Nuts are part of the Mediterranean tradition. For millennia, tree nuts
have been in the region. Results of an epidemiological study conducte
d among California Adventists provide strong evidence that frequent co
nsumption of nuts have a protective effect on both fatal and non-fatal
ischaemic heart disease events. The unique nutrient composition of nu
ts makes it plausible that nuts favourably affect heart disease risk f
actors and interfere with the process of atherogenesis. Results of rec
ently conducted human nutritional studies, with varying degrees of met
hodological rigour, all seem to indicate that eating nuts lowers serum
cholesterol and favourably modifies the lipoprotein profile. The effe
cts of nut consumption on other cardiovascular disease risk factors de
serve further exploration.