Can pulses play a role in improving cardiometabolic health? Evidence from systematic reviews and meta‐analyses

Viguiliouk, Effie; Blanco Mejia, Sonia; Kendall, Cyril W.C.; Sievenpiper, John L.

doi:10.1111/nyas.13312

Cited by 101Nutritional Studies and DietFood composition and propertiesAgriculture Sustainability and Environmental Impact

Can pulses play a role in improving cardiometabolic health? Evidence from systematic reviews and meta‐analyses

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Viguiliouk, Effie, Blanco Mejia, Sonia, Kendall, Cyril W.C., Sievenpiper, John L.·2017·Annals of the New York Academy of Sciences

DOI 10.1111/nyas.13312PMC PMC5413842

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Abstract

Obesity, diabetes, and cardiovascular disease (CVD) present important unmet prevention and treatment challenges. Dietary pulses are sustainable, affordable, and nutrient-dense foods that have shown a wide range of health benefits in the prevention and management of these conditions. Despite these findings, recommendations for pulse intake continue to vary across chronic disease guidelines, and intake levels continue to remain low. Here, we summarize findings from recent systematic reviews and meta-analyses assessing the relationship between dietary pulse consumption and cardiometabolic health and assess the overall strength of the evidence using the Grading of Recommendations, Assessment, Development, and Evaluation tool. We conclude that systematic reviews and meta-analyses of prospective cohort studies assessing the relationship between legumes and the risk of coronary heart disease appear to provide moderate-quality evidence of a benefit, and several systematic reviews and meta-analyses of randomized controlled trials assessing the effect of pulses on cardiometabolic risk factors provide low- to moderate-quality evidence of a benefit. There remains an urgent need, however, for more high-quality prospective cohort studies and large, high-quality, randomized trials to clarify the benefits of dietary pulses in the prevention and management of overweight/obesity, diabetes, and CVD.

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Legumes inclusive of soy and dietary pulses are associated with reductions in incident CHD and CVD, with a dose-response gradient where ≥4 servings (100 g) per week is associated with a ~17-22% risk reduction.
“studies have shown that legumes inclusive of soy and dietary pulses are associated with reductions in incident CHD and CVD with evidence of a dose response gradient, where ≥4 servings (100 g) per week is associated with a ~17-22% risk reduction.[55][56][57]”
From Portfolio Dietary Pattern and Cardiovascular Disease: A Systematic Review and Meta-analysis of Controlled Trials (2018) · cites this paper as [57]
The Coronary heart disease risk section (page unavailable) reports an inverse association at ≥4 weekly 100-g servings and a significant dose–response gradient, but its point estimate is a 14% lower CHD risk, not 17–22%. The Cardiovascular disease risk section (page unavailable) reports a 9% lower risk for composite CVD outcomes in the context of a Mediterranean diet; it does not attach the four-serving threshold or dose–response gradient to that result. (LLM, conf=0.90)
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[71]Zhou, K., M. Slavin, H. Lutterodt, et al 2012 “Cereals and legumes” (chapter 1). Biochemical changes in raw foods (part 1) In Biochemistry of Foods. 3rd ed Eskin N.A.M. & Shahidi F., Eds.: 3– 48. Oxford: Academic Press.

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Associations between Dietary Pulses Alone or with Other Legumes and Cardiometabolic Disease Outcomes: An Umbrella Review and Updated Systematic Review and Meta-analysis of Prospective Cohort Studies
Viguiliouk, E., Glenn, A. J., Nishi, S. K., Chiavaroli, L., Seider, M., Khan, T. A., Bonaccio, M., Iacoviello, L., Mejía, S. B., Jenkins, D. J. A., et al. (2019) · Advances in Nutrition · doi:10.1093/advances/nmz113 · Cited by 130 · see citing works
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Authors: Viguiliouk, E., Blanco Mejia, S., Kendall, C. W. C., & Sievenpiper, J. L.
Affiliations: St. Michael's Hospital (CA)
Toronto 3D Knowledge Synthesis and Clinical Trials Unit, Clinical Nutrition and Risk Factor Modification Center St. Michael's Hospital Toronto Ontario Canada
Corresponding author: Sievenpiper, John L.
ORCID: Kendall, Cyril W.C.
Sievenpiper, John L.
Venue: Annals of the New York Academy of Sciences
Publisher: Wiley
Published: 2017-03
Volume: 1392
Issue: 1
Pages: 43-57
ISSN: 0077-8923 (ISSN-L)
1749-6632
DOI: 10.1111/nyas.13312
PMC: PMC5413842
OpenAlex: W2594048097
Cited by: 101
References: 115
Citations by year: 2026: 4 · 2025: 7 · 2024: 11 · 2023: 14 · 2022: 19 · 2021: 7 · 2020: 12 · 2019: 16 · 2018: 9 · 2017: 2
FWCI: 1.73
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc
creativecommons.org/licenses/by-nc/4.0/ (vor, 1 d)
Locations: Annals of the New York Academy of Sciences (publishedVersion, cc-by-nc)
Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
PubMed Central (publishedVersion, cc-by-nc)
PubMed (publishedVersion)
Funders: Canadian Institutes of Health Research (119797)
Canadian Diabetes Association
Banting and Best Diabetes Centre, University of Toronto
Institute of Nutrition, Metabolism and Diabetes
Cognitive Neuroscience Society
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Health Sciences › Nursing › Nutrition and Dietetics › Food composition and properties
Physical Sciences › Environmental Science › Ecology › Agriculture Sustainability and Environmental Impact
Keywords: Fabaceae, cardiometabolic health, coronary artery disease, obesity, diabetes mellitus, cardiovascular disease, cardiometabolic risk factors, dietary recommendations, GRADE evidence grading
MeSH terms: Cardiovascular Diseases, Diabetes Mellitus, Diet, Humans, Fabaceae, Obesity, Risk Factors, Overweight

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Can pulses play a role in improving cardiometabolic health? Evidence from systematic reviews and meta‐analyses

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