“Strong” = several concordant meta-analyses or systematic reviews. “Moderate” = one synthesis, or several controlled trials. “Limited” = early trials only. The rating is about the quality of the studies, not about how useful the supplement is.
A portion of legumes per day (lentils, chickpeas, beans) lowered LDL cholesterol and slightly reduced blood pressure in trials, and improves blood glucose in diabetics. For weight, the effect is minimal: −0.34 kg in six weeks.
Bloating: in three trials, less than half of the participants reported more gas in the first week with pinto beans or baked beans, only 19% with black-eyed peas, and 3 to 11% reported it even without beans; the discomfort varies depending on the type of legume. Lentils every day: in the 12-week trial, digestive disorders were no more frequent than with meat meals, all rated as none or mild. Limitations: weight: the effect is minimal, −0.34 kg in six weeks on average across 21 trials (940 people). Diabetes: in 15 cohorts (565,810 people), eating more legumes was not associated with less type 2 diabetes; only tofu and soy protein were linked to it. Heart and stroke: no reduction in cardiovascular deaths (32 cohorts) nor in heart attacks and strokes (review of 28 cohorts); the certainty of the observed links is rated as "low" to "very low". Chickpeas: in one trial, the slight decrease in cholesterol was partly due to involuntary changes in the rest of the diet. Trials are short and small, and the effect on blood glucose varies greatly from one study to another.
About one portion per day: 130 to 180 g of cooked legumes (150 g median in a review), for 4 to 12 weeks in trials.
The fear of gas is exaggerated: in three trials, less than half of the participants reported more during the first week of beans, and 3 to 11% reported it even with a bean-free diet.
This systematic review and meta-analysis, including 32 cohorts and more than 1.1 million participants, evaluated the association between pulse consumption and mortality. Higher pulse consumption was associated with a reduced risk of all-cause mortality and stroke mortality. An increase of 50 g/day of pulses was linked to a 6% reduction in the risk of all-cause mortality.
Zargarzadeh N, Mousavi SM, Santos HO, Aune D, Hasani-Ranjbar S, Larijani B, Esmaillzadeh A. — Advances in nutrition (Bethesda, Md.) (2023) — View the source study
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