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Dietary supplements · Hazelnuts
Hazelnuts in their shells, with and without their skin

Hazelnuts in their shells, with and without their skin

Ivar Leidus · CC BY-SA 4.0

Moderate evidence17 studies
How we rate

“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.

Hazelnuts

A handful of hazelnuts per day slightly lowers LDL and total cholesterol and improves diet quality, without causing weight gain; no effect on triglycerides, inflammation or blood sugar in diabetics.

Heart

Benefits

  • Slightly lowers LDL: −0.150 mmol/L in a meta-analysis of 3 randomised trials, out of 9 studies and 425 participants in total; total cholesterol also tends to decrease.
  • In 48 people with slightly high cholesterol, 30 g per day for 4 weeks lowered total cholesterol, LDL and apolipoprotein B, and increased HDL and vitamin E, whether the hazelnuts were whole, slivered or ground.
  • With 18 to 20% of calories from hazelnuts for 4 weeks, in 21 people with high cholesterol: −7.8% total cholesterol, −6.17% LDL, −7.3% triglycerides and +6.07% HDL, with improved arterial dilation.
  • In 32 healthy seniors, about 57 g per day for 16 weeks: −6.0% LDL, −3.4% fasting blood glucose and slightly more blood magnesium (+2.1%).
  • Improves diet quality: 42 g per day as a snack for 12 weeks provided more vitamin E and monounsaturated fats, and fewer saturated fats, than chocolate or crisps.
  • Does not cause weight gain: 30 or 60 g per day for 12 weeks did not change the body composition of 107 overweight individuals, and a review of 22 studies finds no adverse effect on weight.

Precautions

Limitations: a meta-analysis pools only 3 randomised trials, and finds no effect on triglycerides, HDL or BMI. In 107 overweight individuals, 30 or 60 g per day for 12 weeks changed neither CRP, IL-6, nor blood pressure. In 50 type 2 diabetics, replacing 10% of calories with hazelnuts for 8 weeks changed neither fasting blood glucose, total cholesterol, nor LDL. In children with high cholesterol, LDL decreased with hazelnuts, but no more than with dietary advice alone. Small trials with limited design: the 2022 review considers their results difficult to interpret.

Recommended dosage

29 to 69 g per day in trials, most often 30 to 60 g, for 4 to 16 weeks.

How to take it

  • Quantity: 30 g per day is enough to lower LDL in several trials; 60 g made no further difference to inflammation in overweight individuals.
  • Form: whole, slivered or ground have the same effect on cholesterol; whole ones are the most enjoyed over time, ground ones the least.
  • With or without skin: in children, both had the same effect.
  • As a snack: 42 g per day in place of chocolate or crisps improves dietary balance.
  • Duration: from 4 weeks (cholesterol) to 16 weeks (seniors) in the trials.
  • For whom: the trials that find an effect focus mainly on adults with slightly high cholesterol.

Did you know?

Whole, slivered or ground, 30 g of hazelnuts per day reduced LDL just as much; but over four weeks, participants found ground hazelnuts significantly less appetizing than whole ones.

What the studies say

  • A meta-analysis of studies conducted on 425 human participants showed that hazelnut consumption (29 to 69 g/day for 28 to 84 days) is associated with a significant reduction in LDL cholesterol and a downward trend in total cholesterol. No significant effect was observed on triglycerides, HDL cholesterol, or BMI. These results suggest that adding hazelnuts to the diet can help improve certain lipid markers.

    Perna S, Giacosa A, Bonitta G, Bologna C, Isu A, Guido D, Rondanelli M. — Nutrients (2016) — View the source study

For information only: not a substitute for medical advice. Dietary supplements are not a replacement for a varied, balanced diet. Learn more