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Landmark 91/100

Association of nut consumption with total and cause-specific mortality

In plain English

Nearly 119,000 nurses and health professionals were followed for up to 30 years, recording how often they ate nuts and when they died. Mortality fell in a clear dose-response: eating nuts once a week was linked to 11% lower death rates, and seven or more times a week to 20% lower. The association held across heart disease, cancer and respiratory death after adjusting for the usual confounders.

Why it matters

Eating nuts 7+ times a week was associated with 20% lower total mortality.

Informs: Heart Disease·Life Expectancy

Provenance

Design
Prospective cohort
Sample size (n)
118,962
Follow-up
30 years
Peer-reviewed
Yes
Replications
2
Funding
Public / academic
Funders
US National Institutes of Health
Institutions
Harvard T.H. Chan School of Public Health, Dana-Farber Cancer Institute, Brigham and Women's Hospital

decades.plus score

A transparent 0–100 weighted sum across six components. Higher scores reflect bigger, cleaner, more replicated work.

Landmark 91/100
  • Study design 20/25
  • Sample size 20/20
  • Funding independence 20/20
  • Journal + peer review 15/15
  • Institution tier 10/10
  • Replication 6/10

Caveats

Observational — frequent nut-eaters were also leaner, more active and less likely to smoke, and although these were adjusted for, residual confounding can't be excluded. Part of the funding analysis used grants from a tree-nut council, which is disclosed, though the cohorts are publicly funded.