:10.1089/jmf.2007.0700 · Cited by 111 · see citing works
Viguiliouk, E., Blanco Mejia, S., Kendall, C. W. C., & Sievenpiper, J. L. (2017) · Annals of the New York Academy of Sciences · doi:10.1111/nyas.13312 · Cited by 101 · see citing works
Dietary Fibers and Cardiometabolic Diseases
Riccioni, G., Sblendorio, V., Gemello, E., Di Bello, B., Scotti, L., Cusenza, S., & D’Orazio, N. (2012) · International Journal of Molecular Sciences · doi:10.3390/ijms13021524 · Cited by 41 · see citing works
- Authors
- Anderson, J. W., & Major, A. W.
- Affiliations
- University of Kentucky (US)
- Corresponding author
- Anderson, James W.
- ORCID
- Anderson, James W.
- Venue
- British Journal Of Nutrition
- Publisher
- Cambridge University Press (CUP)
- Published
- 2002-12
- Volume
- 88
- Issue
- S3
- Pages
- 263-271
- ISSN
- 0007-1145 (ISSN-L)
- 1475-2662
- OpenAlex
- W2027897649
- Cited by
- 281
- References
- 102
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 14 · 2023: 13 · 2022: 11 · 2021: 16 · 2020: 13 · 2019: 12 · 2018: 13 · 2017: 18 · 2016: 20 · 2015: 17 · 2014: 19 · 2013: 11 · 2012: 17
- FWCI
- 0.69
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- British Journal Of Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Food composition and properties
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Keywords
- pulses, cardiovascular disease prevention, hypocholesterolaemic effect, serum lipoproteins, LDL cholesterol, HDL cholesterol, triglycerides, dietary fiber, plant proteins, oligosaccharides, isoflavones, saponins, body weight, blood pressure, glycemia, obesity, diabetes risk
- MeSH terms
- Body Weight, Cardiotonic Agents, Cardiovascular Diseases, Cholesterol, Coronary Disease, Diabetes Mellitus, Diet, Dietary Fiber, Female, Humans, Hypertension, Isoflavones, Fabaceae, Lipoproteins, Cholesterol, LDL, Male, Obesity, Risk Factors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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