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For years, we’ve heard that nuts are a “healthy snack” — packed with good fats, fibre and plant protein. But new and long-term studies show it goes much deeper than that.
From lower cholesterol to longer life, nuts are one of the most widely studied and consistent foods when it comes to health benefits. Here’s what the latest and strongest research says — and how to get the most from your daily handful.
A major Harvard study tracked nearly 120,000 men and women over 30 years. Those who ate nuts daily were around 20% less likely to die from any cause — including heart disease, cancer, and even respiratory illnesses.
That’s a meaningful difference from a small, everyday habit.
Another large study looked at over 200,000 people in the US and China — including many on low incomes. It found that people who ate more nuts or peanuts had a lower risk of death from heart disease and all causes.
🔎 And yes, peanuts (technically a legume) showed similar benefits to tree nuts — which is helpful if you’re watching your budget.
When researchers pooled together many long-term studies, they found that people eating a small handful (about 28 g) of nuts per day had:
22% lower risk of dying early, and
21% lower risk of heart disease.
The benefits levelled off around 15–30 g per day — so you don’t need huge amounts.
A 2024 study in South Korea followed over 114,000 adults for 12 years. Just two servings of nuts a week (about 30 g total) was linked with a 12% lower risk of death over the study period.
In a major Mediterranean diet trial, people at high cardiovascular risk followed a heart-friendly eating plan — one group with extra nuts (about 30 g/day).
That group had fewer strokes and heart attacks than those on a standard low-fat diet. Nuts weren’t the only reason, but they played a key role.
Yes — and this isn’t just from observational data. It’s from randomised controlled trials, where people are asked to either eat nuts or not. That’s the gold standard in nutrition science.
A major analysis of 61 high-quality trials found that eating around one handful (28 g) of nuts per day:
Lowered LDL (“bad”) cholesterol
Reduced total cholesterol
Slightly improved triglycerides and other blood fat markers
The more nuts people ate (up to about 60 g/day), the greater the effect — and it worked across all types of nuts, including almonds, walnuts, peanuts, and mixed varieties.
And more recent studies confirm the same — especially for peanuts, almonds, and mixed nuts.
The change is small — usually a 1 to 2 mmHg drop — but it’s consistent, especially in studies that used pistachios or almonds.
No, it’s not a replacement for treatment. But even small improvements can help lower your long-term risk of heart disease and stroke.
Actually, no. Despite being high in calories, nuts don’t seem to cause weight gain. Here's why:
They’re filling, so people often eat less later
Some of the fat is not fully absorbed by the body
They’re often used to replace less healthy snacks
In fact, trials show nuts may help people maintain a healthy weight more easily.
15–30 g per day (about a small handful) is the amount linked with most of the health benefits.
Peanuts, almonds, pistachios, walnuts — all are good choices.
Choose unsalted and uncoated nuts where possible.
Nut butter is fine too — just go for 100% nuts with no added sugar or palm oil.
A small handful of nuts most days could help you live longer, lower your cholesterol, and support a healthy heart — all without changing your whole diet. It’s one of the simplest, most well-supported nutrition swaps you can make. Just keep it unsalted, uncoated, and consistent — and enjoy.
1. Do I need to eat nuts every day?
No — but most of the benefit appears from 4–7 servings per week. A small handful most days is a great goal.
2. Which are best — almonds, walnuts, pistachios?
They’re all beneficial. Variety is great. Walnuts have more omega-3, pistachios may help more with blood pressure.
3. Is peanut butter okay?
Yes — as long as it’s 100% peanuts, with no added sugar, palm oil, or salt. Stick to about 2 teaspoons.
4. Aren’t they high in calories?
Yes, but they’re also satisfying, and studies show they don’t lead to weight gain when eaten in sensible portions.
5. Can nuts replace cholesterol meds?
Not on their own. They help — but they’re part of a bigger picture that includes diet, lifestyle, and in some cases, medication.
This article is for general information only and is not intended to treat or diagnose medical conditions. If in doubt please check with your GP first.
References:
Bao Y., et al. Association between nut consumption and total and cause-specific mortality. New England Journal of Medicine 369 (2013): 2001–2011.
– Tracked nearly 120,000 adults over 30 years, finding daily nut eaters had ~20% lower all-cause mortality
Luu HN, et al. Nut/Peanut consumption and overall and cardiovascular mortality. JAMA Internal Medicine (2015).
– Found higher nut or peanut intake associated with lower total and cardiovascular mortality in US and Chinese populations.
Aune D., et al. Nut consumption and risk of cardiovascular disease, total cancer, all-cause and cause-specific mortality: Systematic review and dose-response meta-analysis of prospective studies. BMC Medicine 14 (2016): 207.
– Pooled data showing a 22% lower all-cause mortality and 21% lower heart disease risk per ~28 g/day of nuts.
Hye Ran Shin, Jihye Kim & SuJin Song. Association between nut consumption and mortality risk: a 20-year cohort study in Korea with a stratified analysis by health-related variables. Nutrition Journal 23, 113 (2024).
– South Korean cohort: ≥2 servings/week of nuts linked to 12% lower all-cause mortality over 12 years.
Estruch R., et al. Primary Prevention of Cardiovascular Disease with a Mediterranean Diet Supplemented with Mixed Nuts. New England Journal of Medicine (2018 correction of PREDIMED trial).
– High-risk adults who followed a Mediterranean diet with ~30 g/day nuts had fewer heart attacks and strokes.
Del Gobbo LC., et al. Effects of tree nuts on blood lipids, apolipoproteins, and blood pressure: a meta-analysis of randomized controlled trials. American Journal of Clinical Nutrition (2015).
– Found that ~28 g/day tree nut intake lowered LDL, total cholesterol, and triglycerides in dose-dependent manner.
Meta‑analyses (various). Randomised controlled trials consistently show a modest 1–2 mmHg blood pressure reduction, especially with pistachios and almonds.
